Analysis of Pediatric Cardiopulmonary Arrest

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  • 小児心肺停止症例の検討

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Abstract

We performed a retrospective study of 36 pediatric cardiopulmonary arrests (<15 years old) at Emergency Medical Center, Kobe City General Hospital between 1999 and 2003. There were 52, 635 pediatric patients who came to Emergency Medical Center between 1999 and 2003. Twenty-eight percent of pediatric CPA cases were <1 year of age, 61% were male. Return of spontaneous circulation (ROSC) was achieved in 5 cases (14%). The most prevalent etiology was asphyxia (19%), followed by pneumonia (11%) and SIDS (8%). Twelve children (33%) had received bystander CPR. Eight children (22%) had received CPR from doctors at the scene and were transferred to the hospital by the doctor cars. Patients who had received bystander CPR had higher ROSC rates (33%) than patients who had not received bystander CPR (4%, p=0.03). Patients who were treated by doctors at the scene and transferred by the doctor cars had higher ROSC rates (38%) than those who were not transferred by the doctor cars (7%, p=0.005). Bystander CPR and doctor car transportation may improve the survival rate for pediatric out-of-hospital cardiac arrest.

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