OBJECTIVES: There is a paucity of data examining nationwide population-based incidences and outcomes of pediatric out-of-hospital cardiac arrest. The objective of this study is to describe the detailed characteristics of pediatric out-of-hospital cardiac arrest by scholastic age category and to evaluate the impact of bystander cardiopulmonary resuscitation and public access-automated external defibrillators on the 1-month survival and favorable neurological status of pediatric out-of-hospital cardiac arrest patients. DESIGN: A nationwide, population-based, observational study. SETTING: Nationwide emergency medical system in Japan. PATIENTS: Out-of-hospital cardiac arrest patients aged ≤ 18 yr. MEASUREMENTS AND MAIN RESULTS: We identified 7,624 pediatric out-of-hospital cardiac arrest patients (≤ 18 yr old) from a nationwide population-based out-of-hospital cardiac arrest database in Japan from 2005 to 2008 and stratified them into five categories by scholastic age. The overall rates of 1-month survival and favorable neurological outcomes were 11.0% and 5.1%, respectively. Bystander cardiopulmonary resuscitation resulted in a significant improvement in both 1-month survival (odds ratio 2.81; 95% confidence interval 2.30-3.44) and favorable neurological outcomes (odds ratio 4.55; 95% confidence interval 3.35-6.18). Performing public access-automated external defibrillators had a significant effect on the 1-month survival rate (odds ratio 3.51; 95% confidence interval 1.81-6.81) and favorable neurological outcomes (odds ratio 5.13; 95% confidence interval 2.64-9.96). CONCLUSIONS: This study demonstrated that bystander cardiopulmonary resuscitation and public access-automated external defibrillators had a significant impact on the outcomes of pediatric out-of-hospital cardiac arrest. The improved survival associated with bystander cardiopulmonary resuscitation and public access-automated external defibrillators are clinically important and are of major public health importance for school-aged out-of-hospital cardiac arrest patients.
OBJECTIVES: There is a paucity of data examining nationwide population-based incidences and outcomes of pediatric out-of-hospital cardiac arrest. The objective of this study is to describe the detailed characteristics of pediatric out-of-hospital cardiac arrest by scholastic age category and to evaluate the impact of bystander cardiopulmonary resuscitation and public access-automated external defibrillators on the 1-month survival and favorable neurological status of pediatric out-of-hospital cardiac arrestpatients. DESIGN: A nationwide, population-based, observational study. SETTING: Nationwide emergency medical system in Japan. PATIENTS: Out-of-hospital cardiac arrestpatients aged ≤ 18 yr. MEASUREMENTS AND MAIN RESULTS: We identified 7,624 pediatric out-of-hospital cardiac arrestpatients (≤ 18 yr old) from a nationwide population-based out-of-hospital cardiac arrest database in Japan from 2005 to 2008 and stratified them into five categories by scholastic age. The overall rates of 1-month survival and favorable neurological outcomes were 11.0% and 5.1%, respectively. Bystander cardiopulmonary resuscitation resulted in a significant improvement in both 1-month survival (odds ratio 2.81; 95% confidence interval 2.30-3.44) and favorable neurological outcomes (odds ratio 4.55; 95% confidence interval 3.35-6.18). Performing public access-automated external defibrillators had a significant effect on the 1-month survival rate (odds ratio 3.51; 95% confidence interval 1.81-6.81) and favorable neurological outcomes (odds ratio 5.13; 95% confidence interval 2.64-9.96). CONCLUSIONS: This study demonstrated that bystander cardiopulmonary resuscitation and public access-automated external defibrillators had a significant impact on the outcomes of pediatric out-of-hospital cardiac arrest. The improved survival associated with bystander cardiopulmonary resuscitation and public access-automated external defibrillators are clinically important and are of major public health importance for school-aged out-of-hospital cardiac arrestpatients.
Authors: M Austin Johnson; Brian J H Grahan; Jason S Haukoos; Bryan McNally; Robert Campbell; Comilla Sasson; David E Slattery Journal: Resuscitation Date: 2014-03-28 Impact factor: 5.262
Authors: Janice A Tijssen; David K Prince; Laurie J Morrison; Dianne L Atkins; Michael A Austin; Robert Berg; Siobhan P Brown; Jim Christenson; Debra Egan; Preston J Fedor; Ericka L Fink; Garth D Meckler; Martin H Osmond; Kathryn A Sims; James S Hutchison Journal: Resuscitation Date: 2015-06-19 Impact factor: 5.262
Authors: Ericka L Fink; David K Prince; Jonathan R Kaltman; Dianne L Atkins; Michael Austin; Craig Warden; Jamie Hutchison; Mohamud Daya; Scott Goldberg; Heather Herren; Janice A Tijssen; James Christenson; Christian Vaillancourt; Ronna Miller; Robert H Schmicker; Clifton W Callaway Journal: Resuscitation Date: 2016-08-24 Impact factor: 5.262
Authors: Rie Sakai-Bizmark; Scott M I Friedlander; Emily H Marr; Laurie A Mena; Ismael Corral; Ruey-Kang R Chang Journal: Pediatr Cardiol Date: 2018-05-10 Impact factor: 1.655