目的:创伤性心脏骤停(TCA)是继发于钝性或穿透性创伤的心脏泵血活动的停止。这项研究的目的是确定当地社区儿科患者的创伤性心脏骤停的结果,并报告确定病例的原因和复苏管理。
方法:这是一项回顾性的队列研究,于2005年至2021年在利雅得的阿卜杜勒阿齐兹国王医疗城(KAMC)和阿卜杜拉国王专业儿童医院(KASCH)进行。沙特阿拉伯王国。研究人群包括14岁或以下的儿科患者,他们被我们的急诊科(ED)收治,并在ED中发生了创伤性心脏骤停。
结果:有26,510名创伤患者,只有56人符合入选条件。超过一半(60.71%,n=34)的患者为男性。4岁或以下的患者占纳入病例的51.79%(n=29)。大多数患者是沙特人(89.29%,n=50)。大多数患者在ED入院前心脏骤停(78.57%,n=44)。多数(89.29%,n=50)在ED到达时GCS为3。最常观察到的第一次心脏骤停节律是心搏停止,其次是无脉电活动和心室纤颤,占74.55%,23.64%,和1.82%,分别。
结论:小儿TCA是高视力。经历TCA的孩子会有可怕的结果,幸存者可能会遭受严重的神经损伤。我们提供了沙特阿拉伯最大的创伤中心之一的经验,以标准化管理TCA的方法,希望,改善其结果。
OBJECTIVE: Traumatic cardiac arrest (TCA) is the cessation of cardiac pumping activity secondary to blunt or penetrating trauma. The aim of this study is to identify the outcomes of traumatic cardiac arrest in pediatric patients within the local community and report the causes and resuscitation management for the defined cases.
METHODS: This was a retrospectively conducted cohort study that took place in King Abdulaziz Medical City (KAMC) and King Abdullah Specialized Children Hospital (KASCH) from 2005 to 2021, Riyadh, Kingdom of Saudi Arabia. The study population involved pediatric patients aged 14 years or less who were admitted to our Emergency Department (ED) and had a traumatic cardiac arrest in the ED.
RESULTS: There were 26,510 trauma patients, and only 56 were eligible for inclusion. More than half (60.71%, n= 34) of the patients were males. Patients aged four years or less constituted 51.79% (n= 29) of the included cases. The majority of patients were Saudis (89.29%, n= 50). The majority of the patients had cardiac arrest prior to ED admission (78.57%, n= 44). The majority (89.29%, n= 50) had a GCS of 3 at ED arrival. The most frequently observed first cardiac arrest rhythm was asystole, followed by pulseless electrical activity and ventricular fibrillation, accounting for 74.55%, 23.64%, and 1.82%, respectively.
CONCLUSIONS: Pediatric TCA is high acuity. Children who experience TCA have dreadful outcomes, and survivors can suffer serious neurological impairments. We provided the experience of one of the largest trauma centers in Saudi Arabia to standardize the approach for managing TCA and, hopefully, improve its outcomes.