%0 Journal Article
%T An 18-year, single centre, retrospective study of long-term neurological outcomes in paediatric submersion-related cardiac arrests.
%A Scharink D
%A Hunfeld M
%A Albrecht M
%A Dulfer K
%A de Hoog M
%A van Gils A
%A de Jonge R
%A Buysse C
%J Resusc Plus
%V 18
%N 0
%D 2024 Jun
%M 38646092
暂无%R 10.1016/j.resplu.2024.100632
%X UNASSIGNED: Investigate long-term outcome in paediatric submersion-related cardiac arrests (CA).
UNASSIGNED: Children (age one day-17 years) were included if admitted to the Erasmus MC Sophia Children's Hospital, after drowning with CA, between 2002 and 2019. Primary outcome was survival with favourable neurological outcome, defined as a Paediatric Cerebral Performance Category (PCPC) score of 1-3 at longest available follow-up. Secondary outcome were age-appropriate neuropsychological assessments at longest available follow-up.
UNASSIGNED: Upon hospital admission, 99 children were included (median age at time of CA 3.2 years [IQR 2.0-5.9] and 65% males). Forty children died in-hospital (no return of circulation (45%) or withdrawal of life sustaining therapies (55%)) and 4 children deceased after hospital discharge due to complications following the drowning-incident. Among survivors, with a median follow-up of 2.3 years [IQR 0.2-5.5], 47 children had favourable neurological outcome (i.e. PCPC 1-3) and 8 children unfavourable (unfavourable outcome group total n = 52, i.e. PCPC 4-5 or deceased). Twenty-six (47%) children participated in a neuropsychological assessment (median follow-up 4.0 years [IQR 2.3-8.7]). Compared with normative test data, participants obtained worse general (p = 0.008) and performance (p = 0.003) intelligence scores, processing speed (p = 0.002) and visual motor integration scores (p = 0.0012).
UNASSIGNED: Although overall outcome in survivors was favourable at longest available follow-up, significant deficits in neuropsychological assessments were found. This study underlines the need for a standardized long term follow-up program as standard of care in paediatric drowning with CA.