Pediatric anesthesia & critical care
Annual patterns in the outcomes and post-arrest care for pediatric out-of-hospital cardiac arrest: A nationwide multicenter prospective registry in Japan
Authors' conclusion
Despite an increase in the rate of bystander-initiated CPR and pre-hospital adrenaline administration, there was no significant change in one-month survival.
Study context
- Population
- Pediatric out-of-hospital cardiac arrest (OHCA) patients (0–17 years), JAAM OHCA registry, Japan, June 2014–December 2019
- Participants
- 1,188 patients
- Exposure
- Annual trends, 2014–2019
- Outcome
- One-month survival
- Follow-up
- One month
Methodological detailsmulticentre, nationwide
- Multicentre
- Nationwide
Main finding
As reported in the abstract
One-month survival (annual trend) · 1 month
One-month survival, start to end of study period
from 7.1% to 10.3%
Adjusted OR for one-year increment (CI: 0.86-1.11); no significant change
0.98
Observational data: associations, not effects.
Further findings
Bystander-initiated cardiopulmonary resuscitation (CPR), annual trend
- Significant increase, from 50.6% to 62.3%
- P = 0.003
Dispatcher instructions, annual trend
- Significant increase, from 44.7% to 65.7%
- P = 0.001
Adrenaline administration, annual trend
- Significant increase, from 2.4% to 6.9%
- P = 0.014
Advanced airway management, annual trend
- Significant decrease, from 17.7% to 8.8%
- P = 0.003
Age 0 years, share of population
- Large share of total population in all years
- between 30% and 40%
Original publication
Annual patterns in the outcomes and post-arrest care for pediatric out-of-hospital cardiac arrest: A nationwide multicenter prospective registry in Japan. Resuscitation. Published 23 August 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →