Document Detail


Epidemiology of paediatric out-of-hospital cardiac arrest in Melbourne, Australia.
MedLine Citation:
PMID:  20627518     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Previous studies of paediatric cardiac arrest have reported a low survival rate but there is limited data from Australia. We sought to determine the characteristics and outcomes of paediatric out-of-hospital cardiac arrest in Melbourne, Australia.
METHODS: Between October 1999 and June 2007, all cases of out-of-hospital cardiac arrest attended by emergency medical services in Melbourne, Australia were entered into a database (the Victorian Ambulance Cardiac Arrest Registry). Data on patients aged less than 16 years in cardiac arrest on arrival of ambulance paramedics was analysed.
RESULTS: There were 209 children in cardiac arrest on arrival of paramedics during the study period. Of these, resuscitation was not attempted in 16 children due to signs of definite death. Of the 193 children who had attempted resuscitation, 143 (74%) had an initial cardiac rhythm of asystole, 36 (18%) were in pulseless electrical activity and 14 (7%) were in ventricular fibrillation. There were 49 patients (25%) with return of spontaneous circulation at arrival to hospital of whom 14 (7%) survived to hospital discharge. Of 138 patients without return of a circulation, 120 were transported to hospital with continuing resuscitation and one survived (0.9%). Survival was higher in patients with an initial cardiac rhythm of ventricular fibrillation (5/14; 35%) compared with other rhythms (10/179; 4%), OR 9.38, 95% CI 2.64-33.2.
CONCLUSIONS: Overall, 7.7% of paediatric patients with out-of-hospital cardiac arrest survive to leave hospital. Increased survival was seen if the initial cardiac rhythm was ventricular fibrillation. Survival was very rare (<1%) unless there was return of spontaneous circulation prior to hospital arrival.
Authors:
C Deasy; S A Bernard; P Cameron; A Jaison; K Smith; L Harriss; T Walker; K Masci; J Tibballs
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Publication Detail:
Type:  Journal Article     Date:  2010-06-02
Journal Detail:
Title:  Resuscitation     Volume:  81     ISSN:  1873-1570     ISO Abbreviation:  Resuscitation     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-24     Completed Date:  2010-12-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  1095-100     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Monash University, Department of Epidemiology and Preventive Medicine, Melbourne, Australia. conordeasy@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Australia / epidemiology
Blood Circulation
Child
Child, Preschool
Databases, Factual
Female
Heart Arrest / epidemiology
Humans
Hypothermia, Induced
Incidence
Infant
Male
Out-of-Hospital Cardiac Arrest / epidemiology*,  mortality,  physiopathology,  therapy
Resuscitation
Survival Rate
Time Factors
Ventricular Fibrillation / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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