Characteristics of paediatric out-of-hospital cardiac arrest in the United States

Okubo, Masashi; Chan, Hei Kit; Callaway, Clifton W.; Mann, N. Clay; Wang, Henry E.

doi:10.1016/j.resuscitation.2020.04.023

Cited by 31 publications

(17 citation statements)

References 12 publications

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“…Current practices depend mostly on reviews based on data from past decades. Different definitions of POHCA exist alongside various methods for reporting and documentation while reported incidence rates are ranging from 3.3 to 6.7 per 100,000 persons at risk [ 3 – 10 ]. In general, higher incidence rates are reported for infants compared to other age groups of children [ 3 , 6 , 7 , 11 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Pediatric out-of-hospital cardiac arrest in Denmark

Holgersen

Jensen

Breindahl

et al. 2022

Scand J Trauma Resusc Emerg Med

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Background Pediatric out-of-hospital cardiac arrest (POHCA) has received limited attention. All causes of POHCA and outcomes were examined during a 4-year period in a Danish nationwide register and prehospital medical records. The aim was to describe the incidence, reversible causes, and survival rates for POHCA in Denmark. Methods This is a registry-based follow-up cohort study. All POHCA for a 4-year period (2016–2019) in Denmark were included. All prehospital medical records for the included subjects were reviewed manually by five independent raters establishing whether a presumed reversible cause could be assigned. Results We identified 173 cases within the study period. The median incidence of POHCA in the population below 17 years of age was 4.2 per 100,000 persons at risk. We found a presumed reversible cause in 48.6% of cases, with hypoxia being the predominant cause of POHCA (42.2%). The thirty-day survival was 40%. Variations were seen across age groups, with the lowest survival rate in cases below 1 year of age. Defibrillators were used more frequently among survivors, with 16% of survivors defibrillated bystanders as opposed to 1.9% in non-survivors and 24% by EMS personnel as opposed to 7.8% in non-survivors. The differences in initial rhythm being shockable was 34% for survivors and 16% for non-survivors. Conclusion We found pediatric out-of-hospital cardiac arrests was a rare event, with higher incidence and mortality in infants compared to other age groups of children. Use of defibrillators was disproportionally higher among survivors. Hypoxia was the most common presumed cause among all age groups.

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Section: Introductionmentioning

confidence: 99%

Pediatric out-of-hospital cardiac arrest in Denmark

Holgersen

Jensen

Breindahl

et al. 2022

Scand J Trauma Resusc Emerg Med

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“…Plötzlicher Kindstod wird in 20–30 % angegeben. Traumabedingte Kreislaufstillstände machen 10–40 % der untersuchten Kohorten aus [ 14 – 20 ]. Die Inzidenz von Kreislaufstillständen bei Kindern im Krankenhaus (IHCA) ist in den letzten Jahren relativ unverändert geblieben.…”

Section: Evidenzen Für Die Leitlinienunclassified

“…Plötzlicher Kindstod wird in 20–30 % angegeben. Traumabedingte Kreislaufstillstände machen 10–40 % der untersuchten Kohorten aus [ 14 – 20 ].…”

Section: Evidenzen Für Die Leitlinienunclassified

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

Voorde

Turner

Djakow

et al. 2021

Notfall Rettungsmed

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Die Leitlinien des European Resuscitation Council (ERC) zu den lebensrettenden Maßnahmen bei Kindern (Paediatric Life Support, PLS) basieren auf dem 2020 verfassten „International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations“ der ILCOR (International Liaison Committee on Resuscitation). Dieses Kapitel beinhaltet Leitlinien zur Behandlung kritisch kranker oder verletzter Säuglinge, von Kindern und Jugendlichen vor, während und nach einem Atem-Kreislauf-Stillstand.

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“…Pediatric out-of-hospital cardiac arrest (OHCA) is a major public health problem, with over 23,000 children experiencing OHCA each year in the United States, 1 of whom approximately 6%-12% survive. 2,3 To survive OHCA, children need high-quality treatment throughout the continuum of care, including the essential early resuscitation provided by emergency medical services (EMS) personnel before arrival at a health care facility.…”

Section: Introductionmentioning

confidence: 99%

A chart review tool to systematically assess the safety of prehospital care for children with out‐of‐hospital cardiac arrest

et al. 2022

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Objective Create an easy‐to‐use pediatric out‐of‐hospital cardiac arrest (OHCA)‐specific chart review tool to reliably detect severe adverse safety events (ASEs) in the prehospital care of children with OHCA. Methods We revised our previously validated pediatric prehospital adverse event detection system (PEDS) tool, used to evaluate ASEs in the prehospital care of children during emergent calls, to create an OHCA‐specific chart review tool. We developed decision support for reviewers, reviewer training, and a dedicated section for chart data abstraction. We randomly selected 28 charts for independent review by 2 expert reviewers who determined the presence or absence of a severe ASE for each care episode and identified the domain of care and preventability for each ASE. We calculated inter‐rater agreement in the assessment of the presence or absence of a severe ASE using Gwet's first‐order agreement coefficient (AC1). Results The PEDS‐OHCA chart review tool has 6 sections, with a minimum of 70 and maximum of 667 total possible fields. We found inter‐rater agreement of 0.83 (95% confidence interval, 0.63–0.99) between our 2 reviewers for the overall detection of a severe ASE and an average time to complete of 8 minutes (range, 2–25 minutes). Inter‐rater agreement in the detection of a severe ASE in each individual domain ranged from 0.36 to 0.96. Conclusions The PEDS‐OHCA is the first chart review tool to systematically evaluate the safety and quality of EMS care for children with OHCA. This tool may help improve understanding of the quality of EMS care for children with OHCA, which is essential to improving outcomes.

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Characteristics of paediatric out-of-hospital cardiac arrest in the United States

Cited by 31 publications

References 12 publications

Pediatric out-of-hospital cardiac arrest in Denmark

Pediatric out-of-hospital cardiac arrest in Denmark

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

A chart review tool to systematically assess the safety of prehospital care for children with out‐of‐hospital cardiac arrest

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