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首页> 外文期刊>Pediatric surgery international >Epidemiology and outcome analysis of children with traumatic out-of-hospital cardiac arrest compared to nontraumatic cardiac arrest.
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Epidemiology and outcome analysis of children with traumatic out-of-hospital cardiac arrest compared to nontraumatic cardiac arrest.

机译：与非创伤性心脏骤停相比，创伤性院外心脏骤停患儿的流行病学和结果分析。

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This study aimed to determine predictive factors for sustained return of spontaneous circulation (ROSC) in pediatric patients with traumatic out-of-hospital cardiac arrest (OHCA) and compared to those with nontraumatic OHCA.This was a retrospective prognostic study of children with OHCA presenting to the emergency department (ED) was conducted from 2005 to 2010. Related clinical factors that influenced sustained ROSC in traumatic OHCA patients were identified and compared to nontraumatic cases. Significant parameters in predicting sustained ROSC in traumatic OHCA children were also determined using multivariate logistic regression analysis, and etiologies of the ICU admissions were analyzed in patients with sustained ROSC.Among 2,978 critically ill children admitted to the ED, 150 were pediatric OHCA patients, including 76 traumatic cases and 74 nontraumatic cases. Of children with OHCA, initial sustained ROSC was achieved in 51 cases (34.0 %), including 31 traumatic cases and 20 of nontraumatic cases. Head and neck injuries were the majority of traumatic cases in the traumatic OHCA children, followed by abdominal injuries and chest injuries. However, abdominal injuries accounted for the highest rate to gain sustained ROSC, while chest injuries had the lowest rate for successful sustained ROSC. Significant factors associated with sustained ROSC in traumatic OHCA included initial cardiac rhythm (P < 0.05), the period from scene to hospital (P < 0.05), and the duration of in-hospital cardiopulmonary resuscitation (CPR) (P < 0.05).Significant factors related to sustained ROSC have been identified as initial cardiac rhythm, duration of in-hospital CPR, and the period from scene to hospital. Head and neck injuries were the majority of traumatic cases and the prevention in head and neck trauma may play an important part in public health aspects.
机译：本研究旨在确定患有创伤性院外心脏骤停（OHCA）的小儿患者自发性循环（ROSC）持续恢复的预测因素，并与非创伤性OHCA的患儿进行比较，这是对OHCA患儿的回顾性预后研究于2005年至2010年向急诊科（ED）进行了研究。确定了影响OHCA创伤患者持续ROSC的相关临床因素，并将其与非创伤性病例进行了比较。还使用多元逻辑回归分析确定了预测创伤性OHCA儿童持续性ROSC的重要参数，并分析了持续性ROSC患者的ICU入院病因.2,978例急诊重症儿童入院，其中150例是儿科OHCA患者，包括76例创伤病例和74例非创伤性病例。在OHCA儿童中，有51例（34.0％）达到了初始持续性ROSC，包括31例创伤病例和20例非创伤性病例。在OHCA创伤儿童中，头部和颈部受伤是大多数创伤病例，其次是腹部和胸部受伤。但是，腹部损伤获得持续性ROSC的发生率最高，而胸部受伤获得持续性ROSC的发生率最低。与创伤性OHCA持续ROSC相关的重要因素包括初始心律（P <0.05），从现场到医院的时间（P <0.05）和院内心肺复苏的持续时间（P <0.05）。与持续性ROSC相关的因素已被确定为初始心律，院内CPR持续时间以及从现场到医院的时间。头部和颈部受伤是大多数外伤病例，头颈部外伤的预防可能在公共卫生方面发挥重要作用。

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