Outcome and cost at a children's hospital following resuscitation for out-of-hospital cardiopulmonary arrest

Article Abstract:

Children in cardiopulmonary arrest who are resuscitated in hospital emergency rooms may have poor outcomes and may accrue high hospital charges. Researchers reviewed the medical records of 63 children in cardiopulmonary arrest who were brought to a hospital emergency department. Sixty children were not breathing and did not have a pulse at hospital arrival. Eighteen were resuscitated and admitted to the pediatric intensive care unit and six were ultimately discharged. Five of these six survivors suffered severe neurological impairments. Within seven months after discharge, two survivors had died, three were in a vegetative coma, and one appeared normal. The patient with a normal neurological status had received an electric shock to the chest that restored the heart rhythm before emergency department arrival. The costs of hospitalization were $10,667 per patient who died and $100,000 for each patient who was discharged.

Health aspects, Prognosis, Pediatrics, Hospitals, Hospital emergency services, Cardiopulmonary resuscitation, Cardiac arrest, Pediatric cardiology, CPR (First aid) for children, Cardiac arrest in children

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One-year experience with an inpatient asthma clinical pathway

Article Abstract:

A clinical pathway for children hospitalized for asthma modestly reduced the cost of treatment, but did not affect length of hospitalization or the rate of readmission. Clinical pathways are practice guidelines intended to optimize patient care. Children's Hospital and Medical Center in Seattle, WA, developed guidelines for the treatment of pediatric asthma. Researchers reviewed the care of 297 patients treated by the guidelines and 292 patients treated the previous year. Laboratory and radiology costs were somewhat lower for treatment under the pathway, but clinical outcomes were unchanged.

Care and treatment, Research, Evaluation, Practice guidelines (Medicine), Asthma in children, Childhood asthma, Medical protocols, Children's Hospital and Medical Center (Seattle, Washington)

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