TY - JOUR
T1 - Out-of-hospital cardiac arrests in children and adolescents
T2 - incidences, outcomes, and household socioeconomic status
AU - Rajan, Shahzleen
AU - Wissenberg, Mads
AU - Folke, Fredrik
AU - Hansen, Carolina Malta
AU - Lippert, Freddy K
AU - Weeke, Peter
AU - Karlsson, Lena
AU - Søndergaard, Kathrine Bach
AU - Kragholm, Kristian
AU - Christensen, Erika Frischknecht
AU - Nielsen, Søren L
AU - Kober, Lars
AU - Gislason, Gunnar H
AU - Torp-Pedersen, Christian
N1 - Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - 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.
AB - 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.
KW - Adolescent
KW - Cardiopulmonary Resuscitation
KW - Child
KW - Child, Preschool
KW - Denmark
KW - Emergency Medical Services
KW - Female
KW - Humans
KW - Incidence
KW - Infant
KW - Male
KW - Out-of-Hospital Cardiac Arrest
KW - Registries
KW - Socioeconomic Factors
KW - Survival Rate
KW - Time Factors
KW - Young Adult
U2 - 10.1016/j.resuscitation.2014.11.025
DO - 10.1016/j.resuscitation.2014.11.025
M3 - Journal article
C2 - 25500748
SN - 0300-9572
VL - 88
SP - 12
EP - 19
JO - Resuscitation
JF - Resuscitation
ER -