Cardiac arrest & resuscitation

Long-term function, quality of life and healthcare utilization among survivors of pediatric out-of-hospital cardiac arrest

ResuscitationPublished Retrospective cohort study

Authors' conclusion

Survivors of pediatric OHCA with unfavorable outcome at discharge have more impaired function multiple years post-arrest. Survivors with favorable outcome may experience impairments and significant healthcare needs not fully captured by the PCPC at hospital discharge.

Study context

Population
Out-of-hospital cardiac arrest (OHCA) survivors <18 years old who received post-cardiac arrest care in the PICU at a single center, 2008–2018evaluable
Participants
44 survivors
Exposure
Unfavorable vs favorable neurologic outcome at discharge
Outcome
Long-term outcomes: neurologic outcome (PCPC), activities of daily living (Pediatric Glasgow Outcomes Scale-Extended, FSS), HRQL (Pediatric Quality of Life Core and Family Impact Modules), healthcare utilization
Follow-up
More than one year after cardiac arrest
Methodological detailssingle-centre, telephone interview follow-up
  • Single-centre
  • Telephone interview follow-up

Main finding

As reported in the abstract

median 5.6 years [IQR 4.4, 8.9] post-arrest
  • Unfavorable outcome at discharge: worse Functional Status Scale (FSS) Sensory and Motor Function scores
  • Unfavorable outcome at discharge: higher rates of rehabilitation service utilization
  • Parents of unfavorable-outcome survivors reported greater disruption to family functioning
  • Healthcare utilization and educational support requirements common among all survivors
  • Median age at arrest 5.3 [1.3,12.6] years; median CPR duration 5 [1.5, 7] minutes

Observational data: associations, not effects.

Original publication

Long-term function, quality of life and healthcare utilization among survivors of pediatric out-of-hospital cardiac arrest. Resuscitation. Published 17 March 2023. doi:10.1016/j.resuscitation.2023.109768

Composed by AI from the published abstract and checked against it. How Briefs are made →

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