The epidemiology and resuscitation effects of cardiopulmonary arrest among hospitalized children and adolescents in Beijing: An observational study

Jing, Zeng; Qian, Suyun; Zheng, M. H.; Wang, Yin; Gao-Jun, Zhou; Wang, Haiyan

doi:10.1016/j.resuscitation.2013.08.007

Cited by 35 publications

(35 citation statements)

References 15 publications

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“…Survival from arrest in PICU carried a better prognosis; on average 30.1% survival to discharge (95% CI 23.4% to 37.9%, PrI 16.0% to 49.3%, I-sq 83%). This was reported by six studies[ 3 , 9 , 15 , 18 , 25 , 28 ] over 1213 arrests. ( Fig 3 )…”

Section: Resultsmentioning

confidence: 69%

“…6233 articles were identified with this search, of which 21 papers were eventually included[ 1 – 3 , 9 – 11 , 15 – 29 ] reporting on 16 data sets (see Fig 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Cardiopulmonary arrest in children is an uncommon event [ 1 – 3 ]. When it does happen, algorithms provide structured approaches to reverse the situation [ 4 – 8 ], but at what point, and under what circumstances do continued attempts to re-establish circulation become futile?…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have concluded with varying estimates of the nature of outcomes following cardiopulmonary arrest[ 3 , 9 – 11 ], with grossly different outcomes from in-hospital[ 11 ] versus out-of-hospital[ 10 ] arrest and uncertainty about the effect of bystander resuscitation[ 10 ] amongst other factors. Some of these uncertainties may be lessened by a systematic review to collect, appraise and synthesise the data and subsequently be used to inform healthcare workers (and parents/carers) in delivering care in an evidence based manner.…”

Section: Introductionmentioning

confidence: 99%

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Systematic Review and Meta-Analysis of Outcomes after Cardiopulmonary Arrest in Childhood

et al. 2015

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BackgroundCardiopulmonary arrest in children is an uncommon event, and often fatal. Resuscitation is often attempted, but at what point, and under what circumstances do continued attempts to re-establish circulation become futile? The uncertainty around these questions can lead to unintended distress to the family and to the resuscitation team.ObjectivesTo define the likely outcomes of cardiopulmonary resuscitation in children, within different patient groups, related to clinical features.Data SourcesMEDLINE, MEDLINE in-Process & Other non-Indexed Citations, EMBASE, Cochrane database of systematic reviews and Cochrane central register of trials, Database of Abstracts of Reviews of Effects (DARE), the Health Technology Assessment database, along with reference lists of relevant systematic reviews and included articles.Study Eligibility CriteriaProspective cohort studies which derive or validate a clinical prediction model of outcome following cardiopulmonary arrest.Participants and InterventionsChildren or young people (aged 0 – 18 years) who had cardiopulmonary arrest and received an attempt at resuscitation, excluding resuscitation at birth.Study Appraisal and Synthesis MethodsRisk of bias assessment developed the Hayden system for non-randomised studies and QUADAS2 for decision rules. Synthesis undertaken by narrative, and random effects meta-analysis with the DerSimonian-Laird estimator.ResultsMore than 18,000 episodes in 16 data sets were reported. Meta-analysis was possible for survival and one neurological outcome; others were reported too inconsistently. In-hospital patients (average survival 37.2% (95% CI 23.7 to 53.0%)) have a better chance of survival following cardiopulmonary arrest than out-of-hospital arrests (5.8% (95% CI 3.9% to 8.6%)). Better neurological outcome was also seen, but data were too scarce for meta-analysis (17% to 71% ‘good’ outcomes, compared with 2.8% to 3.2%).LimitationLack of consistent outcome reporting and short-term neurological outcome measures limited the strength of conclusions that can be drawn from this review.Conclusions and Implications of Key FindingsThere is a need to collaboratively, prospectively, collect potentially predictive data on these rare events to understand more clearly the predictors of survival and long-term neurological outcome.Systematic Review Registration NumberPROSPERO 2013:CRD42013005102

