Abstract P-551: OUTCOME OF IN HOSPITAL PEDIATRIC CARDIAC ARREST (IH-PCA): RESULTS FROM A TERTIARY CARE CENTRE IN PAKISTAN

Abstract

Aims & Objectives: To assess the short term outcome of CPR in children in terms of Return of spontaneous circulation ROSC (initial survival) and discharge alive from hospital (final survival) at a Tertiary Care Hospital from Pakistan and to compare survival rates with beforeand after implementation of RRT and PALS training program. Methods A Prospective observational study was conducted at the Aga Khan University Hospital, Karachi from Jan 2015 to June 2017. Children between 1 month to 16 years of age, who developed in hospital cardiac arrest (IHCA) and underwent CPR, were included in the study. Data collection was reported according to Utstein style. The outcome were sustained return of spontaneous circulation (initial survival) and hospital discharge (final survival). Results A total of 89 Cardiopulmonary resuscitation were performed. Incidence of CPR was 0.85% for all admissions; (8.5 CPR/1000 admissions). Most patients who had CPR had underlying circulatory shock. Pulseless electrical activity was noted in 47% of our patients. Return of spontaneous circulation (ROSC) was achieved in 51.7% (n =46) and 28% (n=23) patients were alive at time of discharge. Our data suggested that CPR of <20 min duration was associated with better outcome in sustained survival at discharge. (p <0.001). On comparison with previous study conducted in same centre before implementation of PALS and RRT, we observed better outcome in form of survival at discharge from 13% to 28% (p <0.001). Conclusions We observed that that CPR (< 20 minutes) is predictor for better outcome. Significant improvement in outcome of IHCA noted after implementation of PALS.