Estatísticas

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  "cita" => "Rev Port Cardiol. 2023;42:601"
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      "titulo" => "Antiplatelet therapy at discharge for Takotsubo syndrome&#58; Could propensity matching and&#47;or sensitivity analysis be of value&#63; Response"
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    "cabecera" => "<span class="elsevierStyleTextfn">Editorial comment</span>"
    "titulo" => "Out-of-hospital cardiac arrest in children"
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        "autoresLista" => "Jos&#233; Carlos Areias"
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        "titulo" => "Paragem card&#237;aca extra-hospitalar em crian&#231;as"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Out-of-hospital cardiac arrest is defined as the loss of mechanical function of the heart along with the absence of systematic circulation outside of a hospital setting&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Unfortunately many cases occur in the absence of emergency medical services&#44; an important reason for the low survival rate&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">In the USA&#44; 2&#8211;6&#37; of all cases are in pediatric age-groups&#44; and survival rates are 6&#8211;13&#37;&#46; In Japan the survival rate is 17&#8211;19&#37;&#44; although it is higher than in adults&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">A paper analyzing one-month survival after pediatric out-of-hospital cardiac arrest reveals a lower survival rate following cardiac arrest at night compared with daytime or evening&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> The location of pediatric cardiac arrest has an important influence on overall prognosis and neurological sequelae&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">De Maio et al&#46; suggest that trauma accounts for almost one third of pediatric out-of-hospital cardiac arrests&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Rapid and effective initiation of basic life support improves survival&#44; and&#44; if administered&#44; more than eight out of 10 children transported to the hospital by emergency medical services experience return of spontaneous circulation&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">In conclusion&#44; pediatric out-of-hospital cardiac arrest usually has a negative outcome&#44; albeit less often than in adults&#46; Early cardiopulmonary resuscitation and defibrillation have the greatest impact on return of spontaneous circulation and survival&#46; However&#44; overall prognosis and neurological outcome are relatively poor&#44; emphasizing the need to mitigate sequelae&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">The author has no conflicts of interest to declare&#46;</p></span></span>"
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