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Section: Resultsmentioning

confidence: 69%

“…6233 articles were identified with this search, of which 21 papers were eventually included[ 1 – 3 , 9 – 11 , 15 – 29 ] reporting on 16 data sets (see Fig 1 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Systematic Review and Meta-Analysis of Outcomes after Cardiopulmonary Arrest in Childhood

et al. 2015

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“…This finding is consistent with studies in the literature, which have indicated that boys form a group that is more susceptible to this kind of fall, just as they are in relation to other types of falls and accidents in general during childhood. 1,[4][5][6][8][9][10]12,13,[16][17][18][19] There are many explanations for the higher frequency with which males are involved in accidents, especially when they are children and adolescents. According to Filocomo et al and Spider et al, boys are exposed to activities that are more dynamic and achieve sociocultural freedom earlier than girls do, 6,13 which might be a reason for greater involvement, although today there is greater stimulus towards exposure of girls to active recreational activities and sports.…”

Section: Discussionmentioning

confidence: 99%

Accidents due to falls from roof slabs

et al. 2013

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CONTEXT AND OBJECTIVE: Falls from the roof slabs of houses are accidents of high potential severity that occur in large Brazilian cities and often affect children and adolescents. The aims of this study were to characterize the factors that predispose towards this type of fall involving children and adolescents, quantify the severity of associated lesions and suggest preventive measures. DESIGN AND SETTING: Descriptive observational prospective longitudinal study in two hospitals in the metropolitan region of São Paulo. METHODS: Data were collected from 29 cases of falls from roof slabs involving children and adolescents between October 2008 and October 2009. RESULTS: Cases involving males were more prevalent, accounting for 84%. The predominant age group was schoolchildren (7 to 12 years old; 44%). Leisure activities were most frequently being practiced on the roof slab at the time of the fall (86%), and flying a kite was the most prevalent game (37.9%). In 72% of the cases, the children were unaccompanied by an adult responsible for them. Severe conditions such as multiple trauma and traumatic brain injuries resulted from 79% of the accidents. CONCLUSION: Falls from roof slabs are accidents of high potential severity, and preventive measures aimed towards informing parents and guardians about the dangers and risk factors associated with this type of accident are needed, along with physical protective measures, such as low walls around the slab and gates with locks to restrict free access to these places. RESUMO CONTEXTO E OBJETIVO:A queda de cima da laje é um acidente com alto potencial, que ocorre nas grandes metrópoles brasileiras e frequentemente acomete crianças e adolescentes. O objetivo do estudo foi caracterizar os fatores que predispõem às quedas da laje envolvendo crianças e adolescentes, quantificar a gravidade das lesões associadas e sugerir medidas preventivas. TIPO DE ESTUDO E LOCAL: Estudo prospectivo longitudinal observacional de caráter descritivo realizado em dois hospitais na região metropolitana de São Paulo. MÉTODOS: Foram coletados dados de 29 casos de queda da laje envolvendo crianças e adolescentes no período de outubro de 2008 a outubro de 2009. RESULTADOS: O gênero masculino foi o mais prevalente, com 84% dos casos. A faixa etária predominante foi a escolar (7 a 12 anos) com 44%. O lazer foi a atividade mais frequente praticada na laje no momento da queda (86%), sendo a brincadeira de empinar pipa a mais prevalente (37,9%). Em 72% dos casos, as crianças estavam desacompanhadas de um adulto responsável. Quadros graves como politraumas e traumas cranioencefálicos representaram 79% dos acidentes. CONCLUSÃO: A queda da laje representa acidente com alto potencial de gravidade, sendo necessária a adoção de medidas preventivas direcionadas ao esclarecimento de pais e responsáveis sobre os perigos e fatores de risco relacionados com esse tipo de acidente, além da adoção de medidas de proteção física, como muretas ao redor da laje e portões com travas para restringir o livre acesso a es...

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Cardiac Intensive Care and Management of Cardiac Arrest in Pediatric Congenital Heart Disease

Sirignano

Federman²,

Srivastava³

2023

Congenital Heart Disease in Pediatric and Adult Patients

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The epidemiology and resuscitation effects of cardiopulmonary arrest among hospitalized children and adolescents in Beijing: An observational study

Cited by 35 publications

References 15 publications

Systematic Review and Meta-Analysis of Outcomes after Cardiopulmonary Arrest in Childhood

Systematic Review and Meta-Analysis of Outcomes after Cardiopulmonary Arrest in Childhood

Accidents due to falls from roof slabs

Cardiac Intensive Care and Management of Cardiac Arrest in Pediatric Congenital Heart Disease

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