Poor Long-Term Survival of Out-of-Hospital Cardiac Arrest in Children: A Multicenter, Prospective Registry in Osaka, Japan
The effect of post-cardiac arrest care in children with out-of-hospital cardiac arrest (OHCA) has not been adequately established, and the long-term outcome after pediatric OHCA has not been sufficiently investigated. We describe here detailed in-hospital characteristics, actual management, and surv...
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| Veröffentlicht in: | International Heart Journal 2020/03/28, Vol.61(2), pp.254-262 |
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| creator | Matsui, Satoshi Sobue, Tomotaka Irisawa, Taro Yamada, Tomoki Hayakawa, Koichi Yoshiya, Kazuhisa Noguchi, Kazuo Nishimura, Tetsuro Ishibe, Takuya Yagi, Yoshiki Kiguchi, Takeyuki Kishimoto, Masafumi Shintani, Hiroshi Hayashi, Yasuyuki Sogabe, Taku Morooka, Takaya Sakamoto, Haruko Suzuki, Keitaro Nakamura, Fumiko Nishioka, Norihiro Okada, Yohei Matsuyama, Tasuku Sado, Junya Shimazu, Takeshi Tanaka, Ryojiro Kurosawa, Hiroshi Iwami, Taku Kitamura, Tetsuhisa on behalf of the CRITICAL Study Group Investigators |
| description | The effect of post-cardiac arrest care in children with out-of-hospital cardiac arrest (OHCA) has not been adequately established, and the long-term outcome after pediatric OHCA has not been sufficiently investigated. We describe here detailed in-hospital characteristics, actual management, and survival, including neurological status, 90 days after OHCA occurrence in children with OHCA transported to critical care medical centers (CCMCs).We analyzed the database of the Comprehensive Registry of Intensive Care for OHCA Survival (CRITICAL) study, which is a multicenter, prospective observational data registry designed to accumulate both pre- and in-hospital data on OHCA treatments. We enrolled all consecutive pediatric patients aged |
| doi_str_mv | 10.1536/ihj.19-574 |
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We describe here detailed in-hospital characteristics, actual management, and survival, including neurological status, 90 days after OHCA occurrence in children with OHCA transported to critical care medical centers (CCMCs).We analyzed the database of the Comprehensive Registry of Intensive Care for OHCA Survival (CRITICAL) study, which is a multicenter, prospective observational data registry designed to accumulate both pre- and in-hospital data on OHCA treatments. We enrolled all consecutive pediatric patients aged <18 years who had an OHCA and for whom resuscitation was attempted and who were transported to CCMCs between 2012 and 2016.A total of 263 pediatric patients with OHCA were enrolled. The average age of the patients was 6.3 years, 38.0% were aged < 1 year, and 60.8% were male. After hospital arrival, 4.9% of these pediatric patients received defibrillation; 1.9%, extracorporeal life support; 6.5%, target temperature management; and 88.2% adrenaline administration. The proportions of patients with 90-day survival and a pediatric cerebral performance category (PCPC) score of 1 or 2 were 6.1% and 1.9%, respectively. The proportion of patients with a PCPC score of 1 or 2 at 90 days after OHCA occurrence did not significantly improve during the study period.The proportion of pediatric patients with a 90-day PCPC score of 1 or 2 transported to CCMCs was extremely low, and no significant improvements were observed during the study period.