Outcomes of in-hospital paediatric cardiac arrest from a tertiary hospital in a low-income African country

Edwards-Jackson, N; North, Krysten; Chiume, Msandeni; Nakanga, Wisdom P; Schubert, Charles J.; Hathcock, Amber; Phiri, Ajib; Eckerle, Michelle

doi:10.1080/20469047.2019.1570443

Cited by 10 publications

(9 citation statements)

References 16 publications

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“…The key finding of this systematic review is the sparsity of studies on SCA/SCD in this region. Table 2 depicts the few studies on SCA/SCD in SSA [57][58][59][60][61][62][63][64][65][66][67][68][69][70]. From the published studies, one of the salient findings is the low mean age of SCA/SCD with a range of 35-60 years across studies among adults, with higher rates in males compared to females in majority of studies.…”

Section: Epidemiology and Rhythm Of Arrestmentioning

confidence: 99%

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A Systematic Review of the Spectrum of Cardiac Arrhythmias in Sub-Saharan Africa

Yuyun

Bonny

et al. 2020

Global Heart

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Major structural cardiovascular diseases are associated with cardiac arrhythmias, but their full spectrum remains unknown in sub-Saharan Africa (SSA), which we addressed in this systematic review. Atrial fibrillation/atrial flutter (AF/AFL) prevalence is 16-22% in heart failure, 10-28% in rheumatic heart disease, 3-7% in cardiology admissions, but <1% in the general population. Use of oral anticoagulation is heterogenous (9-79%) across SSA. The epidemiology of sudden cardiac arrest/death is less characterized in SSA. Cardiopulmonary resuscitation is challenging, owing to low awareness and lack of equipment for life-support. About 18% of SSA countries have no cardiac implantable electronic devices services, leaving hundreds of millions of people without any access to treatment for advanced bradyarrhythmias, and implant rates are more than 200-fold lower than in the western world. Management of tachyarrhythmias is largely noninvasive (about 80% AF/AFL via rate-controlled strategy only), as electrophysiological study and catheter ablation centers are almost non-existent in most countries. Highlights:-Atrial fibrillation/flutter prevalence is 16-22% in heart failure, 10-28% in rheumatic heart disease, 3-7% in cardiology admissions, and <1% in the general population in sub-Saharan Africa (SSA).-Rates of oral anticoagulation use for CHA2DS2VASC score ≥2 are very diverse (9-79%) across SSA countries.-Data on sudden cardiac arrest are scant in SSA with low cardiopulmonary resuscitation awareness.-Low rates of cardiac implantable electronic devices insertions and rarity of invasive arrhythmia treatment centers are seen in SSA, relative to the high-income countries.

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Section: Epidemiology and Rhythm Of Arrestmentioning

confidence: 99%

“…Trend of publications on cardiac arrhythmias from 1980 to March 31 st , 2019 in sub-Saharan Africa. victims[57,66]. Malignant arrhythmogenic inherited diseases have been identified in Blacks in SSA.…”

mentioning

confidence: 99%

A Systematic Review of the Spectrum of Cardiac Arrhythmias in Sub-Saharan Africa

Yuyun

Bonny

et al. 2020

Global Heart

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“…Almost all CPR efforts (90%) were on the general wards and 58% of children had an underlying diagnosis of malaria: only 6% had ROSC and none survived to discharge. This is a salutary reminder that seriously ill children arriving late at hospital in LMIC will not recover, especially if resuscitation attempts are not ideal [24].…”

Section: Outcome Of Cprmentioning

confidence: 99%

Cardiopulmonary resuscitation in poorly resourced settings: better to pre-empt than to wait until it is too late

Molyneux

2019

Paediatrics and International Child Health

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“…Der Kontext des regionalen Gesundheitssystems und insbesondere die Verfügbarkeit der jeweiligen Ressourcen haben großen Einfluss auf die Praxis und sollen bei der Auslegung und Umsetzung dieser Leitlinien stets berücksichtigt werden [ 6 ].…”

Section: Evidenzen Für Die Leitlinienunclassified

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

Voorde

Turner

Djakow

et al. 2021

Notfall Rettungsmed

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Die Leitlinien des European Resuscitation Council (ERC) zu den lebensrettenden Maßnahmen bei Kindern (Paediatric Life Support, PLS) basieren auf dem 2020 verfassten „International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations“ der ILCOR (International Liaison Committee on Resuscitation). Dieses Kapitel beinhaltet Leitlinien zur Behandlung kritisch kranker oder verletzter Säuglinge, von Kindern und Jugendlichen vor, während und nach einem Atem-Kreislauf-Stillstand.

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Outcomes of in-hospital paediatric cardiac arrest from a tertiary hospital in a low-income African country

Cited by 10 publications

References 16 publications

A Systematic Review of the Spectrum of Cardiac Arrhythmias in Sub-Saharan Africa

A Systematic Review of the Spectrum of Cardiac Arrhythmias in Sub-Saharan Africa

Cardiopulmonary resuscitation in poorly resourced settings: better to pre-empt than to wait until it is too late

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

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