Pediatric anesthesia & critical care
Incidences and outcomes of intra-operative vs. postoperative paediatric cardiac arrest: A retrospective cohort study of 42 776 anaesthetics in children who underwent noncardiac surgery in a Thai tertiary care hospital
Authors' conclusion
Postoperative cardiac arrest resulted in a higher mortality rate than intra-operative cardiac arrest.
Study context
- Population
- Paediatric patients aged 0 to 17 years undergoing anaesthesia for noncardiac surgery, tertiary care centre in Thailand, 2014 to 2019
- Participants
- 42,776 anaesthetics
- Exposure
- Intra-operative vs postoperative paediatric cardiac arrest
- Intra-operativen = 41reference
- Postoperativen = 22
- Outcome
- Mortality rates
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Mortality after cardiac arrest
P = 0.001
Observational data: associations, not effects.
Further findings
Risk factors for mortality (multivariate analysis)
| aOR (95% CI) | ||
|---|---|---|
| Emergency status | 5.388 (1.031–28.160) | |
| Duration of CPR | 1.067 (1.016–1.120) | |
| 0.050.21520Adjusted odds ratio (log scale) |
- Time of postoperative cardiac arrest after anaesthesia completion
- 3.84 · median · range 0.05–19.47 · h
Incidence of paediatric perioperative cardiac arrest (PPOCA) and mortality (all anaesthetics)
- PPOCA incidence per 10 000 anaesthetics
- 14.7 (95% CI 11.5 to 18.8)
- Mortality per 10 000 anaesthetics
- 5.4 (95% CI 3.6 to 8.1)
- Deaths among 63 PPOCAs
- 23 (36.5%)
Original publication
Incidences and outcomes of intra-operative vs. postoperative paediatric cardiac arrest: A retrospective cohort study of 42 776 anaesthetics in children who underwent noncardiac surgery in a Thai tertiary care hospital. Eur J Anaesthesiol. Published 15 May 2023. doi:10.
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