Out-of-hospital cardiac arrests in children and adolescents: incidences, outcomes, and household socioeconomic status
Research output: Contribution to journal › Journal article › Research › peer-review
BACKGROUND: There is insufficient knowledge of out-of-hospital cardiac arrest (OHCA) in the very young.
OBJECTIVES: This nationwide study sought to examine age-stratified OHCA characteristics and the role of parental socioeconomic differences and its contribution to mortality in the young population.
METHODS: All OHCA patients in Denmark, ≤21 years of age, were identified from 2001 to 2010. The population was divided into infants (<1 year); pre-school children (1-5 years); school children (6-15 years); and high school adolescents/young adults (16-21 years). Multivariate logistic regression analyses were used to investigate associations between pre-hospital factors and study endpoints: return of spontaneous circulation and survival.
RESULTS: A total of 459 individuals were included. Overall incidence of OHCA was 3.3 per 100,000 inhabitants per year. The incidence rates for infants, pre-school children, school children and high school adolescents were 11.5, 3.5, 1.3 and 5.3 per 100,000 inhabitants. Overall bystander CPR rate was 48.8%, and for age groups: 55.4%, 41.2%, 44.9% and 63.0%, respectively. Overall 30-day survival rate was 8.1%, and for age groups: 1.4%, 4.5%, 16.1% and 9.3%, respectively. High parental education was associated with improved survival after OHCA (OR 3.48, CI 1.27-9.41). Significant crude difference in survival (OR 3.18, CI 1.22-8.34) between high household incomes vs. low household incomes was found.
CONCLUSION: OHCA incidences and survival rates varied significantly between age groups. High parental education was found to be associated with improved survival after OHCA.
Original language | English |
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Journal | Resuscitation |
Volume | 88 |
Pages (from-to) | 12-9 |
Number of pages | 8 |
ISSN | 0300-9572 |
DOIs | |
Publication status | Published - Mar 2015 |
- Adolescent, Cardiopulmonary Resuscitation, Child, Child, Preschool, Denmark, Emergency Medical Services, Female, Humans, Incidence, Infant, Male, Out-of-Hospital Cardiac Arrest, Registries, Socioeconomic Factors, Survival Rate, Time Factors, Young Adult
Research areas
ID: 161446986