Sudden out-of-hospital cardiac arrest in pediatric patients in Kyushu area in Japan

被引：5

作者：

Yoshinaga, Masao ^{[1
]}

Ishikawa, Shiro ^{[2
]}

Otsubo, Yoshikazu ^{[3
]}

Shida, Masanori ^{[4
]}

Hoshiko, Kiyomi ^{[3
]}

Yatsunami, Koichi ^{[5
]}

Kanaya, Yoshiaki ^{[6
]}

Takagi, Junichi ^{[7
]}

Takamura, Kazushi ^{[7
]}

Ganaha, Hitoshi ^{[8
]}

Sunagawa, Makoto ^{[8
]}

Soeda, Osamu ^{[2
]}

Ogawa, Yumi ^{[1
]}

Ogata, Hiromitsu ^{[9
]}

Kashima, Naoko ^{[1
]}

机构：

[1] Kagoshima Med Assoc, Kagoshima, Japan

[2] Fukuoka Med Assoc, Fukuoka, Japan

[3] Nagasaki Med Assoc, Nagasaki, Japan

[4] Saga Med Assoc, Saga, Japan

[5] Kumamoto Med Assoc, Kumamoto, Japan

[6] Oita Med Assoc, Oita, Japan

[7] Miyazaki Med Assoc, Miyazaki, Japan

[8] Okinawa Med Assoc, Naha, Japan

[9] Kagawa Nutr Univ, Epidemiol & Biostat, Sakado, Saitama, Japan

来源：

PEDIATRICS INTERNATIONAL | 2021年 / 63卷 / 12期

关键词：

cardiopulmonary resuscitation; child; exercise; out-of-hospital cardiac arrest; school; LONG-QT SYNDROME; CARDIOPULMONARY-RESUSCITATION; REGIONAL-VARIATION; CHILDREN; ADOLESCENTS; SURVIVAL; OUTCOMES; CONSENSUS; EPILEPSY;

D O I：

10.1111/ped.14683

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Background It is well-known that a neurologically favorable outcome of out-of-hospital cardiac arrest (OHCA) is associated with the presence of bystander-initiated cardiopulmonary resuscitation (bystander CPR) and use of an automated external defibrillator. However, little is known about the effect of the presence of pre-existing conditions, prior activity, and locations on the outcome of pediatric OHCA. Methods We analyzed the data from questionnaires about pediatric patients with OHCA aged from 3 days to 19 years in the Kyushu area in Japan between 2012 and 2016. Results A total of 594 OHCA cases were collected. The numbers of OHCA cases and the rate of 1 month survival with a favorable neurological outcome during sleeping, swimming / bathing, and exercise were 192 (1.0%), 83 (32.5%), and 44 (65.9%), respectively. When an OHCA occurred at school (n = 56), 88% of children / adolescents received bystander CPR, but when it occurred at home (n = 390), 15% received bystander CPR. Cardiovascular (n = 61), suicide (n = 61), and neurological / neuromuscular (n = 44) diseases were three major pre-existing conditions. The OHCA of cardiovascular disease was associated with exercise (24/61) and mainly occurred at school (22/61). The OHCA of neurological / neuromuscular disease was associated with swimming/bathing (15/44) and mainly occurred during bathing at home (12/44). Multivariate regression analysis showed that the presence of bystander CPR (P < 0.001) and occurrence of OHCA at school (P < 0.001) were independently predictive of a favorable outcome in pediatric OHCA. Conclusion The outcome was different among pre-existing conditions, prior activity, and location of OHCA. These findings might be useful for preventing OHCA and improving the outcome of pediatric OHCA.

引用

页码：1441 / 1450

页数：10

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