Pediatric anesthesia & critical care
Diastolic Blood Pressure During Pediatric In-Hospital Cardiac Arrest: Trends and Associations With Outcomes
Authors' conclusion
DBP can be sustained above current thresholds during prolonged CPR.
Study context
- Population
- Pediatric IHCA with invasive arterial BP monitoring, PICU and CICU (2017–2023)46 prolonged events
- Participants
- 118 participants
- Exposure
- Diastolic blood pressure (DBP) thresholds and trends vs return of spontaneous circulation (ROSC) during cardiopulmonary resuscitation (CPR)
- Outcome
- DBP trends and associations with ROSC
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
- Early ROSC associated with higher average DBP
- p = 0.02
- Early ROSC associated with steeper early DBP rise
- p < 0.001
- Prolonged events with mean DBP above guideline thresholds
- 80%
- Prolonged CPR: upward DBP trend associated with ROSC
- p < 0.001
- Prolonged CPR: achieving higher thresholds (≥ 30 mm Hg infants, ≥ 35 mm Hg children) later in CPR associated with ROSC, OR 7.14 (95% CI 1.58-51.35)
- p = 0.009
Observational data: associations, not effects.
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Diastolic Blood Pressure During Pediatric In-Hospital Cardiac Arrest: Trends and Associations With Outcomes. Crit Care Med. Published 31 March 2026. doi:10. 1097/ ccm. 0000000000007108
Composed by AI from the published abstract and checked against it. How Briefs are made →