Long-term survival after out-of-hospital cardiac arrest in children: outcomes in Andalusia in 2008-2019.

Autor:	de Vicente Contreras D; Centro Emergencias Sanitarias (CES) 061, Almería, España., Ruíz Frías Á; Unidad de Cuidados Intensivos, Hospital Universitario Materno Infantil Torrecárdenas, Almería, España., Fernández Del Valle P; Plataforma de Medicina Computacional. Fundación Pública Andaluza Progreso y Salud., Gómez Jiménez J; Facultad de Medicina Universidad de Granada, España., Rosell Ortiz F; Servicio de Urgencias Médicas 061, La Rioja. Centro de Investigación Biomédica de La Rioja (CIBIR), España.
Jazyk:	Spanish; Castilian; English
Zdroj:	Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias [Emergencias] 2024 Jun; Vol. 36 (4), pp. 290-297.
DOI:	10.55633/s3me/047.2024
Abstrakt:	Objective: To determine survival to discharge and neurological outcomes on long-term follow-up of pediatric patients attended for out of-hospital cardiac arrest (OHCA). Methods: Retrospective study based on an ongoing OHCA registry. Patients aged 16 years or younger were included. Futile resuscitation attempts were excluded. Neurological outcome on hospital discharge and on follow-up was based on variables in the Pediatric Cerebral Performance Category (PCPC) scale. Cases from January 1, 2008, through December 31, 2019, were extracted, and 2 surveys were carried out in May 2021 and January 2023. Patient follow-up time ranged from 1 to 13 years. Results: Of the 13 778 patients in the registry, we found 277 (2.0%) who were aged 16 years or younger. One hundred thirty-seven patients (49.5%) were transported to a hospital, and spontaneous circulation was restored in 99 (35.7%). Thirty-six patients (13%) were discharged. The median (interquartile range) follow-up time was 2172 (978-3035) days. Thirty-one of these patients (86.1%) were alive at follow-up, 3 had died, and 2 were lost to follow-up. Neurological outcomes had worsened in 2 and improved in 6 patients. The neurological outcome of 27 of the 31 patients with complete follow-up data (87.1%) was good (PCPC scores of 1 or 2). Conclusions: In spite of the low incidence of shockable rhythm in pediatric OHCA, survival with a good neurological outcome is comparable to survival in adults. Children who are discharged after OHCA maintained or improved their neurological function over the long term.
Databáze:	MEDLINE
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