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Clin Exp Pediatr > Accepted Articles
DOI: https://doi.org/10.3345/kjp.2019.00941    [Accepted]
Published online October 10, 2019.
How can neurological outcomes be predicted in comatose pediatric patients after out-of-hospital cardiac arrest?
Hyo Jeong Kim 
Department of Pediatrics, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea
Hyo Jeong Kim, Tel: +82-32-460-3224 , Fax: +82-32-460-2362 , Email: greatelena@naver.com
Received: 11 August 2019   • Revised: 3 October 2019   • Accepted: 7 October 2019
The prognosis of the patients who are comatose after resuscitation remains uncertain for a while. Accurate prediction of neurological outcome is important for management decisions and counseling. Neurological examination is an important factor for prognostication, but widely used sedatives alter the neurological examination and delay the recovery of response. Additional studies including electroencephalography, somatosensory evoked potentials, brain imaging and blood biomarkers are useful for evaluating the extent of brain injury. With the literature review about the usefulness of the modalities for prognostication of the pediatric post-resuscitation patients, this review aims to provide practical prognostic strategy in these patients. The principles of prognostication are that the assessment should be delayed until at least 72 hours after cardiac arrest and the assessment should be multimodal. Furthermore, multiple factors including unmeasured confounders in individual patients should be considered when applying the prognostication strategy.
Key Words: Cardiac arrest, Pediatric, Neurological outcome, Prognosis, Electroencephalography, Computed tomography

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