How can neurological outcomes be predicted in comatose pediatric patients after out-of-hospital cardiac arrest?How can neurological outcomes be predicted in comatose pediatric patients after out-of-hospital cardiac arrest?
- Other Titles
- How can neurological outcomes be predicted in comatose pediatric patients after out-of-hospital cardiac arrest?
- Authors
- Hyo Jeong Kim
- Issue Date
- May-2020
- Publisher
- 대한소아청소년과학회
- Keywords
- Out-of-hospital cardiac arrest; Child; Prognosis; Electroencephalography; Computed tomography
- Citation
- Clinical and Experimental Pediatrics, v.63, no.5, pp.164 - 170
- Journal Title
- Clinical and Experimental Pediatrics
- Volume
- 63
- Number
- 5
- Start Page
- 164
- End Page
- 170
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/45670
- DOI
- 10.3345/kjp.2019.00941
- ISSN
- 1738-1061
- Abstract
- The prognosis of patients who are comatose after resuscitation remains uncertain. The accurate prediction of neurological outcome is important for management decisions and counseling.
A neurological examination is an important factor for prognostication, but widely used sedatives alter the neurological examination and delay the response recovery. Additional studies including electroencephalography, somatosensory- evoked potentials, brain imaging, and blood biomarkers are useful for evaluating the extent of brain injury. This review aimed to assess the usefulness of and provide practical prognostic strategy for pediatric postresuscitation patients.
The principles of prognostication are that the assessment should be delayed until at least 72 hours after cardiac arrest and the assessment should be multimodal. Furthermore, multiple factors including unmeasured confounders in individual patients should be considered when applying the prognostication strategy.
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