Pediatric anesthesia & critical care

Out-of-hospital cardiac arrest: Survival in children and young adults over 30 years, a nationwide registry-based cohort study

ResuscitationPublished Nationwide registry-based cohort study

Main finding · 30-day survivalResult — go to the resultOdds of survival 3.00 95% CI 1.43–6.94

Authors' conclusion

Survival rate after OHCA in children and young adults has increased three-fold over the past 30 years.

Study context

Population
Individuals aged 0 to 30 years with out-of-hospital cardiac arrest (OHCA) in Sweden, 1990–2020, in whom cardiopulmonary resuscitation (CPR) was initiated
Participants
4,804 individuals
Exposure
Time periods 1990–2020
Outcome
30-day survival
Follow-up
30 days

Main finding

As reported in the abstract

over 30 years

Odds of survival

3.00

95% CI 1.43–6.94

P = 0.006

Observational data: associations, not effects.

Further findings

30-day survival, age <1 year (subgroup)

Survival increased from 2% to 19%

Time to CPR

Decreased from 14 to 2 min

10-year survival among 30-day survivors

High among those who survived 30 days

Etiology of cardiac arrest

Varied significantly across age groups but relatively consistent over time; causes linked to mental illness a substantial percentage

Original publication

Out-of-hospital cardiac arrest: Survival in children and young adults over 30 years, a nationwide registry-based cohort study. Resuscitation. Published 30 December 2023. doi:10.1016/j.resuscitation.2023.110103

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