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Characteristics and outcome among children suffering from out of hospital cardiac arrest in Sweden

Herlitz, J; Engdahl, J; Svensson, L; Young, Marie LU ; Angquist, KA and Homberg, S (2005) In Resuscitation 64(1). p.37-40
Abstract
Aim: To evaluate the characteristics, outcome and prognostic factors among children suffering from out of hospital cardiac arrest in Sweden. Methods: Patients aged below 18 years suffering from out of hospital cardiac arrest which were not crew witnessed and included in the Swedish cardiac arrest registry were included in the survey. This survey included the period 1990-2001 and 60 ambulance organisations covering 85%, of the Swedish population (8 million inhabitants). Results: In all 457 children participated in the survey of which 32% were bystander witnessed and 68% received bystander CPR. Ventricular fibrillation was found in 6% of the cases. The overall survival to 1 month was 4%. The aetiology was sudden infant death syndrome in 34%... (More)
Aim: To evaluate the characteristics, outcome and prognostic factors among children suffering from out of hospital cardiac arrest in Sweden. Methods: Patients aged below 18 years suffering from out of hospital cardiac arrest which were not crew witnessed and included in the Swedish cardiac arrest registry were included in the survey. This survey included the period 1990-2001 and 60 ambulance organisations covering 85%, of the Swedish population (8 million inhabitants). Results: In all 457 children participated in the survey of which 32% were bystander witnessed and 68% received bystander CPR. Ventricular fibrillation was found in 6% of the cases. The overall survival to 1 month was 4%. The aetiology was sudden infant death syndrome in 34% and cardiac in 11%. When in a multivariate analysis considering age, sex, witnessed status, bystander CPR, initial rhythm, aetiology and the interval between call for, and arrival of, the ambulance and place of arrest only one appeared as an independent predictor of an increased chance of surviving cardiac arrest occurring outside home (adjusted odds ratio 8.7; 95% CL 2.2-58.1). Conclusion: Among children suffering from out of hospital cardiac arrest in Sweden that were not crew witnessed, the overall survival is low (4%). The chance of survival appears to be markedly increased if the arrest occurs outside the patients home compared with at home. No other strong predictors for an increased chance of survival could be demonstrated. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cardiac arrest, child
in
Resuscitation
volume
64
issue
1
pages
37 - 40
publisher
Elsevier
external identifiers
  • pmid:15629553
  • wos:000226569800006
  • scopus:11144301824
ISSN
1873-1570
DOI
10.1016/j.resuscitation.2004.06.019
language
English
LU publication?
yes
id
b87d1558-c3d6-47aa-ba3e-4b16f77f0e5f (old id 897549)
date added to LUP
2008-01-16 11:00:01
date last changed
2017-01-01 05:04:37
@article{b87d1558-c3d6-47aa-ba3e-4b16f77f0e5f,
  abstract     = {Aim: To evaluate the characteristics, outcome and prognostic factors among children suffering from out of hospital cardiac arrest in Sweden. Methods: Patients aged below 18 years suffering from out of hospital cardiac arrest which were not crew witnessed and included in the Swedish cardiac arrest registry were included in the survey. This survey included the period 1990-2001 and 60 ambulance organisations covering 85%, of the Swedish population (8 million inhabitants). Results: In all 457 children participated in the survey of which 32% were bystander witnessed and 68% received bystander CPR. Ventricular fibrillation was found in 6% of the cases. The overall survival to 1 month was 4%. The aetiology was sudden infant death syndrome in 34% and cardiac in 11%. When in a multivariate analysis considering age, sex, witnessed status, bystander CPR, initial rhythm, aetiology and the interval between call for, and arrival of, the ambulance and place of arrest only one appeared as an independent predictor of an increased chance of surviving cardiac arrest occurring outside home (adjusted odds ratio 8.7; 95% CL 2.2-58.1). Conclusion: Among children suffering from out of hospital cardiac arrest in Sweden that were not crew witnessed, the overall survival is low (4%). The chance of survival appears to be markedly increased if the arrest occurs outside the patients home compared with at home. No other strong predictors for an increased chance of survival could be demonstrated.},
  author       = {Herlitz, J and Engdahl, J and Svensson, L and Young, Marie and Angquist, KA and Homberg, S},
  issn         = {1873-1570},
  keyword      = {cardiac arrest,child},
  language     = {eng},
  number       = {1},
  pages        = {37--40},
  publisher    = {Elsevier},
  series       = {Resuscitation},
  title        = {Characteristics and outcome among children suffering from out of hospital cardiac arrest in Sweden},
  url          = {http://dx.doi.org/10.1016/j.resuscitation.2004.06.019},
  volume       = {64},
  year         = {2005},
}