Pediatric anesthesia & critical care
Intubation Trends and Survival in Pediatric In-Hospital Cardiac Arrest
Authors' conclusion
In this cohort study of pediatric patients with IHCA between 2017 and 2022 without an advanced airway at the start of CPR, no association was identified between intra-arrest tracheal intubation and hospital survival after time-dependent propensity score matching.
Study context
- Population
- Pediatric patients (<18 years) with in-hospital cardiac arrest (IHCA) and no advanced airway at CPR onset, AHA Get With The Guidelines-Resuscitation registry, 2000–2022 (matched analysis 2017–2022)
- Participants
- 3,262 patients
- Exposure
- Intubation vs Nonintubation
- Outcome
- Survival to hospital discharge
Methodological detailstime-dependent propensity matched, multicenter registry
- Time-dependent propensity matched
- Multicenter registry
Main finding
As reported in the abstract
Survival to hospital discharge (2017-2022 cohort)
Intubation vs NonintubationEstimate (95% CI)P value
After time-dependent propensity matching
aOR for discharge survival 1.18(0.90–1.53)
P = 0.23Unadjusted
OR for discharge survival 0.18(0.14–0.24)
P < 0.001Observational data: associations, not effects.
Further findings
| Outcome | aOR for discharge survival (95% CI) | P value | |
|---|---|---|---|
| Survival to hospital discharge, children aged 8 years or older (subgroup)After matching | 1.91 (1.09–3.33) | P = 0.02 | |
| 0.20.5125AOR for discharge survival (log scale) |
Intubation rate over time
- Intubation rate in 2000
- 33 of 39 [84.6%]
- Intubation rate in 2022
- 112 of 168 [66.7%]
- Trend
- P < 0.001
Original publication
Intubation Trends and Survival in Pediatric In-Hospital Cardiac Arrest. JAMA Netw Open. Published 3 November 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →