Pediatr Crit Care Me
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Pediatr Crit Care Me · Jun 2016
Multicenter StudyOutcomes Following Single and Recurrent In-Hospital Cardiac Arrests in Children With Heart Disease: A Report From American Heart Association's Get With the Guidelines Registry-Resuscitation.
Little is known regarding patient characteristics and outcomes associated with cardiac arrest in hospitalized children with underlying heart disease. We described clinical characteristics and in-hospital outcomes in cardiac patients with both single and recurrent cardiac arrests. ⋯ In this large multicenter study, half of pediatric cardiac patients who suffered a cardiac arrest survived to hospital discharge. Lower survival in the group with recurrent arrest may be explained in part by the higher prevalence of baseline comorbidities in these patients, and surgical cardiac patients appeared to be at greatest risk. Further study is necessary to develop strategies to reduce subsequent mortality in these high-risk patients.
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Pediatr Crit Care Me · Jun 2016
Randomized Controlled Trial Comparative StudyEvaluation of the "Early" Use of Albumin in Children with Extensive Burns: A Randomized Controlled Trial.
To compare early versus delayed albumin resuscitation in children with burns in terms of clinical outcome and response. ⋯ Early albumin infusion in children with burns greater than 15-45% total body surface area reduced the need for crystalloid fluid infusion during resuscitation. Significantly fewer cases of fluid creep and shorter hospital stay were also observed in this group of patients.