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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Characteristics and outcome of cardiopulmonary resuscitation in hospitalised African children
Resuscitation, Volume 80, No. 1, Year 2009
Notification
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Description
Objective: To review the characteristics and outcome of cardiopulmonary resuscitation in children at a rural hospital in Kenya. Patients and method: All children aged 0-14 years who experienced ≥1 episode of respiratory or cardiopulmonary arrest during April 2002-2004 were prospectively identified. Demographic variables, cause of hospitalisation, type and duration of arrest, resuscitation measures taken and outcomes were determined. Results: 114 children experienced at least one episode of respiratory arrest (RA) or cardiopulmonary arrest (CPA). Cardiopulmonary resuscitation (CPR) was performed on all children. "Do not resuscitate order" (DNR) was given in 15 patients after initial resuscitation. Eighty two patients (72%) had RA and 32 (28%) had CPA. 25/82 (30%) patients with RA survived initial CPR compared to 5/32 (16%) with CPA. Survival at discharge was 22% (18/82) in children who had RA while no one with CPA survived at discharge. The leading underlying diseases were severe malaria, septicaemia and severe malnutrition. Prolonged resuscitation beyond 15 min and receiving adrenaline [epinephrine] (at least one dose of 10 μg/kg IV) were predictive of poor final outcome. Conclusion: Cardiopulmonary arrest after admission has a very poor prognosis in our hospital. Infectious diseases are the main underlying causes of arrest. If a child fails to respond to the basic tenements of PALS within 15 min then it is unlikely that further efforts to sustain life will be fruitful in hospitals where ventilation facilities are not present. Crown Copyright © 2008.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC2706393/bin/mmc1.doc
Authors & Co-Authors
Olotu, Ally Ibrahim
Kenya, Kilifi
Centre for Geographic Medicine Research
Ndiritu, M.
Kenya, Kilifi
Centre for Geographic Medicine Research
Ismael, M.
Kenya, Kilifi
Centre for Geographic Medicine Research
Mohammed, Shebe
Kenya, Kilifi
Centre for Geographic Medicine Research
Mithwani, Sadik
Kenya, Kilifi
Centre for Geographic Medicine Research
Maitland, Kathryn M.
Kenya, Kilifi
Centre for Geographic Medicine Research
Newton, Charles R.J.C.
Kenya, Kilifi
Centre for Geographic Medicine Research
Statistics
Citations: 35
Authors: 7
Affiliations: 1
Identifiers
Doi:
10.1016/j.resuscitation.2008.09.019
ISSN:
03009572
Research Areas
Food Security
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Locations
Kenya