Assessment of Post-Cardiac Arrest Care and Survival Rate in Pediatric Intensive Care Unit

Abstract

Background: The true incidence of pediatric intensive care unit cardiac arrest is unknown. Post-cardiac
arrest care has significant potential to reduce early mortality caused by hemodynamic instability and later
morbidity. Aims and objectives:To determine overall survival rate for cardiac arrest in pediatric intensive
care unit and to justify whether survival rate affected by any factor related to resuscitation procedure or
affected by individual factors.Subjects and Methods:This Prospective cohort study was conducted at
PICU In Pediatrics Department, Zagazig University Hospitals including 48 patients admitted to PICU and
arrested either on admission or after a while of admission . The duration of the study ranged from 6-12
months. Results: Neurological causes were the most common cause of arrest in our PICU either due to
intractable convulsions or combined with DCL. 66.7%, 12.5% and 8.3% of patients were arrested due to
intractable convulsions, sepsis, and metabolic causes respectively. All our patients were on mechanical
ventilation, and 58.3% of them received inotropes. There was statistically significant relation between
patients’ outcome and PIM-2 score which was significantly lower among survivors also. There was
statistically significant relation between patients’ outcome and number of CPR cycles and CPR outcome.
Conclusion: The more CPR/duration the less risk of mortality by 3.9 folds reduction.