병원 외부에서 발생한 심폐정지 소아의 역학에 관한 전향적 연구

• 영문명: A Prospective Study of the Epidemiology of Out-of-Hospital Pediatric Cardiopulmonary Arrest
• 발행기관: 한국역학회
• 저자명: 한승훈(Seung hoon Hahn) 이원철(Won chul Lee)
• 간행물 정보: 『한국역학회지』韓國疫學會誌 第29卷 第2號, 211~221쪽, 전체 11쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2007.12.30

영문 초록

  Purpose: Data regarding out-of-hospital pediatric cardiopulmonary arrest have been limited to the retrospective study. This study was performed to analyze the epidemiology and outcome of out-of-hospital pediatric cardiopulmonary arrest(CPA) with the international consensus in a single hospital.
  Methods: Children less than 15 years old who entered emergency department with CPA, between 1st March 2004 and 31st July 2007, were included this study. Data were recorded prospectively following Utstein"s template. The characteristics and outcomes of patients were analyzed.
  Results: Cardiopulmonary arrests occurredin total of 37 of 21,339 children presented to emergency department during 41 months study period. 15 out of 37 with CPA had return of spontaneous circulation (ROSC) after resuscitation, 4 survived to be discharged from the hospital. The rate of ROSC in the respiratory arrest is higher than the cardiac arrest. Trauma was the most common cause of out-of-hospital pediatric cardiopulmonary arrest. No children who had more 20 minutes of cardiopulmonary resuscitation (CPR) or took more than 3 doses of epinephrine survived.
  Conclusions: The 10.4% survival rate after out-of-hospital pediatric CPA is poor. The respiratory arrest is more favorable. Education of basic life support for publics is needed to increase the rate of ROSC and survival from out-of-hospital pediatric cardiopulmonary arrest.

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서론
대상 및 방법
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참고문헌
Abstract

키워드

Cardiopulmonary arrest Cardiopulmonary resuscitation Pediatric Epidemiology