中山醫學大學機構典藏 CSMUIR:Item 310902500/3875
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    题名: Factors associated with sustained return of spontaneous circulation in children after out-of-hospital cardiac arrest of noncardiac origin
    作者: Chao-Jui Li;Chia-Te Kung;Ber-Ming Liu;Chu-Chung Chou;Chin-Fu Chang;Tung-Kung Wu;Tzu-An Liu;Yan-Ren Lin
    贡献者: 中山醫學大學:醫學系
    日期: 2010
    上传时间: 2011-06-17T07:21:06Z (UTC)
    ISSN: 0735-6757
    摘要: Purpose
    The study aimed to determine the factors predictive of sustained return of spontaneous circulation (ROSC) in children with out-of-hospital cardiac arrest (OHCA) of noncardiac origin.
    Methods
    Eighty children were included in this retrospective study. The variables that lead to sustained ROSC and those that do not lead to sustained ROSC were analyzed. Survival analyses, including chance of achieving sustained ROSC and sum duration of ROSC, were conducted according to the duration of in-hospital cardiopulmonary resuscitation (CPR).
    Results
    Etiologies of noncardiac OHCA differed significantly across different age groups (P < .001). Only 8.8% of children had initial arrest rhythms that were shockable. Predictors of sustained ROSC included the initial cardiac rhythm (P = .002), a shorter period between collapse and the first chest compression (P = .002), a shorter in-hospital CPR duration (P = .004), and prehospital CPR (P = .007). In children where ROSC was initially sustained, those with in-hospital CPR of more than 20 minutes, ROSC was sustained for less time (P < .001).
    Conclusions
    Few children with noncardiac OHCA present with shockable cardiac rhythms. Furthermore, long-term ROSC is difficult to maintain in children who receive in-hospital CPR for more than 20 minutes.
    URI: https://ir.csmu.edu.tw:8080/ir/handle/310902500/3875
    http://dx.doi.org/10.1016/j.ajem.2008.12.018
    關聯: The American Journal of Emergency Medicine,Volume 28, Issue 3, March 2010, Pages 310-317
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