Cardiac Arrest in Children and Young Adults

Atkins, Dianne L.

doi:10.1161/circulationaha.112.129148

Cited by 8 publications

(7 citation statements)

References 22 publications

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“…In pediatric patients, most CPA events occur in those younger than 1 year (44•64%), 10 , 11 , 20 and the incidence in this age range is close to that of adults.…”

Section: Agementioning

confidence: 92%

“…Prehospital CPA is rare in children and adolescents, occurring in 2.28 to 8.04/100,000, in contrast to adults, occurring in 50 to 126.57/100,000, and is associated with high mortality and severe neurological sequelae. 10 , 11 , 12 Pediatric CPA accounts for only 1.5 to 2.2% of total CPAs, according to recent Asian 13 and American 14 registry publications, respectively.…”

Section: Prehospital Cardiopulmonary Arrestmentioning

confidence: 99%

“… 21 Pediatric multicenter studies have shown the same trend, with lower survival in infants (1.4•3.7%), followed by children (3.6•9.8%) and adolescents (8.9•16.3%). 11 , 13 , 20 , 22 …”

Section: Agementioning

confidence: 99%

“… 10 Table 1 presents the main characteristics of prehospital CPA in different age groups. 10 , 11 , 15 , 19 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 …”

Section: Agementioning

confidence: 99%

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Epidemiology of pediatric cardiopulmonary resuscitation

Sakano

Schvartsman

Reis

2020

Jornal de Pediatria

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“…In pediatric patients, most CPA events occur in those younger than 1 year (44•64%), 10 , 11 , 20 and the incidence in this age range is close to that of adults.…”

Section: Agementioning

confidence: 92%

Section: Prehospital Cardiopulmonary Arrestmentioning

confidence: 99%

Section: Agementioning

confidence: 99%

“… 10 Table 1 presents the main characteristics of prehospital CPA in different age groups. 10 , 11 , 15 , 19 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 …”

Section: Agementioning

confidence: 99%

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Epidemiology of pediatric cardiopulmonary resuscitation

Sakano

Schvartsman

Reis

2020

Jornal de Pediatria

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“…Child resuscitation is a critical time for parents 1. Paediatric cardiac arrest in children and adolescents occurs at a rate of 2.28 to 8.04 arrests per 100 000 cases/year 2–4. Annual cardiopulmonary resuscitation rates per age group in most of the countries of the world were: 65.5–72 cases per 100 000 for infants, 3.7 cases per 100 000 for children and 6.3 cases per 100 000 for adolescents 2.…”

Section: Introductionmentioning

confidence: 99%

Parents’ and healthcare professionals’ experiences and perceptions of parental readiness for resuscitation in Iranian paediatric hospitals: a qualitative study

et al. 2022

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ObjectiveThe aim of this study was to examine parents’ and healthcare professionals’ experiences and perceptions of parental readiness for resuscitation of their child in a paediatric hospital.DesignThis exploratory descriptive qualitative study used content analysis. Participants shared their experiences and perceptions about parental readiness for cardiopulmonary resuscitation through semi-structured and in-depth interviews. MAXQDA 2020 software was also used for data analysis.SettingThe setting was two large teaching paediatric hospitals in Iran (Este Azerbaijan and Mashhad).ParticipantsParticipants were 10 parents and 13 paediatric healthcare professionals (8 nurses and 5 physicians). Selection criteria were: (a) parents who experienced their child’s resuscitation crisis at least 3 months prior and (b) nurses and physicians who were working in emergency rooms or intensive care wards with at least 2 years of experience on the resuscitation team.ResultsParticipants shared their experiences about parental readiness for resuscitation of their child in four categories: awareness (acceptance of resuscitation and its consequences; providing information about the child’s current condition and prognosis), chaos in providing information (defect of responsibility in informing; provide selective protection of information; hardness in obtaining information), providing situational information (honest information on the border of hope and hopeless; providing information with apathy; providing information as individual; dualism in blaming; assurance to parents; presence of parents to better understand the child’s situation) and psychological and spiritual requirements (reliance on supernatural power; need for access to a psychologist; sharing emotions; collecting mementos).ConclusionThe results of this study provide insight on the needs of parents and strategies to use to prepare them for their child’s resuscitation crisis, which can be used to enhance family centred care practices in paediatric acute care settings.

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Sudden Cardiac Death in Coronary Artery Disease

Safavi‐Naeini

Rasekh

Razavi

et al. 2015

Coronary Artery Disease

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Sudden cardiac death (SCD) is defi ned as unexpected natural death from a cardiac cause that occurs spontaneously or within 1 h after an abrupt change in clinical status in a person who did not already have a condition that appeared to be fatal. Sudden cardiac death is the leading cause of death worldwide. Every year, approximately four to fi ve million SCDs are estimated to occur worldwide, which corresponds to approximately 50 % of all deaths from coronary artery disease (CAD). Coronary artery disease accounts for 80 % of all SCDs, and both CAD and SCD are associated with risk factors such as family history of CAD, hypertension, diabetes mellitus, male sex, old age, cigarette smoking, hypercholesterolemia, kidney dysfunction, and obesity. There has been a decline in the incidence of SCD that mirrors the national decline in coronary artery disease (CAD) mortality.The incidence of SCD increases with age in both men and women. The annual incidence of SCD is three to four times higher in men than in women; approximately 75 % of SCDs occur in men. Social isolation, stress at work, depression, anxiety, marital problems, death of a child, caring for a sick spouse, and childhood abuse have been associated with an increased risk of cardiovascular mortality. The majority of patients who have an SCD do not have symptoms and are not identifi ed as being at high risk before the event. Therefore, in addition to the secondary prevention of SCD (i.e., prevention of recurrent cardiac arrest), primary prevention is a major therapeutic goal. Left ventricular ejection fraction (LVEF) is a strong predictor of subsequent SCD. Despite its less-than-optimal sensitivity and specifi city, LVEF is the cornerstone of decision-making regarding primary prevention of SCD. Patients with an LVEF of less than 30-35 % are considered to be at high risk and qualify for primary prevention with an implantable cardioverter-defi brillator (ICD). Current practice guidelines recommend assessing LV function 40 days after myocardial infarction to determine the necessity of ICD implantation for primary prevention of SCD.

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Cardiac Arrest in Children and Young Adults

Cited by 8 publications

References 22 publications

Epidemiology of pediatric cardiopulmonary resuscitation

Epidemiology of pediatric cardiopulmonary resuscitation

Parents’ and healthcare professionals’ experiences and perceptions of parental readiness for resuscitation in Iranian paediatric hospitals: a qualitative study

Sudden Cardiac Death in Coronary Artery Disease

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