</description><identifier>ISSN: 1349-2365</identifier><identifier>EISSN: 1349-3299</identifier><identifier>DOI: 10.1536/ihj.19-574</identifier><identifier>PMID: 32173714</identifier><language>eng</language><publisher>TOKYO: International Heart Journal Association</publisher><subject>Cardiac & Cardiovascular Systems ; Cardiopulmonary resuscitation ; Cardiovascular System & Cardiology ; Chain of survival ; Children ; CPR ; Epinephrine ; Heart ; Life Sciences & Biomedicine ; Long-term outcome ; Patients ; Pediatric cerebral performance category score ; Pediatrics ; Post-cardiac arrest care ; Science & Technology ; Survival</subject><ispartof>International Heart Journal, 2020/03/28, Vol.61(2), pp.254-262</ispartof><rights>2020 by the International Heart Journal Association</rights><rights>Copyright Japan Science and Technology Agency 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>12</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000522157900010</woscitedreferencesoriginalsourcerecordid><cites>FETCH-LOGICAL-c400t-83e7789524daaab6611d647bd86ac66ba45b8734d27976b1a2812ec07bce67c3</cites><orcidid>0000-0003-0107-0580</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,1885,27931,27932,28255</link.rule.ids></links><search><creatorcontrib>Matsui, Satoshi</creatorcontrib><creatorcontrib>Sobue, Tomotaka</creatorcontrib><creatorcontrib>Irisawa, Taro</creatorcontrib><creatorcontrib>Yamada, Tomoki</creatorcontrib><creatorcontrib>Hayakawa, Koichi</creatorcontrib><creatorcontrib>Yoshiya, Kazuhisa</creatorcontrib><creatorcontrib>Noguchi, Kazuo</creatorcontrib><creatorcontrib>Nishimura, Tetsuro</creatorcontrib><creatorcontrib>Ishibe, Takuya</creatorcontrib><creatorcontrib>Yagi, Yoshiki</creatorcontrib><creatorcontrib>Kiguchi, Takeyuki</creatorcontrib><creatorcontrib>Kishimoto, Masafumi</creatorcontrib><creatorcontrib>Shintani, Hiroshi</creatorcontrib><creatorcontrib>Hayashi, Yasuyuki</creatorcontrib><creatorcontrib>Sogabe, Taku</creatorcontrib><creatorcontrib>Morooka, Takaya</creatorcontrib><creatorcontrib>Sakamoto, Haruko</creatorcontrib><creatorcontrib>Suzuki, Keitaro</creatorcontrib><creatorcontrib>Nakamura, Fumiko</creatorcontrib><creatorcontrib>Nishioka, Norihiro</creatorcontrib><creatorcontrib>Okada, Yohei</creatorcontrib><creatorcontrib>Matsuyama, Tasuku</creatorcontrib><creatorcontrib>Sado, Junya</creatorcontrib><creatorcontrib>Shimazu, Takeshi</creatorcontrib><creatorcontrib>Tanaka, Ryojiro</creatorcontrib><creatorcontrib>Kurosawa, Hiroshi</creatorcontrib><creatorcontrib>Iwami, Taku</creatorcontrib><creatorcontrib>Kitamura, Tetsuhisa</creatorcontrib><creatorcontrib>on behalf of the CRITICAL Study Group Investigators</creatorcontrib><creatorcontrib>CRITICAL Study Grp Investigators</creatorcontrib><creatorcontrib>on behalf of the CRITICAL Study Group Investigators</creatorcontrib><title>Poor Long-Term Survival of Out-of-Hospital Cardiac Arrest in Children: A Multicenter, Prospective Registry in Osaka, Japan</title><title>International Heart Journal</title><addtitle>INT HEART J</addtitle><addtitle>Int. Heart J.