martes, 20 de noviembre de 2012

Prevalence and outcomes of pediatric in-hospit... [Crit Care Med. 2012] - PubMed - NCBI

Prevalence and outcomes of pediatric in-hospit... [Crit Care Med. 2012] - PubMed - NCBI

2012 Nov;40(11):2940-4. doi: 10.1097/CCM.0b013e31825feb3f.

Prevalence and outcomes of pediatric in-hospital cardiopulmonary resuscitation in the United States: An analysis of the Kids' Inpatient Database*.


From the Divisions of Pediatric Cardiology (JDK, SRN, AGC, AWL, PS), Congenital Heart Surgery (DLSM), and Pediatric Critical Care Medicine (EAW), Baylor College of Medicine, Texas Children's Hospital, Houston, TX; Department of Physical Medicine and Rehabilitation (DEG), Baylor College of Medicine, Houston, TX; and Division of Cardiology (JWR), The Cardiac Center, The Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA.



: Population-based data on pediatric in-hospital cardiopulmonary resuscitation in the United States are scarce. Single-center studies and voluntary registries may skew the estimated prevalence and outcomes. This study aimed to determine the prevalence and outcomes of pediatric cardiopulmonary resuscitation on a national scale.


: A retrospective analysis of the Healthcare Cost and Utilization Project 2006 Kids' Inpatient Database was performed. Sample weighting was employed to produce national estimates.


: Three thousand seven hundred thirty-nine hospitals in 38 states participating with the Kids' Inpatient Database.


: All patients <20 2006.="2006." age="age" hospitalized="hospitalized" in="in" institutions="institutions" of="of" participating="participating" yrs="yrs">


: Cardiopulmonary resuscitation was performed in 5,807 (95% confidence interval 5259-6355) children with prevalence of 0.77 per 1,000 admissions. Most patients (68%) were <1 1.01-1.4="1.01-1.4" 1.01-1.5="1.01-1.5" 1.01-2.4="1.01-2.4" 1.1-1.9="1.1-1.9" 1.2="1.2" 1.5="1.5" 17.5-26.7="17.5-26.7" 2.3-3.2="2.3-3.2" 2.7="2.7" 21.6="21.6" 21.9-61.0="21.9-61.0" 3.0-4.8="3.0-4.8" 3.2-4.7="3.2-4.7" 3.8="3.8" 35.4-48.8="35.4-48.8" 36.6="36.6" 41.5="41.5" 44="44" 51.8="51.8" 95="95" acute="acute" among="among" analysis="analysis" and="and" associated="associated" cardiomyopathy="cardiomyopathy" cardiopulmonary="cardiopulmonary" confidence="confidence" congenital="congenital" disease="disease" factors="factors" failure="failure" female.="female." greater="greater" heart="heart" hepatic="hepatic" included="included" insufficiency="insufficiency" interval="interval" mortality="mortality" multivariable="multivariable" myocarditis="myocarditis" odds="odds" old="old" on="on" overall="overall" patients="patients" ratio="ratio" receiving="receiving" renal="renal" respiratory="respiratory" resuscitation="resuscitation" sepsis="sepsis" vs.="vs." was="was" were="were" with="with" yr="yr">


: Cardiopulmonary resuscitation is performed in approximately one in 1,300 pediatric hospitalizations. Approximately half of patients receiving cardiopulmonary resuscitation do not survive to discharge. Independent risk factors for mortality after receiving cardiopulmonary resuscitation included congenital heart disease, age ≥1 yr, acute renal failure, hepatic insufficiency, and sepsis.

[PubMed - in process]

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