Predictors of cardio pulmonary resuscitation outcome in postoperative cardiac children.
BACKGROUND
Outcomes of cardiopulmonary resuscitation (CPR) in children with congenital heart disease have improved and many children have survived after an in-hospital cardiac arrest.


OBJECTIVE
The purpose of this study is to determine predictors of poor outcome after CPR in critical children undergoing cardiac surgery.


METHODS
We conducted a retrospective chart review and data analysis of all CPR records and charts of all postoperative cardiac children who had a cardiac arrest and required resuscitation from 2011 until 2015. Demographic, pre-operative, and postoperative data were reviewed and analyzed.


RESULTS
During the study period, 18 postoperative pediatric cardiac patients had CPR. Nine of them had return of spontaneous circulation and survived (50%). On average CPR was required on the 3(rd) postoperative day. Univariate analysis demonstrated that poor outcome was associated with higher lactic acid measured 4-6 hours prior to arrest (p = 0.045; p = 0.02) coupled with higher heart rate (p = 0.031), lower O2 saturation (p = 0.01), and lower core body temperature (p = 0.019) recorded 6 hours before arrest. Nonsurvival required longer resuscitation duration and more epinephrine doses (p < 0.05).


CONCLUSIONS
Higher heart rate, lower core body temperature, lower O2 saturation, and higher lactic acid measured 6 hours before arrest are possible predictors of poorer outcome and mortality following CPR in postoperative cardiac children.
Pediatric Cardiac Intensive Care, Prince Sultan Cardiac Center, Qassim, aSaudi Arabia.
Bana Agha
BA
Nasser
Pediatric Cardiac Intensive Care, Prince Sultan Cardiac Center, Qassim, aSaudi Arabia.
Julinar
J
Idris
Pediatric Cardiac Intensive Care, Prince Sultan Cardiac Center, Qassim, aSaudi Arabia.
Abdu Rahman
AR
Mesned
Pediatric Cardiac Surgery, Prince Sultan Cardiac Center, Qassim, bSaudi Arabia.
Tageldein
T
Mohamad
Pediatric Cardiac Intensive Care, King Abdul Aziz Medical City, King Saud Bin Abdulaziz University, Riyadh, cSaudi Arabia.
Mohamed S
MS
Kabbani
Pediatric Cardiac Intensive Care, Prince Sultan Cardiac Center, Qassim, aSaudi Arabia.
Ali
A
Alakfash
Cardiopulmonary resuscitation; Pediatric cardiac surgery
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