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 Vol. 22 No. 5, November 2009
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AAP Grand Rounds 22:56 (2009)
© 2009 American Academy of Pediatrics

CRITICAL CARE

Characteristics of Pediatric Cardiac Arrest Differ by Setting

Source: Moler FW, Meert K, Donaldson AE, et al. In-hospital versus out-of-hospital pediatric cardiac arrest: a multicenter cohort study. Crit Care Med. 2009;37(7):2259–2265; doi:10.1097/CCM.0b013e3181a00a6a[CrossRef][Medline]

The first 20% of the full text of this article appears below.


PICO

Question: Among children who have had cardiac arrests, is there a significant difference in the circumstances and prognosis when cardiac arrest occurs in-hospital versus out-of-hospital?

Question type: Descriptive

Study design: Retrospective cohort study

 

To better understand the characteristics and outcomes of children who suffer a cardiac arrest either in-hospital (IH) or out-of-hospital (OH) the authors conducted a multi-center retrospective cohort study between 2003 and 2004. The authors reviewed medical records of children between the ages of 24 hours and 18 years who experienced a cardiac arrest requiring at least one minute of chest compressions with return of spontaneous circulation for at least 20 minutes, treated at one of 15 hospitals associated with the Pediatric Emergency Care Applied Research Network (PECARN).1 Cardiac arrests were characterized as OH if chest compressions were initiated before . . . [Full Text of this Article]

Susan L. Bratton, MD, MPH, FAAP
Pediatric Critical Care Medicine, University of Utah, Salt Lake City, UT