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

ResuscitationPublished Retrospective cohort study

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 = 0.0003
No 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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