Document Detail


Nontraumatic prehospital cardiac arrest ages 1 to 39 years.
MedLine Citation:
PMID:  2302289     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Clinical and autopsy records were retrospectively reviewed for 105 patients between the ages of 1 and 39 years who came in to the emergency department with nontraumatic cardiac arrest. There were 65 male (62%) and 40 female patients (38%). Forty-eight percent of the patients were resuscitated. Long-term survival rate was 23%. The most common presenting rhythm was ventricular fibrillation (45%). Cardiac diseases constituted the most common cause of arrest (38%). Atherosclerotic coronary artery disease represented 50% of all cardiac causes. The second most common etiology was overdose or toxic exposure (21%). Witnessed arrest and an etiology of primary cardiac dysrhythmia for arrest were statistically significant factors related to favorable outcome. Asystole as the initial cardiac rhythm was a negative prognostic indicator. Age, sex, race, bystander cardiopulmonary resuscitation, and paramedic response time were not significant prognostic factors for long-term survival.
Authors:
A Y Ng; J E Clinton; G Peterson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  8     ISSN:  0735-6757     ISO Abbreviation:  Am J Emerg Med     Publication Date:  1990 Mar 
Date Detail:
Created Date:  1990-03-27     Completed Date:  1990-03-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  87-91     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Death, Sudden / epidemiology*
Emergency Medical Services
Female
Heart Arrest / epidemiology*
Heart Diseases / epidemiology,  mortality
Humans
Infant
Male
Prognosis
Resuscitation
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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