title: Cardiopulmonary Resuscitation in Children With In-Hospital and Out-of-Hospital Cardiopulmonary Arrest: Multicenter Study From Turkey.
abstract: OBJECTIVE
  The objectives of this study were to determine the causes, location of cardiopulmonary arrest (CPA) in children, and demographics of cardiopulmonary resuscitation (CPR) in Turkish pediatric emergency departments and pediatric intensive care units (PICUs) and to determine survival rates and morbidities for both in-hospital and out-of-hospital CPA.
  
  
  METHODS
  This multicenter descriptive study was conducted prospectively between January 15 and July 15, 2011, at 18 centers (15 PICUs, 3 pediatric emergency departments) in Turkey.
  
  
  RESULTS
  During the study period, 239 children had received CPR. Patients' average age was 42.4 (SD, 58.1) months. The most common cause of CPA was respiratory failure (119 patients [49.8%]). The location of CPA was the PICU in 168 (68.6%), hospital wards in 43 (18%), out-of-hospital in 24 (10%), and pediatric emergency department in 8 patients (3.3%). The CPR duration was 30.7 (SD, 23.6) minutes (range, 1-175 minutes) and return of spontaneous circulation was achieved in 107 patients (44.8%) after the first CPR. Finally, 58 patients (24.2%) were discharged from hospital; survival rates were 26% and 8% for in-hospital and out-of-hospital CPA, respectively (P = 0.001). Surviving patients' average length of hospital stay was 27.4 (SD, 39.2) days. In surviving patients, 19 (32.1%) had neurologic disability.
  
  
  CONCLUSIONS
  Pediatric CPA in both the in-hospital and out-of-hospital setting has a poor outcome.
authors.affiliation: From the Division of Pediatric Intensive Care, Ankara University School of Medicine, Ankara, Turkey.
authors.forename: Tanl
authors.initials: T
authors.lastname: Kendirli
authors.forename: Nilgün
authors.initials: N
authors.lastname: Erkek
authors.forename: Tolga
authors.initials: T
authors.lastname: Köroğlu
authors.forename: Dinçer
authors.initials: D
authors.lastname: Yldzdaş
authors.forename: Benan
authors.initials: B
authors.lastname: Bayrakç
authors.forename: Ahmet
authors.initials: A
authors.lastname: Güzel
authors.forename: Agop
authors.initials: A
authors.lastname: Çtak
authors.forename: Demet
authors.initials: D
authors.lastname: Demirkol
authors.forename: Hasan
authors.initials: H
authors.lastname: Ağn
authors.forename: Ali Ertuğ
authors.initials: AE
authors.lastname: Arslanköylü
authors.forename: Nurettin Onur
authors.initials: NO
authors.lastname: Kutlu
authors.forename: Nilden
authors.initials: N
authors.lastname: Tuygun
authors.forename: Muhammet Şükrü
authors.initials: MŞ
authors.lastname: Paksu
authors.forename: Ayşe Berna
authors.initials: AB
authors.lastname: Anl
authors.forename: Gökhan
authors.initials: G
authors.lastname: Kalkan
authors.forename: Murat
authors.initials: M
authors.lastname: Duman
authors.forename: Ruşen
authors.initials: R
authors.lastname: Dündaröz
authors.forename: Nazik
authors.initials: N
authors.lastname: Aşloğlu
authors.forename: Ayhan
authors.initials: A
authors.lastname: Yaman
authors.forename: Çağlar
authors.initials: Ç
authors.lastname: Ödek
authors.forename: Deniz
authors.initials: D
authors.lastname: Tekin
authors.forename: Oğuz
authors.initials: O
authors.lastname: Dursun
authors.forename: Esra
authors.initials: E
authors.lastname: Şevketoğlu
authors.forename: Selman
authors.initials: S
authors.lastname: Kesici
authors.forename: Can
authors.initials: C
authors.lastname: Ateş
authors.forename: Zülfikar
authors.initials: Z
authors.lastname: Gördü
authors.forename: Hayri Levent
authors.initials: HL
authors.lastname: Ylmaz
authors.forename: Erdal
authors.initials: E
authors.lastname: İnce
authors.forename: Metin
authors.initials: M
authors.lastname: Karaböcüoğlu
mesh_terms: D016887:Cardiopulmonary Resuscitation; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D006801:Humans; D015278:Intensive Care Units, Pediatric; D008297:Male; D058687:Out-of-Hospital Cardiac Arrest / Q000209:etiology / Q000401:mortality / Q000628:therapy; D011446:Prospective Studies; D015996:Survival Rate; D014421:Turkey