</addtitle><description>The effect of post-cardiac arrest care in children with out-of-hospital cardiac arrest (OHCA) has not been adequately established, and the long-term outcome after pediatric OHCA has not been sufficiently investigated. We describe here detailed in-hospital characteristics, actual management, and survival, including neurological status, 90 days after OHCA occurrence in children with OHCA transported to critical care medical centers (CCMCs).We analyzed the database of the Comprehensive Registry of Intensive Care for OHCA Survival (CRITICAL) study, which is a multicenter, prospective observational data registry designed to accumulate both pre- and in-hospital data on OHCA treatments. We enrolled all consecutive pediatric patients aged <18 years who had an OHCA and for whom resuscitation was attempted and who were transported to CCMCs between 2012 and 2016.A total of 263 pediatric patients with OHCA were enrolled. The average age of the patients was 6.3 years, 38.0% were aged < 1 year, and 60.8% were male. After hospital arrival, 4.9% of these pediatric patients received defibrillation; 1.9%, extracorporeal life support; 6.5%, target temperature management; and 88.2% adrenaline administration. The proportions of patients with 90-day survival and a pediatric cerebral performance category (PCPC) score of 1 or 2 were 6.1% and 1.9%, respectively. The proportion of patients with a PCPC score of 1 or 2 at 90 days after OHCA occurrence did not significantly improve during the study period.The proportion of pediatric patients with a 90-day PCPC score of 1 or 2 transported to CCMCs was extremely low, and no significant improvements were observed during the study period.</description><subject>Cardiac & Cardiovascular Systems</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cardiovascular System & Cardiology</subject><subject>Chain of survival</subject><subject>Children</subject><subject>CPR</subject><subject>Epinephrine</subject><subject>Heart</subject><subject>Life Sciences & Biomedicine</subject><subject>Long-term outcome</subject><subject>Patients</subject><subject>Pediatric cerebral performance category score</subject><subject>Pediatrics</subject><subject>Post-cardiac arrest care</subject><subject>Science & Technology</subject><subject>Survival</subject><issn>1349-2365</issn><issn>1349-3299</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><recordid>eNqNkEtLxDAUhYMovjf-goI7pZqbd3dK8QUDCs4-pGnqZBibMWlH_PdGK7p1kxyS79x7OAidAL4ATsWlXywvoCq5ZFtoHyirSkqqavtHEyr4HjpIaYkxA47lLtqjBCSVwPbRzVMIsZiF_qWcu_haPI9x4zdmVYSueByHMnTlfUhrP-Sn2sTWG1tcx-jSUPi-qBd-1UbXH6GdzqySO_65D9H89mZe35ezx7uH-npWWobxUCrqpFQVJ6w1xjRCALSCyaZVwlghGsN4oyRlLZGVFA0YooA4i2VjnZCWHqLTaew6hrcxZ9DLMMY-b9SEKk4VCKkydTZRNoaUouv0OvpXEz80YP1VmM6Faah0LizD5xP87prQJetdb92vAWPMCQEuq6wAZ1r9n65zaYMPfR3GfsjWq8m6TIN5-TOZOHi7ct-ZBGjydUzZfr_swkTtevoJnMiSeQ</recordid><startdate>20200328</startdate><enddate>20200328</enddate><creator>Matsui, Satoshi</creator><creator>Sobue, Tomotaka</creator><creator>Irisawa, Taro</creator><creator>Yamada, Tomoki</creator><creator>Hayakawa, Koichi</creator><creator>Yoshiya, Kazuhisa</creator><creator>Noguchi, Kazuo</creator><creator>Nishimura, Tetsuro</creator><creator>Ishibe, Takuya</creator><creator>Yagi, Yoshiki</creator><creator>Kiguchi, Takeyuki</creator><creator>Kishimoto, Masafumi</creator><creator>Shintani, Hiroshi</creator><creator>Hayashi, Yasuyuki</creator><creator>Sogabe, Taku</creator><creator>Morooka, Takaya</creator><creator>Sakamoto, Haruko</creator><creator>Suzuki, Keitaro</creator><creator>Nakamura, Fumiko</creator><creator>Nishioka, Norihiro</creator><creator>Okada, Yohei</creator><creator>Matsuyama, Tasuku</creator><creator>Sado, Junya</creator><creator>Shimazu, Takeshi</creator><creator>Tanaka, Ryojiro</creator><creator>Kurosawa, Hiroshi</creator><creator>Iwami, Taku</creator><creator>Kitamura, Tetsuhisa</creator><creator>on behalf of the CRITICAL Study Group Investigators</creator><general>International Heart Journal Association</general><general>Int Heart Journal