Pediatric anesthesia & critical care

Calcium use during paediatric in-hospital cardiac arrest is associated with worse outcomes

ResuscitationPublished Secondary analysis of the ICU-RESUScitation project

Authors' conclusion

Calcium use was common during paediatric in-hospital cardiac arrest and associated with worse outcomes at hospital discharge.

Study context

Population
Children 37 weeks post-conceptual age to 18 years receiving chest compressions in 18 ICUs, October 2016-March 2021
Participants
1,100 in-hospital cardiac arrests
Comparison
Calcium vs no calcium during paediatric in-hospital cardiac arrest
  • Calciumn = 450
Primary endpoint
Sustained return of spontaneous circulation (ROSC), survival to hospital discharge, and survival to hospital discharge with favourable neurologic outcome
Follow-up
Hospital discharge
Methodological detailsprospective observational data, propensity-score weighted, 18 ICUs
  • Prospective observational data
  • Propensity-score weighted
  • 18 ICUs

Primary result

As reported in the abstract

Calcium vs No calciumAdjusted odds ratio (95% CI)P value
Sustained ROSC
0.87(0.61–1.24)
P = 0.445
Survival to hospital discharge
0.68(0.52–0.89)
P = 0.005
Survival with favourable neurologic outcome at discharge
0.75(0.57–0.98)
P = 0.038

Further findings

Survival to hospital discharge, by subgroup

Calcium use associated with lower survival to hospital discharge in children with sepsis and renal insufficiency

Original publication

Calcium use during paediatric in-hospital cardiac arrest is associated with worse outcomes. Resuscitation. Published 21 December 2022. doi:10.1016/j.resuscitation.2022.109673

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