Cardiac arrest & resuscitation

International Incidence of Out-of-Hospital Cardiac Arrest in Children: A Systematic Review and Meta-Analysis of Epidemiological Studies

Crit Care MedPublished Systematic review and meta-analysis of epidemiological studies

Authors' conclusion

Out-of-hospital cardiac arrest incidents affecting children reported in high-income countries are rare and the incidence is influenced by factors such as age and etiology.

Study context

Population
Children with EMS-treated OHCA, population-based studies from 18 countries (17 high-income, one upper-middle-income)
Participants
37,681 children · 50 studies
Outcome
Pooled incidence rate of OHCA in all children
Methodological detailsrandom-effects model, prespecified subgroups, Unclear overall risk of bias (JBI checklist); diagnostic criteria for OHCA not commonly reported
  • Random-effects model
  • Prespecified subgroups
  • Unclear overall risk of bias (JBI checklist); diagnostic criteria for OHCA not commonly reported

Pooled result

As reported in the abstract

Pooled incidence rate per 100,000 person-years

5.56

95% CI 4.54–6.58; I2 = 100%

Further pooled results

Incidence by prespecified subgroups (etiology, presenting rhythm, age)

Substantial variation in incidence across subgroups of etiology, presenting rhythm, and age

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

International Incidence of Out-of-Hospital Cardiac Arrest in Children: A Systematic Review and Meta-Analysis of Epidemiological Studies. Crit Care Med. Published 26 March 2026. doi:10.1097/ccm.0000000000007110

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