Cardiac arrest & resuscitation
Out-of-hospital cardiac arrest in children: an epidemiological study based on the German Resuscitation Registry identifying modifiable factors for return of spontaneous circulation
Authors' conclusion
This study provides an epidemiological overview of OHCA in children in Germany and identifies bystander CPR with ventilation as one primary factor for survival.
Study context
- Population
- Children aged > 7 days to 17 years with OHCA, cardiopulmonary resuscitation (CPR) started and continued by emergency medical services (EMS), Germany 2007–2021
- Exposure
- Bystander CPR with/without ventilation vs EMS-started CPR; witnessed status; night-time
- Outcome
- Hospital admission with ROSC
Methodological detailsGerman Resuscitation Registry, multivariate binary logistic regression
- German Resuscitation Registry
- Multivariate binary logistic regression
Main finding
As reported in the abstract
- Bystander CPR with ventilation (vs EMS-started CPR) associated with increased OR for return of spontaneous circulation (ROSC) at hospital admission
- Adjusted for age, sex, year and location of OHCA
Observational data: associations, not effects.
Further findings
OHCA incidence, children aged < 1 year
- Highest incidence of the same age group
- 23.42 per 100 000
Presumed cause of OHCA
- Hypoxia leading presumed cause overall; trauma and drowning high proportion in children aged > 1 year
Bystander-witnessed OHCA, children aged 1-4 years
- Highest rate
- 43.9%
Bystander CPR rate, children aged 1-4 years
- Highest rate
- 62.3%
Original publication
Out-of-hospital cardiac arrest in children: an epidemiological study based on the German Resuscitation Registry identifying modifiable factors for return of spontaneous circulation. Crit Care. Published 7 September 2023. doi:10.
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