+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Effect of hospital characteristics on outcomes from pediatric cardiopulmonary resuscitation: a report from the national registry of cardiopulmonary resuscitation



Effect of hospital characteristics on outcomes from pediatric cardiopulmonary resuscitation: a report from the national registry of cardiopulmonary resuscitation



Pediatrics 118(3): 995-1001



OBJECTIVE. Cardiac arrest is uncommon among pediatric patients. Prehospital data demonstrate differences in care processes between children and adults receiving cardiopulmonary resuscitation and advanced life support. We sought to evaluate whether children receiving in-hospital cardiopulmonary resuscitation would attain superior 24-hour survival in hospitals with a higher level of pediatric physician staffing, greater intensity of pediatric care services, and higher pediatric patient volume.METHODS. A retrospective cohort of 778 hospital inpatients aged < 18 years receiving cardiopulmonary resuscitation was identified from the National Registry of Cardiopulmonary Resuscitation from January 2000 to December 2002. Data on hospital pediatric facilities were obtained via telephone survey. Univariate analyses comparing 24-hour survivors and nonsurvivors were conducted using Wilcoxon rank-sum testing for continuous variables and chi(2) analysis for dichotomous variables. Multivariate regression analysis was done to examine hospital characteristics as independent predictors of 24-hour survival.RESULTS. Complete data were available for 677 patients. Univariate analyses showed an association between several pediatric-specific facility characteristics and 24-hour survival. After accounting for indicators of pre-event clinical condition and monitoring, multivariate analysis showed improved 24-hour survival in hospitals staffed by pediatric residents and surgeons and pediatric residents, surgeons, and fellows than for hospitals with no pediatric physician staffing or pediatric surgeons alone. Measures of available facilities and patient volume were not associated with improved outcome.CONCLUSIONS. Improved 24-hour survival for children receiving in-hospital cardiopulmonary resuscitation is associated with the presence of pediatric residents and fellows.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 012853219

Download citation: RISBibTeXText

PMID: 16950990

DOI: 10.1542/peds.2006-0453


Related references

Outcomes among neonates, infants, and children after extracorporeal cardiopulmonary resuscitation for refractory inhospital pediatric cardiac arrest: a report from the National Registry of Cardiopulmonary Resuscitation. Pediatric Critical Care Medicine 11(3): 362-371, 2010

Calcium use during in-hospital pediatric cardiopulmonary resuscitation: a report from the National Registry of Cardiopulmonary Resuscitation. Pediatrics 121(5): E1144-E1151, 2008

Cardiopulmonary resuscitation of adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation 58(3): 297-308, 2003

Pre-resuscitation factors associated with mortality in 49,130 cases of in-hospital cardiac arrest: a report from the National Registry for Cardiopulmonary Resuscitation. Resuscitation 81(3): 302-311, 2010

Derangements in blood glucose following initial resuscitation from in-hospital cardiac arrest: a report from the national registry of cardiopulmonary resuscitation. Resuscitation 80(6): 624-630, 2009

Comparison of Pediatric Cardiopulmonary Resuscitation Quality in Classic Cardiopulmonary Resuscitation and Extracorporeal Cardiopulmonary Resuscitation Events Using Video Review. Pediatric Critical Care Medicine 19(9): 831-838, 2018

Increasing amiodarone use in cardiopulmonary resuscitation: an analysis of the National Registry of Cardiopulmonary Resuscitation. Critical Care Medicine 36(1): 126-130, 2008

Recommendations for basic, advanced and neonatal pediatric cardiopulmonary resuscitation. Ethics and cardiopulmonary resuscitation. Spanish Group for Pediatric and Neonatal Cardiopulmonary Resuscitation. Anales Espanoles de Pediatria 52(5): 464-469, 2000

Pediatric cardiopulmonary resuscitation equipment in the resuscitation cart or trolley. Spanish Group of Pediatric and Neonatal Cardiopulmonary Resuscitation. Anales Espanoles de Pediatria 52(3): 258-260, 2000

The national registry of cardiopulmonary resuscitation A preliminary report of 5,030 adult in-hospital cardiac arrests. Journal of the American College of Cardiology 39(5 Suppl. A): 335A-336A, 2002

Factors predicting outcome of cardiopulmonary resuscitation in a developing country: the Siriraj cardiopulmonary resuscitation registry. Journal of the Medical Association of Thailand 92(5): 618-623, 2009

Recommendations for basic, advanced and neonatal cardiopulmonary resuscitation. Post-resuscitation stabilization and transport. Spanish Group for Pediatric and Neonatal Cardiopulmonary Resuscitation. Anales Espanoles de Pediatria 52(5): 457-463, 2000

Guidelines of basic, advanced and neonatal cardiopulmonary resuscitation (II): basic cardiopulmonary resuscitation in pediatrics. Spanish group of Pediatric and Neonatal Cardiopulmonary Resuscitation. Anales Espanoles de Pediatria 51(4): 409-416, 1999

Education in cardiopulmonary resuscitation: courses in basic and advanced pediatric and neonatal cardiopulmonary resuscitation. The Spanish Group of Pediatric CPR. Anales Espanoles de Pediatria 44(1): 2-6, 1996

Failure of 'predictors' of cardiopulmonary resuscitation outcomes to predict cardiopulmonary resuscitation outcomes. Implications for do-not-resuscitate policy and advance directives. Archives of Internal Medicine 153(11): 1293-1296, 1993