Objective: This study aimed to assess the epidemiology, characteristics, and outcome of cardiac arrest among critically ill children in the Jazan region of Saudi Arabia.
Methods: Self-managed hospital records of patients [including admission and intensive care unit (ICU) administration data] were retrospectively obtained and analyzed from January 2017 to December 2021 at King Fahad Central Hospital.
Results: The largest proportion of patients (69.7%; 280/402) was 0-12 months of age, followed by those 5-10 years of age (13.4%), and over half were males (57.7%; 232/402). A total of 11.7% of the patients were diagnosed with cardiac arrest. Most (83.6%) of the cardiopulmonary resuscitation (CPR) admissions were deteriorating inpatients and the remaining, 10.9% and 5.5% were administered CPR upon admission or were not administered CPR, respectively. While the majority (89.6%) of the patients died upon discharge, 8.5% improved, 1.2% were transferred to an external facility, and 0.7% were discharged against medical advice.
Conclusion: The children receiving CPR in this study had high rates of mortality. Patients under observation, event, and unit type (Neonatal ICU, pediatric ICU, or ward) were associated with a higher risk of death. Further analysis is needed to determine the association between resuscitation procedures, unit type, and mortality.

Epidemiology and outcome of cardiopulmonary resuscitation in critically ill children admitted to a tertiary care hospital: a 5-year retrospective cohort study

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Epidemiology and outcome of cardiopulmonary resuscitation in critically ill children admitted to a tertiary care hospital: a 5-year retrospective cohort study