Pediatric anesthesia & critical care
Survival After Intra-Arrest Transport vs On-Scene Cardiopulmonary Resuscitation in Children
Main finding · Survival to hospital discharge (propensity-matched cohort)Result — go to the resultRR for survival to hospital discharge 0.81 95% CI 0.59–1.10Authors' conclusion
In this cohort study of a North American OHCA registry, intra-arrest transport compared with continued on-scene CPR was not associated with survival to hospital discharge among children with OHCA.
Study context
- Population
- Pediatric patients aged <18 years with emergency medical services (EMS)-treated out-of-hospital cardiac arrest (OHCA), Resuscitation Outcomes Consortium Epidemiologic Registry (10 sites, US and Canada), 2005–20153,680 matched cases
- Participants
- 2,854 patients
- Exposure
- Intra-arrest transport vs continued on-scene cardiopulmonary resuscitation (CPR)
- Intra-arrest transportn = 1,892
- Continued on-scene CPRn = 962reference
- Outcome
- Survival to hospital discharge
Methodological detailstime-dependent propensity-score matched, multicentre registry
- Time-dependent propensity-score matched
- Multicentre registry
Main finding
As reported in the abstract
Survival to hospital discharge (propensity-matched cohort)
RR for survival to hospital discharge
0.81
95% CI 0.59–1.10
Events by group
Intra-arrest transport vs On-scene CPR
RR for survival to hospital discharge 0.81 (95% CI 0.59–1.10)
Observational data: associations, not effects.
Further findings
| Outcome | RR for survival to hospital discharge (95% CI) | |
|---|---|---|
| Survival to hospital discharge (subgroup age <1 year)Intra-arrest transport vs On-scene CPR · lower survival with intra-arrest transport | 0.52 (0.33–0.83) | |
| Survival to hospital discharge (subgroup age ≥1 year)Intra-arrest transport vs On-scene CPR · no association | 1.22 (0.77–1.93) | |
| 0.20.5125RR for survival to hospital discharge (log scale) |
Survival to hospital discharge by timing of intra-arrest transport
- Not modified by timing of intra-arrest transport
- Interaction P = .10
Original publication
Survival After Intra-Arrest Transport vs On-Scene Cardiopulmonary Resuscitation in Children. JAMA Netw Open. Published 1 May 2024. doi:10.
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