Epidemiology and Outcomes From Out-of-Hospital Cardiac Arrest in Children

• DOI: 10.1161/circulationaha.108.802678
• Publication Date: 2009-03-10T01:35:01Z
• Authors: Dianne L. Atkins; Siobhan Everson-S...; Gena K. Sears; Mohamud Daya; Martin H. Osmond; Craig R. Warden; Robert A. Berg
• Keywords: Male; Emergency Medical Services; Adolescent; Incidence; Electric Countershock; Infant; Survival Analysis; Cardiopulmonary Resuscitation; Heart Arrest; 3. Good health; 03 medical and health sciences; Age Distribution; Treatment Outcome; 0302 clinical medicine; Child, Preschool; Ventricular Fibrillation; 11. Sustainability; Tachycardia, Ventricular; Humans; Female; Prospective Studies; Registries; Child

Background— Population-based data for pediatric cardiac arrest are scant and largely from urban areas. The Resuscitation Outcomes Consortium (ROC) Epistry–Cardiac Arrest is a population-based emergency medical services registry of out-of-hospital nontraumatic (OHCA). This study examined age-stratified incidence outcomes OHCA. We hypothesized that survival to hospital discharge less frequent OHCA than adult Methods Results— prospective cohort in 11 US Canadian ROC sites included persons <20 years age who received cardiopulmonary resuscitation or defibrillation by service providers and/or bystander automatic external defibrillator shock were pulseless but no between December 2005 March 2007. Patients stratified priori into 3 groups: <1 year (infants; n=277), 1 (children; n=154), 12 19 (adolescents; n=193). was 8.04 per 100 000 person-years (72.71 infants, 3.73 children, 6.37 adolescents) versus 126.52 adults. Survival all 6.4% (3.3% 9.1% 8.9% 4.5% adults ( P =0.03). Unadjusted odds ratio compared with 0.71 (95% confidence interval, 0.37 1.39) 2.11 1.21 3.66) 2.04 1.24 3.38) adolescents. Conclusions— demonstrates the infants approaches observed lower among children more common adolescents