Pediatric anesthesia & critical care
Predictors and outcomes of perioperative cardiac arrest in children undergoing noncardiac surgery
Authors' conclusion
The incidence of cardiac arrest in this study is higher than previously reported.
Study context
- Population
- Children <18 yr undergoing noncardiac surgery, National Surgical Quality Improvement Program (NSQIP) Pediatric Database 2019 and 2020
- Participants
- 261,276 children
- Outcome
- Perioperative cardiac arrest (incidence and risk factors)
Methodological detailsregistry database (NSQIP Pediatric 2019 and 2020), exploratory multivariable analysis
- Registry database (NSQIP Pediatric 2019 and 2020)
- Exploratory multivariable analysis
Main finding
As reported in the abstract
Perioperative cardiac arrest
- Overall rate of cardiac arrest
- 0.1%
- Intraoperative rate
- 0.05%
- 48-h postoperative rate
- 0.06%
- Age <12 months, aOR (P<0.001)
- 3.07
- ASA-PS 3, aOR (P<0.001)
- 2.57
- ASA-PS 4, aOR (P<0.001)
- 5.27
- ASA-PS 5, aOR (P<0.001)
- 13.1
- Admission through ED, aOR (P=0.003)
- 1.7
- Inpatient, aOR (P=0.008)
- 2.19
- Major and severe cardiac disease, aOR (P=0.008)
- 1.58
- Impaired cognitive status, aOR (P=0.009)
- 1.54
- Longer anaesthesia duration, aOR per 30 min (P<0.001)
- 1.1
Observational data: associations, not effects.
Further findings
Outcomes associated with perioperative cardiac arrest
- Cardiac arrest significantly associated with longer hospital LOS, reoperation, differences in discharge destination, and 30-day mortality
In-hospital and 30-day mortality, postoperative vs intraoperative cardiac arrest
- Significantly higher in-hospital and 30-day mortality after postoperative than intraoperative cardiac arrest
Original publication
Predictors and outcomes of perioperative cardiac arrest in children undergoing noncardiac surgery. BJA Open. Published 3 December 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →