Personnel and unit factors impacting outcome after cardiac arrest in a dedicated pediatric cardiac intensive care unit*

• DOI: 10.1097/pcc.0b013e318238b272
• Publication Date: 2011-11-11T18:11:31Z
• Authors: Michael G. Gaies; Nicholas S. Clarke; Janet E. Donohue; James G. Gurney; John R. Charpie; Jennifer C. Hirsch
• Keywords: Coronary care unit

To assess the impact of personnel and unit factors on outcome from cardiac arrest in a dedicated pediatric intensive care unit.Retrospective medical record review.Dedicated at quaternary academic children's hospital.Children young adults who had while cared for January 1, 2006, to December 31, 2008.None.One hundred two index arrests over 3-yr period our were reviewed. We defined successful resuscitation as either return spontaneous circulation or cannulation extracorporeal membrane oxygenation. Differences rates assessed across categorical systems variables using logistic regression. The rate was 84% (return 74%, oxygenation 10%). Survival hospital discharge 48% patients arrest. 11% during week 31% weekends (odds ratio 3.8; 95% confidence interval 1.2-11.5) not successfully resuscitated. Unsuccessful significantly more likely when primary nurse <1 yr experience (50% vs. 13% >1 yr; odds 6.8; 1.5-31.0). Cardiac weekend day <1-yr nursing also associated with unsuccessful multivariable model. Resuscitation outcomes similar senior attending physicians on-call time compared other staff (17% 15%; 1.2; 0.4-3.7). Arrests where physician present onset resulted 18% 14% events 1.3; 0.5-3.9).Our data suggest that may after unit. Weekend less risk resuscitation. Neither presence nor intensivist outcome.