Assoc</general><general>Japan Science and Technology Agency</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><orcidid>https://orcid.org/0000-0003-0107-0580</orcidid></search><sort><creationdate>20200328</creationdate><title>Poor Long-Term Survival of Out-of-Hospital Cardiac Arrest in Children</title><author>Matsui, Satoshi ; Sobue, Tomotaka ; Irisawa, Taro ; Yamada, Tomoki ; Hayakawa, Koichi ; Yoshiya, Kazuhisa ; Noguchi, Kazuo ; Nishimura, Tetsuro ; Ishibe, Takuya ; Yagi, Yoshiki ; Kiguchi, Takeyuki ; Kishimoto, Masafumi ; Shintani, Hiroshi ; Hayashi, Yasuyuki ; Sogabe, Taku ; Morooka, Takaya ; Sakamoto, Haruko ; Suzuki, Keitaro ; Nakamura, Fumiko ; Nishioka, Norihiro ; Okada, Yohei ; Matsuyama, Tasuku ; Sado, Junya ; Shimazu, Takeshi ; Tanaka, Ryojiro ; Kurosawa, Hiroshi ; Iwami, Taku ; Kitamura, Tetsuhisa ; on behalf of the CRITICAL Study Group Investigators</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-83e7789524daaab6611d647bd86ac66ba45b8734d27976b1a2812ec07bce67c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cardiac & Cardiovascular Systems</topic><topic>Cardiopulmonary resuscitation</topic><topic>Cardiovascular System & Cardiology</topic><topic>Chain of survival</topic><topic>Children</topic><topic>CPR</topic><topic>Epinephrine</topic><topic>Heart</topic><topic>Life Sciences & Biomedicine</topic><topic>Long-term outcome</topic><topic>Patients</topic><topic>Pediatric cerebral performance category score</topic><topic>Pediatrics</topic><topic>Post-cardiac arrest care</topic><topic>Science & Technology</topic><topic>Survival</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsui, Satoshi</creatorcontrib><creatorcontrib>Sobue, Tomotaka</creatorcontrib><creatorcontrib>Irisawa, Taro</creatorcontrib><creatorcontrib>Yamada, Tomoki</creatorcontrib><creatorcontrib>Hayakawa, Koichi</creatorcontrib><creatorcontrib>Yoshiya, Kazuhisa</creatorcontrib><creatorcontrib>Noguchi, Kazuo</creatorcontrib><creatorcontrib>Nishimura, Tetsuro</creatorcontrib><creatorcontrib>Ishibe, Takuya</creatorcontrib><creatorcontrib>Yagi, Yoshiki</creatorcontrib><creatorcontrib>Kiguchi, Takeyuki</creatorcontrib><creatorcontrib>Kishimoto, Masafumi</creatorcontrib><creatorcontrib>Shintani, Hiroshi</creatorcontrib><creatorcontrib>Hayashi, Yasuyuki</creatorcontrib><creatorcontrib>Sogabe, Taku</creatorcontrib><creatorcontrib>Morooka, Takaya</creatorcontrib><creatorcontrib>Sakamoto, Haruko</creatorcontrib><creatorcontrib>Suzuki, Keitaro</creatorcontrib><creatorcontrib>Nakamura, Fumiko</creatorcontrib><creatorcontrib>Nishioka, Norihiro</creatorcontrib><creatorcontrib>Okada, Yohei</creatorcontrib><creatorcontrib>Matsuyama, Tasuku</creatorcontrib><creatorcontrib>Sado, Junya</creatorcontrib><creatorcontrib>Shimazu, Takeshi</creatorcontrib><creatorcontrib>Tanaka, Ryojiro</creatorcontrib><creatorcontrib>Kurosawa, Hiroshi</creatorcontrib><creatorcontrib>Iwami, Taku</creatorcontrib><creatorcontrib>Kitamura, Tetsuhisa</creatorcontrib><creatorcontrib>on behalf of the CRITICAL Study Group Investigators</creatorcontrib><creatorcontrib>CRITICAL Study Grp Investigators</creatorcontrib><creatorcontrib>on behalf of the CRITICAL Study Group Investigators</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><jtitle>International