P0169 / #791: CHARACTERISTICS OF INPATIENT CARDIOPULMONARY ARREST IN A THIRD-LEVEL PEDIATRIC HOSPITAL

Aims & Objectives: Cardiopulmonary arrest (CA) is a health issue of great significance. Almost half of these events are inpatient, with very heterogeneous survival rates. A percentage of these events occur in hospitalization wards, but damage is not always identified at an early stage. Thus, we seek to identify the epidemiologic characteristics of patients who were admitted with inpatient CA diagnose to PICU. Methods: Through a retrospective cohort study, patients with CA diagnose upon their admission to PICU to a third-level pediatric hospital of Mexico City were included, during the period from January 2010 to December 2016. Patients with outpatient CA and inpatient PICU were excluded. Epidemiologic characteristics were analyzed. Results: 87 patients were included. CA prevailed in male (54%) with an average age of 4 years-old (SD 4.75), almost half (44%) already had a monitoring previous to the event, from the causes only 13% had a cardiac origin from CA, 59% survived upon discharge from intensive care. Factors identified with poor prognosis after resuscitation were: extension of resuscitation time and infectious complications. Conclusions: CA events where the study was performed prevail in non-critical areas, in which by emphasizing on health personnel competences in the early detection and attention of children in risk there can be an impact on initiatives that improve the quality of attention.