Abstract 11.1.4
 

 

 

The Outcome of Cardiopulmonary Resuscitation in a Paediatric Emergency Room

 

 

W.E. Sadoh1 and C.O. Eregie2,

1Department of Child Health, University of Benin/ University of Benin Teaching Hospital, Benin City, Nigeria.

2Institute of Child Health, University of Benin/ University of Benin Teaching Hospital, Benin City, Nigeria.

 

 

Abstract: The knowledge and practice of various healthcare workers (HCW) of cardiopulmonary resuscitation (CPR) in Nigeria is poor from previous studies. The lack of in-service training of HCWs in basic and advanced life support and the unavailability of some of the quipment for advance life support may be responsible. We believe that such poor knowledge may impact negatively on the outcome of CPR in children. This study was carried out to prospectively evaluate the outcome of CPR in children in a Nigerian tertiary centre. This study was carried out in a children’s emergency room (CHER). The data of children who suffered at least one episode of cardiopulmonary arrest (CPA) were prospectively collected over one year period. Outcome was survival to discharge. Forty children of 1216 (32.9/ 1000) seen in CHER during the study period had CPR. The median age was 11.5 months while 82.5% of the children were less than five years old. Severe malaria, septicaemia and HIV/AIDs were the major underlying causes of CPA. The median duration of illness before presentation was 6, range 1 – 180 days. Only 1(2.5%) survived to discharge. The rate of survival to discharge of CPR in this study is very low compared to previous studies. Late presentation to hospital, non availability of equipment for providing advance life support and perhaps the poor knowledge and skills of CPR by HCW may have contributed to the poor outcome in this study. 

 

Keywords:  Cardiopulmonary arrest, cardiopulmonary resuscitation, outcome 

 

 

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