Heart Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsui, Satoshi</au><au>Sobue, Tomotaka</au><au>Irisawa, Taro</au><au>Yamada, Tomoki</au><au>Hayakawa, Koichi</au><au>Yoshiya, Kazuhisa</au><au>Noguchi, Kazuo</au><au>Nishimura, Tetsuro</au><au>Ishibe, Takuya</au><au>Yagi, Yoshiki</au><au>Kiguchi, Takeyuki</au><au>Kishimoto, Masafumi</au><au>Shintani, Hiroshi</au><au>Hayashi, Yasuyuki</au><au>Sogabe, Taku</au><au>Morooka, Takaya</au><au>Sakamoto, Haruko</au><au>Suzuki, Keitaro</au><au>Nakamura, Fumiko</au><au>Nishioka, Norihiro</au><au>Okada, Yohei</au><au>Matsuyama, Tasuku</au><au>Sado, Junya</au><au>Shimazu, Takeshi</au><au>Tanaka, Ryojiro</au><au>Kurosawa, Hiroshi</au><au>Iwami, Taku</au><au>Kitamura, Tetsuhisa</au><au>on behalf of the CRITICAL Study Group Investigators</au><aucorp>CRITICAL Study Grp Investigators</aucorp><aucorp>on behalf of the CRITICAL Study Group Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Poor Long-Term Survival of Out-of-Hospital Cardiac Arrest in Children: A Multicenter, Prospective Registry in Osaka, Japan</atitle><jtitle>International Heart Journal</jtitle><stitle>INT HEART J</stitle><addtitle>Int. Heart J.</addtitle><date>2020-03-28</date><risdate>2020</risdate><volume>61</volume><issue>2</issue><spage>254</spage><epage>262</epage><pages>254-262</pages><issn>1349-2365</issn><eissn>1349-3299</eissn><abstract>The effect of post-cardiac arrest care in children with out-of-hospital cardiac arrest (OHCA) has not been adequately established, and the long-term outcome after pediatric OHCA has not been sufficiently investigated. We describe here detailed in-hospital characteristics, actual management, and survival, including neurological status, 90 days after OHCA occurrence in children with OHCA transported to critical care medical centers (CCMCs).We analyzed the database of the Comprehensive Registry of Intensive Care for OHCA Survival (CRITICAL) study, which is a multicenter, prospective observational data registry designed to accumulate both pre- and in-hospital data on OHCA treatments. We enrolled all consecutive pediatric patients aged <18 years who had an OHCA and for whom resuscitation was attempted and who were transported to CCMCs between 2012 and 2016.A total of 263 pediatric patients with OHCA were enrolled. The average age of the patients was 6.3 years, 38.0% were aged < 1 year, and 60.8% were male. After hospital arrival, 4.9% of these pediatric patients received defibrillation; 1.9%, extracorporeal life support; 6.5%, target temperature management; and 88.2% adrenaline administration. The proportions of patients with 90-day survival and a pediatric cerebral performance category (PCPC) score of 1 or 2 were 6.1% and 1.9%, respectively. The proportion of patients with a PCPC score of 1 or 2 at 90 days after OHCA occurrence did not significantly improve during the study period.The proportion of pediatric patients with a 90-day PCPC score of 1 or 2 transported to CCMCs was extremely low, and no significant improvements were observed during the study period.</abstract><cop>TOKYO</cop><pub>International Heart Journal Association</pub><pmid>32173714</pmid><doi>10.1536/ihj.19-574</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0107-0580</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Cardiac & Cardiovascular Systems Cardiopulmonary resuscitation Cardiovascular System & Cardiology Chain of survival Children CPR Epinephrine Heart Life Sciences & Biomedicine Long-term outcome Patients Pediatric cerebral performance category score Pediatrics Post-cardiac arrest care Science & Technology Survival |
| title | Poor Long-Term Survival of Out-of-Hospital Cardiac Arrest in Children: A Multicenter, Prospective Registry in Osaka, Japan |
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