Pediatric Cardiac Arrest Outcomes in the United States: A Nationwide Database Cohort Study

Mir, Tanveer; Shafi, Obeid; Uddin, M. Nasir; Nadiger, Meghana; Llah, Fnu Sibghat Tul; Qureshi, Waqas

doi:10.7759/cureus.26505

Cited by 3 publications

(2 citation statements)

References 28 publications

(51 reference statements)

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“…The incidence rates, common causes, and demographic considerations of pediatric cardiac arrest are essential factors in understanding the epidemiology of this critical condition. The overall incidence rate for out-of-hospital cardiac arrest (OHCA) in the United States is 8.3 per 100,000 person-years, with a survival to hospital discharge rate of 11.3% [ 6 ]. Pediatric OHCA rates are reported to be 6-10 per 100,000 person-years, with only about 10% of patients surviving hospital discharge [ 7 ].…”

Section: Reviewmentioning

confidence: 99%

Reviving Hope: A Comprehensive Review of Post-resuscitation Care in Pediatric ICUs After Cardiac Arrest

Taksande,

Meshram

2023

Cureus

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This comprehensive review thoroughly examines post-resuscitation care in pediatric ICUs (PICUs) following cardiac arrest. The analysis encompasses adherence to resuscitation guidelines, advances in therapeutic interventions, and the nuanced management of neurological, cardiovascular, and respiratory considerations during the immediate post-resuscitation phase. Delving into the complexities of long-term outcomes, cognitive and developmental considerations, and rehabilitation strategies, the review emphasizes the importance of family-centered care for pediatric survivors. A call to action is presented, urging continuous education, research initiatives, and quality improvement efforts alongside strengthened multidisciplinary collaboration and advocacy for public awareness. Through implementing these principles, healthcare providers and systems can collectively contribute to ongoing advancements in pediatric post-resuscitation care, ultimately improving outcomes and fostering a culture of excellence in pediatric critical care.

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Section: Reviewmentioning

confidence: 99%

Reviving Hope: A Comprehensive Review of Post-resuscitation Care in Pediatric ICUs After Cardiac Arrest

Taksande,

Meshram

2023

Cureus

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“…The mortality rate of pediatric In Hospital Cardiac Arrest (IHCA) is high and the survival rates were reported as 41.1% compared to 11.4% for Out-Hospital Cardiac Arrest (OHCA). Also, the survival rates of IHCA differs among departments and cardiac arrest in the emergency department has higher mortality than Inpatient Cardiac Arrest (IPCA) (1). Mckenzie et al found that a high proportion of pediatric OHCA had ROSC (Return of spontaneous circulation), but the rate of survival to discharge was low (2).…”

Section: Introductionmentioning

confidence: 99%

The Effect of the Time of In-hospital Cardiopulmonary Resuscitation on the Immediate Outcome in Pediatric Patients

Gharib,

Memarian

2024

JIMC

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Background: We aimed to identify the factors affecting the in-hospital Cardiopulmonary Resuscitation (CPR) to investigate the effect of the time of in-hospital CPR on its immediate outcome in pediatric patients. Methods: This retrospective study investigated CPR events performed at a teaching hospital in Tehran, Iran, from March 2018 to March 2019. After obtaining the necessary academic and ethical approvals, the pertinent data were transcribed from patient records and analyzed. No identifying data about patients or their families were extracted. Results: Chi-square test showed a significant difference in the occurrence of CPR on two-hour time blocks (p=0.041), with dips at 0-2 a.m. and 12-2 p.m. and heights at 2-4 p.m. and 6-8 p.m. (representing 5, 6, 17 and 17 CPR events, respectively). The occurrence of CPR during the night shift was significantly less than in the morning and evening shifts (p=0.000 and 0.005 respectively). Of 161 subjects with a known immediate outcome of CPR, 86 (53.4%) survived, and 75 (46.6%) died. The outcome was significantly less favorable in the evening shift compared to the morning shift (p=0.028), but no significant differences in the outcome were found between morning and night shifts (p=0.163), evening and night shifts (p=0.256), day and night (p=0.637) or workdays and weekends (p=0.925). Conclusion: We found a significantly higher occurrence of CPR at 2-4 p.m. and 6-8 p.m., at the beginning and end of the evening shift and a higher rate of post-CPR death in this shift.

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Improved Code Team Performance and Outcomes After Implementation of Moderate Fidelity In Situ Simulation in a Pediatric Cardiac Acute Care Unit

Woodard,

McKeta,

Schroeder

et al. 2024

Pediatr Cardiol

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Children with cardiac disease suffer higher rates of in-hospital cardiac arrest. Cardiac arrest outside of the intensive care unit (ICU) is an infrequent event, which is a threat for suboptimal code team performance. Shorter time to the first epinephrine dose during cardiac arrest has been associated with improved survival and neurologic outcomes. Moderate fidelity in situ simulation training was implemented in the pediatric cardiac acute care unit (PCACU) to improve code team performance in August 2015. A small interprofessional team of simulation facilitators was developed that included nurses, physicians, and advanced practice providers. The primary outcome was time to first epinephrine dose in pulseless electrical activity (PEA) scenarios. Time to epinephrine of all simulation exercises, and actual cardiac arrests, that occurred in the PCACU were reviewed through May 2022. A total of 72 simulations were performed and 42 (58%) were PEA scenarios. A center line shift was observed for time to epinephrine for simulated PEA cardiac arrests (from 5 to 3 min). After implementation of simulation exercises, a center line shift was observed for time to epinephrine for actual cardiac arrests in the PCACU (from 8 to 2 min). Survival to hospital discharge after cardiac arrest improved after implementation of the training (0% vs. 64%, p = 0.02). Code team performance, as measured by time to epinephrine, can be improved following implementation of in situ simulation exercises in a pediatric cardiac acute care unit. Optimizing code team performance may contribute to improved patient outcomes.

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Pediatric Cardiac Arrest Outcomes in the United States: A Nationwide Database Cohort Study

Cited by 3 publications

References 28 publications

Reviving Hope: A Comprehensive Review of Post-resuscitation Care in Pediatric ICUs After Cardiac Arrest

Reviving Hope: A Comprehensive Review of Post-resuscitation Care in Pediatric ICUs After Cardiac Arrest

The Effect of the Time of In-hospital Cardiopulmonary Resuscitation on the Immediate Outcome in Pediatric Patients

Improved Code Team Performance and Outcomes After Implementation of Moderate Fidelity In Situ Simulation in a Pediatric Cardiac Acute Care Unit

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