Pediatric anesthesia & critical care
The impact of pediatric post-cardiac arrest care on survival: A multicenter review from the American Heart Association (AHA) get with the Guidelines®-resuscitation post-cardiac arrest care registry
Authors' conclusion
In this retrospective multicenter registry study, absence of both post-cardiac arrest hypotension and fever were associated with increased odds of survival to hospital discharge.
Study context
- Population
- Patients ≤18 years with in-hospital or out-of-hospital cardiac arrest surviving ≥6 h post-ROC, GWTG-R registry, 2015–2019
- Participants
- 385 patients
- Exposure
- No hypotension vs hypotension in the initial 24 h post-ROC
- Outcome
- Survival to hospital discharge
Methodological detailsmulticentre, registry
- Multicentre
- Registry
Main finding
As reported in the abstract
Adjusted odds ratio (95% CI)P value
No hypotension vs Hypotensionadjusted for age and cardiac arrest location
4.96(2.07–11.90)
P = 0.0003No hypotension and no fever vs Hypotension or fever or both
1.98(1.06,3.71)
P = 0.034- Survived to hospital discharge (all patients)
- 66%
Observational data: associations, not effects.
Further findings
Use of monitoring/evaluation tools post-ROC
- EEG monitoring
- 56%
- Electrocardiogram (ECG) performed
- 80%
- Head CT
- 47%
- Cerebral MRI
- 26%
Hypotension and fever in initial 24 h post-ROC
- No hypotension
- 92%
- Afebrile
- 79%
Original publication
The impact of pediatric post-cardiac arrest care on survival: A multicenter review from the AHA get with the Guidelines®-resuscitation post-cardiac arrest care registry. Resuscitation. Published 23 July 2024. doi:10. 1016/ j. resuscitation. 2024. 110301
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