Nontraumatic prehospital cardiac arrest ages 1 to 39 years

Angus Y. Ng, Joseph E. Clinton, Garry Peterson

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)87-91
Number of pages5
JournalAmerican Journal of Emergency Medicine
Volume8
Issue number2
DOIs
StatePublished - Mar 1990

Keywords

  • Cardiac arrest
  • nontraumatic
  • prehospital
  • young patients

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