2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 8. Neonatal resuscitation

Heo, Ju Sun; Kim, Su Yeong; Park, Hye Won; Choi, Yong Sung; Park, Chan Wook; Cho, Geum Joon; Oh, Ah Young; Jang, Eun Kyung; Kim, Han Suk; Kim, Ai Rhan Ellen; Hwang, Sung Oh

doi:10.15441/ceem.21.028

Cited by 5 publications

(2 citation statements)

References 227 publications

(233 reference statements)

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“…When a preterm or high-risk neonate is born in the delivery room, neonatologists usually perform ICPR according to the neonatal resuscitation program in South Korea. [9,10] Recent studies reported that approximately one-third of infants who received delivery room CPR survive to hospital discharge [11,12] ; the live discharge rate was higher (44%) among pediatric patients in our study. Conversely, pediatric patients aged over 1-year experienced ICPR due to various fatal diseases, such as respiratory failure or shock.…”

Section: Discussionmentioning

confidence: 51%

Epidemiologic study of in-hospital cardiopulmonary resuscitation among pediatric patients: A retrospective, population-based cohort study in South Korea

Choi

Song

2022

Medicine

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We aimed to examine the clinical trends of in-hospital cardiopulmonary resuscitation (ICPR) and factors associated with live discharge following ICPR. As a national population-based cohort study, data were extracted from the South Korean National Inpatient Database. This study included 8992 pediatric patients under 18 years of age who underwent ICPR due to in-hospital cardiac arrest during hospitalization in South Korea between 2010 and 2019 (10 years). The annual prevalence, survival, duration of hospitalization, and total cost of hospitalization at ICPR were examined as clinical trends. In 2010, 7.94 per 100,000 pediatric patients received ICPR; the prevalence increased to 11.51 per 100,000 pediatric patients in 2019. The 10-year survival rates were similar, and the in-hospital, 6-month, and 1-year survival rates over 10 years were 44.0%, 34.0%, and 32.4%, respectively. The mean length of hospital stay at ICPR in 2010 was 20.7

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Section: Discussionmentioning

confidence: 51%

Epidemiologic study of in-hospital cardiopulmonary resuscitation among pediatric patients: A retrospective, population-based cohort study in South Korea

Choi

Song

2022

Medicine

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“… 35 The poorer prognosis of group 1 might be because children younger than 1 year have less physiological reserve and increased vulnerability to cardiac arrest compared with older children. 36 37 …”

Section: Discussionmentioning

confidence: 99%

National Surveillance of Pediatric Out-of-Hospital Cardiac Arrest in Korea: The 10-Year Trend From 2009 to 2018

Kim

Chang

et al. 2022

J Korean Med Sci

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Background This study reports trends in pediatric out-of-hospital cardiac arrest (OHCA) and factors affecting clinical outcomes by age group. Methods We identified 4,561 OHCA patients younger than 18 years between January 2009 and December 2018 in the Korean OHCA Registry. The patients were divided into four groups: group 1 (1 year or younger), group 2 (1 to 5 years), group 3 (6 to 12 years), and group 4 (13 to 17 years). The primary outcome was survival to hospital discharge, and the secondary outcomes were return of spontaneous circulation (ROSC) at the emergency department (ED) and good neurological status at discharge. Multivariate logistic analyses were performed. Results The incidence rate of pediatric OHCA in group 1 increased from 45.57 to 60.89 per 100,000 person-years, while that of the overall population decreased over the 10 years. The rates of ROSC at the ED, survival to hospital discharge, and good neurologic outcome were highest in group 4 (37.9%, 9.7%, 4.9%, respectively) and lowest in group 1 (28.3%, 7.1%, 3.2%). The positive factors for survival to discharge were event location of a public/commercial building or place of recreation, type of first responder, prehospital delivery of automated external defibrillator shock, initial shockable rhythm at the ED. The factors affecting survival outcomes differed by age group. Conclusion This study reports comprehensive trends in pediatric OHCA in the Republic of Korea. Our findings imply that preventive methods for the targeted population should be customized by age group.

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Growth and developmental outcomes of infants with hypoxic ischemic encephalopathy

Park,

Kim

et al. 2023

Sci Rep

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Despite advances in obstetric care, hypoxic ischemic encephalopathy (HIE) remains a significant disease burden. We determined the national trends of HIE prevalence, therapeutic hypothermia (TH) use, mortality, and outcomes from 2012 to 2019. This study included term infants diagnosed with HIE between 2012 and 2019 from the National Health Insurance Service database. The prevalence of HIE was 2.4 per 1000 births without significant change during the period. TH was performed in approximately 6.7% of infants with HIE, and the annual variation ranged from 2.4 to 12.5%. The mortality among all term infants with HIE was 4.6%. The mortality rate among infants with HIE and TH significantly declined from 40 to 16.9% during the eight years. Infants with TH had higher mortality, increased use of inhaled nitric oxide, and more invasive ventilator use, indicating greater disease severity in the TH group. Infants with TH also showed significantly poorer outcomes, including delayed development, cerebral palsy, sensorineural hearing loss, and seizure, compared to infants without TH (p < 0.0001). With the increasing application of TH, mortality and developmental outcomes among infants with HIE have been improving in the past eight years in Korea. Further efforts to improve outcomes should be needed.

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2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 8. Neonatal resuscitation

Cited by 5 publications

References 227 publications

Epidemiologic study of in-hospital cardiopulmonary resuscitation among pediatric patients: A retrospective, population-based cohort study in South Korea

Epidemiologic study of in-hospital cardiopulmonary resuscitation among pediatric patients: A retrospective, population-based cohort study in South Korea

National Surveillance of Pediatric Out-of-Hospital Cardiac Arrest in Korea: The 10-Year Trend From 2009 to 2018

Growth and developmental outcomes of infants with hypoxic ischemic encephalopathy

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