Pediatric anesthesia & critical care

Diastolic Blood Pressure During Pediatric In-Hospital Cardiac Arrest: Trends and Associations With Outcomes

Crit Care MedPublished Retrospective cohort study

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 →

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