Cardiac arrest & resuscitation

Prediction of survival after pediatric cardiac arrest using heart rate variability and machine learning

ResuscitationPublished Retrospective cohort study

Authors' conclusion

Analysis of HRV at 24 h after ROSC may serve as a strong predictor of 12-month survival after pediatric CA.

Study context

Population
Children with cardiac arrest (CA) who achieved return of spontaneous circulation (ROSC) and were admitted to the pediatric intensive care unit (PICU) of a tertiary hospital, 2012–2021
Participants
76 children
Exposure
Survival vs death
  • Survivaln = 34reference
  • Deathn = 42
Outcome
Survival or death (prediction from heart rate variability (HRV) parameters of a 5-min electrocardiogram (ECG) segment at 24 h after CA, random forest model)
Follow-up
12 months
Methodological detailsmachine learning (random forest), single tertiary hospital
  • Machine learning (random forest)
  • Single tertiary hospital

Main finding

As reported in the abstract

Random forest model prediction of mortality

Accuracy

77.6%

PPV for mortality prediction

0.879

Observational data: associations, not effects.

Original publication

Prediction of survival after pediatric cardiac arrest using heart rate variability and machine learning. Resuscitation. Published 21 January 2026. doi:10.1016/j.resuscitation.2026.110983

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

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