Pediatric anesthesia & critical care
Epidemiology, Process of Care, and Associated Outcomes of Pediatric Out-of-Hospital Cardiac Arrest in China: Results From a Prospective, Multicenter, Population-Based Registry
Authors' conclusion
This study provides the first national exploration of pediatric OHCA in China. The high proportion of nonmedical causes underscores the importance of preventing accidents in children.
Study context
- Population
- Children (age ≤ 19) with emergency medical services (EMS)-assessed out-of-hospital cardiac arrest (OHCA) in China (25 monitoring sites, all 7 regions), August 2019 to December 2020651 EMS-treated
- Participants
- 1,493 children
- Outcome
- Incidence, process of care and outcomes of pediatric OHCA
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
- Crude incidence of EMS-assessed OHCA (95% CI 5.2-5.9) per 100,000 pediatric population
- 5.5
- Crude incidence of EMS-treated OHCA (95% CI 2.2-2.6) per 100,000 pediatric population
- 2.4
- Resuscitation attempted (651 cases)
- 43.6%
- Male, among EMS-treated (434 patients)
- 66.7%
- Nonmedical causes (trauma, asphyxia, drowning most common) (353 patients)
- 54.2%
- Collapsed at home (396 patients); share in public places increased with age
- 60.8%
- Initial shockable rhythm (26 patients)
- 4.0%
- Bystander cardiopulmonary resuscitation (CPR), non-EMS-witnessed (152/626)
- 24.3%
- Dispatcher-assisted CPR, non-EMS-witnessed (68/626)
- 10.9%
- Automated external defibrillator applied, non-EMS-witnessed (3/626)
- 0.5%
- Survival to discharge or 30 days (23/651)
- 3.5%
- Favorable neurologic prognosis (20/651)
- 3.1%
Observational data: associations, not effects.
Original publication
Epidemiology, Process of Care, and Associated Outcomes of Pediatric Out-of-Hospital Cardiac Arrest in China: Results From a Prospective, Multicenter, Population-Based Registry. Crit Care Med. Published 7 October 2024. doi:10.
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