Pediatric anesthesia & critical care
Trends in Cardiac Arrest Outcomes & Management in Children with Cardiac Illness Category Compared to Non-Cardiac Illness Category: An Analysis from the AHA Get With The Guidelines®-Resuscitation Registry
Authors' conclusion
Over the last 20 years, both survival to hospital discharge and ECPR use has increased in all in-hospital CPR event illness categories. Children with surgical-cardiac CPR event have higher odds of survival to hospital discharge compared to non-cardiac CPR event categories, whereas odds of survival were lowest with medical-cardiac CPR events.
Study context
- Population
- Children <18 years with index in-hospital CPR events, AHA Get With The Guidelines-Resuscitation registry, 2000–2021
- Participants
- 16,241 index events
- Exposure
- Surgical-cardiac and medical-cardiac vs non-cardiac illness category
- Outcome
- Survival to hospital discharge
Methodological detailsmulticentre registry, mixed logistic regression, site as random effect
- Multicentre registry
- Mixed logistic regression
- Site as random effect
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
Distribution of CPR events by illness category
Trend in survival over eras (2000-2004 to 2015-2021)
- Odds of survival increased for all illness categories; medical-cardiac had the lowest increased odds per era
Extracorporeal resuscitation (ECPR) use
- Greatest increase in ECPR utilization in non-cardiac (increased odds per era)
- 52 %
- Highest rates of ECPR in surgical-cardiac (ECPR 20 % across the cohort)
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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