Pediatric anesthesia & critical care

Sociodemographic factors associated with paediatric out-of-hospital cardiac arrest: A systematic review

ResuscitationPublished Systematic review

Authors' conclusion

Race and ethnicity are likely associated with POHCA risk and bystander CPR provision.

Study context

Population
Paediatric OHCA (paediatric out-of-hospital cardiac arrest (POHCA))18 articles (15 studies)
Comparison
Sociodemographic factors and POHCA outcomes
Outcome
POHCA risk, bystander CPR, bystander AED application, survival (at or 30 days post-discharge) and neurological outcome
Methodological detailsqualitative synthesis, MEDLINE, EMBASE and Web of Science searched from inception to October 2022; 11,097 citations screened
  • Qualitative synthesis
  • MEDLINE, EMBASE and Web of Science searched from inception to October 2022; 11,097 citations screened

Pooled result

As reported in the abstract

  • POHCA risk: significant differences across racial groups in all studies, minority populations disproportionately impacted
  • No articles on SES and POHCA risk
  • Bystander cardiopulmonary resuscitation (CPR) consistently associated with race and ethnicity, disparities impacting Black and Hispanic children
  • Association between bystander CPR and SES variable
  • Little evidence of socioeconomic or racial disparities in bystander automated external defibrillator (AED) application, survival and neurological outcome, particularly in adjusted analyses
  • 4 articles on POHCA risk, 5 on bystander CPR, 3 on bystander AED, 13 on survival, 6 on neurological outcome

Original publication

Sociodemographic factors associated with paediatric out-of-hospital cardiac arrest: A systematic review. Resuscitation. Published 9 August 2023. doi:10.1016/j.resuscitation.2023.109931

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

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