title: In-hospital pediatric cardiac arrest in Honduras.
abstract: OBJECTIVE
  The objective of this study was to analyze the characteristic and the prognostic factors of in-hospital pediatric cardiac arrest (CA) in a public hospital Honduras.
  
  
  METHODS
  A prospective observational study was performed on pediatric in-hospital CA as a part of a multicenter international study. One hundred forty-six children were studied. The primary end point was survival at hospital discharge. Univariate and multivariate logistic regression analyses were performed to assess the influence of each factor on mortality.
  
  
  RESULTS
  Cardiac arrest occurred in the emergency department in 66.9%. Respiratory diseases and sepsis were predominant causes of CA. Return of spontaneous circulation was achieved in 60% of patients, and 22.6% survived to hospital discharge. The factors related with mortality were nonrespiratory cause of CA (odds ratio [OR], 2.55; P = 0.045), adrenaline administration (OR, 4.96; P = 0.008), and a duration of cardiopulmonary resuscitation more than 10 minutes (OR, 3.40; P = 0.012).
  
  
  CONCLUSIONS
  In-hospital CA in children in a developing country has low survival. Patients with nonrespiratory causes and those who need adrenaline administration and prolonged resuscitation had worse prognosis.
authors.affiliation: From the *Hospital Escuela, Tegucigalpa, Honduras; and †Pediatric Intensive Care Department, Instituto de Investigación del Hospital General Universitario Gregorio Marañón, Madrid, Spain.
authors.forename: Martha
authors.initials: M
authors.lastname: Matamoros
authors.forename: Roger
authors.initials: R
authors.lastname: Rodriguez
authors.forename: Allison
authors.initials: A
authors.lastname: Callejas
authors.forename: Douglas
authors.initials: D
authors.lastname: Carranza
authors.forename: Hilda
authors.initials: H
authors.lastname: Zeron
authors.forename: Carlos
authors.initials: C
authors.lastname: Sánchez
authors.forename: Jimena
authors.initials: J
authors.lastname: Del Castillo
authors.forename: Jesús
authors.initials: J
authors.lastname: López-Herce
mesh_terms: D000293:Adolescent; D016887:Cardiopulmonary Resuscitation / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006323:Heart Arrest / Q000401:mortality*; D006721:Honduras / Q000453:epidemiology; D017052:Hospital Mortality; D006801:Humans; D007223:Infant; D016015:Logistic Models; D008297:Male; D010372:Pediatrics; D011379:Prognosis; D011446:Prospective Studies; D015996:Survival Rate