Your browser doesn't support javascript.
loading
Analysis of death in children not submitted to cardiopulmonary resuscitation.
Leite, Márcia Marques; Bello, Fernanda Paixão Silveira; Sakano, Tânia Miyuki Shimoda; Schvartsman, Claudio; da Costa Reis, Amélia Gorete Afonso.
Afiliação
  • Leite MM; Universidade de São Paulo, Faculdade de Medicina, Departamento de Pediatria, Hospital das Clínicas, Instituto da Criança, Pronto-Socorro, São Paulo, SP, Brazil. Electronic address: marcia.l@hc.fm.usp.br.
  • Bello FPS; Universidade de São Paulo, Faculdade de Medicina, Departamento de Pediatria, Hospital das Clínicas, Instituto da Criança, Pronto-Socorro, São Paulo, SP, Brazil.
  • Sakano TMS; Universidade de São Paulo, Faculdade de Medicina, Departamento de Pediatria, Hospital das Clínicas, Instituto da Criança, Pronto-Socorro, São Paulo, SP, Brazil.
  • Schvartsman C; Universidade de São Paulo, Faculdade de Medicina, Departamento de Pediatria, Hospital das Clínicas, Instituto da Criança, Pronto-Socorro, São Paulo, SP, Brazil.
  • da Costa Reis AGA; Universidade de São Paulo, Faculdade de Medicina, Departamento de Pediatria, Hospital das Clínicas, Instituto da Criança, Pronto-Socorro, São Paulo, SP, Brazil.
J Pediatr (Rio J) ; 98(5): 477-483, 2022.
Article em En | MEDLINE | ID: mdl-35139342
OBJECTIVE: Describe the epidemiology of deaths in children not submitted to CPR, compare to a CPR group and evaluate patients' medical records of those not submitted to CPR. METHODS: Observational cross-sectional study assessing deaths between 2015 and 2018 in a pediatric tertiary hospital, divided into two groups: CPR and no- CPR. The source of data included the cardiorespiratory arrest register, based on Utstein style. Children's medical records in no-CPR group were researched by hand. RESULTS: 241 deaths were included, 162 in CPR group and 79 in the no-CPR group. Preexisting diseases were observed in 98.3% of patients and prior advanced intervention in 78%. Of the 241 deaths, 212 (88%) occurred in the PICU, being 138/162 (85.2%) in CPR group and 74/79 (93.7%) in no-CPR group (p = 0.018). Bradycardia as the initial rhythm was five times more frequent in the CPR group (OR 5.06, 95% CI 1.94-13,19). There was no statistically significant difference regarding age, gender, preexisting diseases, and period of the day of the occurrence of death. Medical records revealed factors related to the family decision-making process or the suitability of therapeutic effort. Discrepancies between the practice of CPR and medical records were identified in 9/79 (11,4%) records allocated to the no-CPR group. CONCLUSION: Most deaths with CPR and with the no-CPR occurred in the PICU. Bradycardia as the initial rhythm was five times more frequent in the CPR group. Medical records reflected the complexity of the decision not to perform CPR. Discrepancies were identified between practice and medical records in the no-CPR group.
Assuntos
Palavras-chave
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reanimação Cardiopulmonar / Parada Cardíaca Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Humans Idioma: En Revista: J Pediatr (Rio J) Ano de publicação: 2022 Tipo de documento: Article País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reanimação Cardiopulmonar / Parada Cardíaca Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Humans Idioma: En Revista: J Pediatr (Rio J) Ano de publicação: 2022 Tipo de documento: Article País de publicação: Brasil