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Functional outcomes among survivors of pediatric in-hospital cardiac arrest are associated with baseline neurologic and functional status, but not with diastolic blood pressure during CPR

Resuscitation Aug 18, 2019

Wolfe HA, Sutton RM, Reeder RW, et al. - Among survivors of pediatric cardiac arrest, researchers examined the link between intra-arrest haemodynamics and neurological status in this analysis of data from the prospective multicenter Pediatric Intensive Care Quality of cardiopulmonary resuscitation Study. Median diastolic blood pressure (DBP) and median systolic blood pressure over the first 10 min of cardiopulmonary resuscitation (CPR) were considered as primary predictor variables. Using Functional Status Scale (FSS), they determined “new substantive morbidity”, which was the primary outcome measure. An increase in the FSS of at least 3 points or increase of 2 in a single FSS domain defined “new substantive morbidity”. The link between new substantive morbidity and BPs during CPR was determined via univariable analyses. Findings revealed a link of new substantive morbidity following a pediatric IHCA, with baseline functional status, but not with DBP during CPR.
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