Epidemiology and outcome of paediatric out-of-hospital cardiac arrests: A paediatric sub-study of the Pan-Asian resuscitation outcomes study (PAROS)

Autor: Lai Peng Tham, Sang Do Shin, Marcus Eng Hock Ong, Yih Yng Ng, Nalinas Khunklai, Kwanhathai Darin Wong, Nur Shahidah, Ghulam Yasin Naroo, Patrick Chow-In Ko, Win Wah, Rachel Phillips, Tatsuya Nishiuchi
Rok vydání: 2018
Předmět:
Pan asian resuscitation outcome study
Male
Emergency Medical Services
Resuscitation
paediatric
Epidemiology
Psychological intervention
CHILDREN
030204 cardiovascular system & hematology
Emergency Nursing
Logistic regression
Emergency medical service
0302 clinical medicine
Outcome Assessment
Health Care
Pre-hospital
Prospective Studies
Child
Outcome
Paediatric paediatric
Child
Preschool
Population Surveillance
SURVIVAL
Emergency Medicine
Female
Cardiology and Cardiovascular Medicine
Life Sciences & Biomedicine
COUNTRIES
medicine.medical_specialty
Asia
Adolescent
1117 Public Health and Health Services
Outcome Assessment (Health Care)
03 medical and health sciences
Critical Care Medicine
General & Internal Medicine
medicine
Humans
Survival rate
Out-of-hospital cardiac arrest
Science & Technology
business.industry
Infant
Newborn
Infant
1103 Clinical Sciences
030208 emergency & critical care medicine
Retrospective cohort study
Odds ratio
Emergency & Critical Care Medicine
Cardiopulmonary Resuscitation
Confidence interval
Emergency medicine
business
Zdroj: Resuscitation. 125:111-117
ISSN: 0300-9572
DOI: 10.1016/j.resuscitation.2018.01.040
Popis: Background The Pan Asian Resuscitation Outcomes Study (PAROS) is a retrospective study of out- of-hospital cardiac arrest(OHCA), collaborating with EMS agencies and academic centers in Japan, South Korea, Malaysia, Singapore, Taiwan, Thailand and UAE-Dubai. The objectives of this study is to describe the characteristics and outcomes, and to find factors associated with survival after paediatric OHCA. Methods We studied all children less than 17 years of age with OHCA conveyed by EMS and non-EMS transports from January 2009 to December 2012. We did univariate and multivariate logistic regression analyses to assess the factors associated with survival-to-discharge outcomes. Results A total of 974 children with OHCA were included. Bystander cardiopulmonary resuscitation rates ranged from 53.5% (Korea), 35.6% (Singapore) to 11.8% (UAE). Overall, 8.6% (range 0%–9.7%) of the children survived to discharge from hospital. Adolescents (13–17 years) had the highest survival rate of 13.8%. 3.7% of the children survived with good neurological outcomes of CPC 1 or 2. The independent pre-hospital factors associated with survival to discharge were witnessed arrest and initial shockable rhythm. In the sub-group analysis, pre-hospital advanced airway [odds ratio (OR) = 3.35, 95% confidence interval (CI) = 1.23–9.13] was positively associated with survival-to-discharge outcomes in children less than 13 years-old. Among adolescents, bystander CPR (OR = 2.74, 95%CI = 1.03–7.3) and initial shockable rhythm (OR = 20.51, 95%CI = 2.15–195.7) were positive factors. Conclusion The wide variation in the survival outcomes amongst the seven countries in our study may be due to the differences in the delivery of pre-hospital interventions and bystander CPR rates.
Databáze: OpenAIRE
Externí odkaz: