[P3-94] The Value of Therapeutic Hypothermia in Pediatric Out-Hospital Cardiac Arrest
Background： Pediatric out-hospital cardiac arrest (OHCA) is a leading cause of pediatric death and remain challenging for pediatric intensivists in the past decades. Our study aims to analysis the clinical features and long-term outcomes of pediatric OHCA and the contribution of therapeutic hypothermia (TH).
Methods：During the 2004-2016, children suffered from OHCA admitted to Kaohsiung medical university hospital were retrospectively analyzed. Clinical characteristics including age, gender, underlying diseases, survival rate in emergency room (ER) and intensive care unit and long-term neurological outcomes were recorded.
Results： 90 patients (mean age = 6.7 +/- 6.9 y) were identified as pediatric OHCA. There was a male predominance in their incidence (M: F=54:36). 14.4% of them had known underlying disease (Neurological 54%, Cardiovascular 46%). The causes of OHCA were suffocation (31%, n=28), traumatic injury (17%, n=15), heart failure and arrhythmia (7.7%, n=7), status epilepticus (4%, n=4) , drowning (4%, n=4)and unknown causes (35.5%, n=32). 27.7% of them (n=25) survived in ER and 8.8% (n=8) survived after ICU care. 87.5% of the survivors developed epilepsy and severe motor dysfunction. Intervention of TH since 2013 increased the survival rate from 20% to 50%.
Conclusions： Suffocation is the most common causes of pediatric OHCA in our study and HT show the excellent effects in patient survival.
Methods：During the 2004-2016, children suffered from OHCA admitted to Kaohsiung medical university hospital were retrospectively analyzed. Clinical characteristics including age, gender, underlying diseases, survival rate in emergency room (ER) and intensive care unit and long-term neurological outcomes were recorded.
Results： 90 patients (mean age = 6.7 +/- 6.9 y) were identified as pediatric OHCA. There was a male predominance in their incidence (M: F=54:36). 14.4% of them had known underlying disease (Neurological 54%, Cardiovascular 46%). The causes of OHCA were suffocation (31%, n=28), traumatic injury (17%, n=15), heart failure and arrhythmia (7.7%, n=7), status epilepticus (4%, n=4) , drowning (4%, n=4)and unknown causes (35.5%, n=32). 27.7% of them (n=25) survived in ER and 8.8% (n=8) survived after ICU care. 87.5% of the survivors developed epilepsy and severe motor dysfunction. Intervention of TH since 2013 increased the survival rate from 20% to 50%.
Conclusions： Suffocation is the most common causes of pediatric OHCA in our study and HT show the excellent effects in patient survival.