Rescue extracorporeal cardiopulmonary resuscitation in pediatric patients: a nine-year single-center experience in Zagreb, Croatia

Znanstveni rad - Izvorni znanstveni rad

• Autor: Matija Bakoš
• Autor: Toni Matić
• Autor: Filip Rubić
• Autor: Slobodan Galić
• Autor: Miran Cvitković
• Autor: Sandro Dessardo
• Autor: Darko Anić
• Autor: Dražen Belina
• Autor: Milivoj Novak
• Autorova ustanova: Sveučilište u Zagrebu; Medicinski fakultet; (KATEDRA ZA PEDIJATRIJU)
• Znanstveno / umjetničko područje, polje i grana: BIOMEDICINA I ZDRAVSTVO; Kliničke medicinske znanosti; Pedijatrija

Sažetak (engleski)

Aim: To investigate the risk factors and the outcomes of extracorporeal membrane oxygenation (ECMO) in pediatric patients treated at the University Hospital Center Zagreb, the largest center in Croatia providing pediatric ECMO.
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Methods: This retrospective study enrolled all the pediatric patients who required E-CPR from 2011 to 2019. Demographic data, cardiac anatomy, ECMO indications, ECMO complications, and neurodevelopmental status at hospital discharge were analyzed.
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Results: In the investigated period, E-CPR was used in 16 children, and the overall survival rate was 37.5%. Six patients were in the neonatal age group, 5 in the infant group, and 5 in the "older" group. There was no significant difference between the sexes. Four patients had an out-of-hospital arrest and 12 had an in-hospital arrest. Twelve out of 16 patients experienced renal failure and needed hemodialysis, with 4 out of 6 patients in the survivor group and 8 out of 10 in the non-survivor group. Survivors and non-survivors did not differ in E-CPR duration time, lactate levels before ECMO, time for lactate normalization, and pH levels before and after the start of ECMO.
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Conclusion: The similarity of our results to those obtained by other studies indicates that the ECMO program in our hospital should be maintained and improved.

• Ključne riječi (engleski): Cardiopulmonary Resuscitation; Child; Croatia / epidemiology; Extracorporeal Membrane Oxygenation; Humans; Infant; Retrospective Studies; Survival Rate; Treatment Outcome
• Jezik: engleski
• Vrsta publikacije: Znanstveni rad - Izvorni znanstveni rad
• Status objave: Objavljen
• Vrsta recenzije: Recenziran
• Verzija publikacije: Objavljena verzija rada (izdavačev PDF)
• Naslov časopisa: Croatian Medical Journal
• Brojčani podaci: vol. 62, br. 2, str. 146-153
• p-ISSN: 0353-9504
• e-ISSN: 1332-8166
• DOI: https://doi.org/10.3325/cmj.2021.62.146
• URN:NBN: urn:nbn:hr:105:230212
• Datum objave publikacije: 2021-04-30
• URL dokumenta: http://www.cmj.hr/2021/62/2/33938654.htm
• Vrsta resursa: Tekst
• Prava pristupa: Otvoreni pristup
• Datum i vrijeme pohrane: 2021-05-05 11:25:49