Sociodemographic factors associated with paediatric out-of-hospital cardiac arrest: A systematic review

Idrees, Samina; Abdullah, Ream; Anderson, Kelly K.; Tijssen, Janice A.

doi:10.1016/j.resuscitation.2023.109931

Cited by 4 publications

(5 citation statements)

References 86 publications

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“…Our results align with a study conducted in North Carolina, indicating no difference in first-responder defibrillation rates between White and Black populations [19] . However, they are inconsistent with findings from systematic reviews 10 , 29 , 30 and several large database studies 6 , 23 , 12 , 13 , 14 , which typically involve a large sample size drawn from diverse populations across various regions. These studies often estimate a population average effect or incorporate random effects to address the inherent variability, resulting in more generalizable results.…”

Section: Discussionmentioning

confidence: 66%

Examining the association between ethnicity and out-of-hospital cardiac arrest interventions in Salt Lake City, Utah

Awad,

Al Kurdi,

Austin Johnson

et al. 2024

Resuscitation Plus

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Section: Discussionmentioning

confidence: 66%

Examining the association between ethnicity and out-of-hospital cardiac arrest interventions in Salt Lake City, Utah

Awad,

Al Kurdi,

Austin Johnson

et al. 2024

Resuscitation Plus

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“…After CCPR for OHCA, only 2%–11% survive to hospital discharge, and 2%–5% survive with good functional status. 2…”

Section: Conventional Cprmentioning

confidence: 99%

“…After CCPR for OHCA, only 2%-11% survive to hospital discharge, and 2%-5% survive with good functional status. 2 Outcomes of CCPR for paediatric in-hospital cardiac arrest (IHCA) are better and have improved over time. The last decades survival rates for paediatric IHCA have increased.…”

Section: Conventional Cprmentioning

confidence: 99%

“…30,31,41,45,90 This is likely related to the inability of the heart and the body to heal from the insult of cardiac arrest or due to complications that may arise with increased time on ECMO. 25 In a large single-centre study of ECPR in children with congenital heart disease, survivors with acceptable neurology had a median ECMO duration of 3 [2][3][4][5] days compared to 7 [2][3][4][5][6][7][8][9][10][11][12] days in non-survivors and survivors with severe neurologic dysfunction. 30 Interestingly, in an ELSOregistry study of ECPR in children without congenital heart disease with a survival to discharge of 41%, the median ECMO duration was 5 days in survivors compared to 2 days in non-survivors.…”

Section: Duration Of Ecmomentioning

confidence: 99%

See 1 more Smart Citation

The approach to extracorporeal cardiopulmonary resuscitation (ECPR) in children. A narrative review by the paediatric ECPR working group of EuroELSO

Mensink,

Desai,

Cvetkovic

et al. 2024

Perfusion

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Extracorporeal Cardiopulmonary Resuscitation (ECPR) has potential benefits compared to conventional Cardiopulmonary Resuscitation (CCPR) in children. Although no randomised trials for paediatric ECPR have been conducted, there is extensive literature on survival, neurological outcome and risk factors for survival. Based on current literature and guidelines, we suggest recommendations for deployment of paediatric ECPR emphasising the requirement for protocols, training, and timely intervention to enhance patient outcomes. Factors related to outcomes of paediatric ECPR include initial underlying rhythm, CCPR duration, quality of CCPR, medications during CCPR, cannulation site, acidosis and renal dysfunction. Based on current evidence and experience, we provide an approach to patient selection, ECMO initiation and management in ECPR regarding blood and sweep flow settings, unloading of the left ventricle, diagnostics whilst on ECMO, temperature targets, neuromonitoring as well as suggested weaning and decannulation strategies.

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“…This gap in the literature was further highlighted in a recent systematic review where there were no studies reporting on the association between socioeconomic status (SES), migrant status, and POHCA risk. 25 …”

mentioning

confidence: 99%

Sociodemographic Factors and the Risk of Pediatric Out‐of‐Hospital Cardiac Arrest in Ontario, Canada: A Province‐Wide Case–Control Study

Idrees,

Anderson,

Choi

et al. 2024

JAHA

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Background Pediatric out‐of‐hospital cardiac arrest (POHCA) is associated with significant mortality and poor neurological outcomes. We aimed to describe the association between sociodemographic factors and POHCA risk in Ontario, Canada. Methods and Results We conducted a province‐wide case‐control study at ICES, where patient records are linked across administrative databases. The case group included children (1 day to 17 years of age) who experienced an OHCA between 2004 and 2020. Controls were matched up to 1:4 on age, sex, index date, and key comorbidities. We used conditional logistic regression to measure the association between sociodemographic indicators and POHCA risk. The case and control groups included 1,826 and 7,254 children, respectively. Children living in areas with the highest levels of material deprivation (adjusted odds ratio [aOR]: 2.35, 95% CI: 1.94, 2.85) and dependency (aOR: 1.22, 95% CI: 1.01, 1.48) had a higher odds of POHCA, relative to children living in regions with the lowest levels of material deprivation and dependency, respectively. Children living in neighborhoods with the lowest levels of ethnic diversity had a higher odds of POHCA (aOR: 1.62, 95% CI: 1.30, 2.01), relative to children living in neighborhoods with the highest levels of ethnic diversity. The odds of POHCA were lower in immigrants (aOR: 0.67, 95% CI: 0.47, 0.95), relative to the general population. Northern urban residence (aOR: 1.45, 95% CI: 1.13, 1.87) was associated with a higher odds of POHCA, relative to southern urban residence. Conclusions Children living in neighborhoods with high levels of marginalization may have an elevated risk of experiencing POHCA. These findings highlight the importance of addressing disparities through targeted prevention and intervention efforts.

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Sociodemographic factors associated with paediatric out-of-hospital cardiac arrest: A systematic review

Cited by 4 publications

References 86 publications

Examining the association between ethnicity and out-of-hospital cardiac arrest interventions in Salt Lake City, Utah

Examining the association between ethnicity and out-of-hospital cardiac arrest interventions in Salt Lake City, Utah

The approach to extracorporeal cardiopulmonary resuscitation (ECPR) in children. A narrative review by the paediatric ECPR working group of EuroELSO

Sociodemographic Factors and the Risk of Pediatric Out‐of‐Hospital Cardiac Arrest in Ontario, Canada: A Province‐Wide Case–Control Study

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