Abstract 20240: Ventricular Functional Recovery and Neurologic Function After In-Hospital Cardiac Arrest in Pediatric Patients

IntroductionIn-hospital cardiac arrest in pediatric patients remains to have high mortality. Despite survival, recovery of ventricular and preservation of neurological function are major concerns.HypothesisWe analyzed in-hospital cardiac arrest in pediatric patients to find predictors of mortality, assess ventricular recovery and identify causes for poor neurologic outcome.MethodsBetween 2009 and 2013, 103 patients had an in-hospital cardiac arrest at our institution. Mean age at the event was 0.3y (IQR 0.1-1.2), mean body weight 4.3kg (IQR 3.1-8.2). Retrospective chart review included patient characteristics, length of cardiopulmonary esuscitation (CPR), use of extracorporeal CPR (ECPR), pre-/post event echocardiographic variables, blood gas analysis and Pediatric Cerebral Performance Category (PCPC). Median follow up was 1.1±1.3y.ResultsPrior to cardiac arrest, 75(72.8%) patients had cardiac surgery, 23(22.3%) had multiple procedures. In-hospital mortality was 38.8%, survival at the end of follow-up was 47.2%. Cardiac arrest >15min had worse survival than ≤15min (p