Resuscitation plus最新文献_第4页

Measurement properties of the Minimal Insomnia Symptom Scale (MISS) among cardiac arrest survivors – A Rasch evaluation study

IF 2.1 Q3 CRITICAL CARE MEDICINE

Resuscitation plus

Pub Date : 2025-01-28 DOI: 10.1016/j.resplu.2025.100876

Patrik Hellström , Johan Israelsson , Erik Blennow Nordström , Carina Hjelm , Anders Broström , Peter Hagell , Kristofer Årestedt

Introduction

Cardiac arrest (CA) survivors often face significant health challenges, including insomnia, which can adversely affect their health-related quality of life. The Minimal Insomnia Symptom Scale (MISS) is a brief, self-reported instrument designed to screen for insomnia. This study aimed to identify the measurement properties of the MISS in CA survivors and to explore a relevant cut-off score.

Methods

Data were collected from two studies: a health survey of CA survivors and a sub-study of a randomized controlled trial (RCT) on targeted temperature management (TTM2). A total of 269 CA survivors participated, with 212 from the survey and 57 from the RCT, the data was collected 6–7 months after CA. The MISS was evaluated using the polytomous Rasch model, focusing on model fit, local independence, response category functioning, targeting, reliability, and differential item functioning (DIF).

Results

In total, 212 participants were males and 57 females, with a mean age of 66 years. Overall, 51% had survived in-hospital CA and 49% out-of-hospital CA. The MISS exhibited acceptable model fit and targeting, with no disordered thresholds or DIF for age, sex, or place of arrest. The reliability was acceptable. The suggested optimal cut-off score for identifying insomnia was ≥6 points.

Conclusions

The findings indicate that MISS is a valid and reliable screening instrument for insomnia in CA survivors. These results support the use of MISS for screening insomnia in CA survivors.

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引用次数: 0

Database and geospatial mapping study of those eligible for extracorporeal cardiopulmonary resuscitation in the Thames Valley Region, England

IF 2.1 Q3 CRITICAL CARE MEDICINE

Resuscitation plus

Pub Date : 2025-01-27 DOI: 10.1016/j.resplu.2025.100879

Oscar Millerchip , Jasper Eddison , Alex Rosenberg , Jon Bailey , James Raitt

Background

Out-of-hospital cardiac arrest survival remains low. Extracorporeal-cardiopulmonary resuscitation (ECPR) is a therapy for refractory out-of-hospital cardiac arrest that can improve survivability by decreasing the time a patient is without adequate perfusion, the low-flow time. Access to ECPR is limited by the number, location and delivery approach of centres offering this therapy.

Aims

This study aims to identify how many patients are eligible for ECPR in the Thames Valley area and provide geographical analysis to appraise the specialist-centre approach of ECPR delivery in the region.

Methods

Data from out-of-hospital cardiac arrests attended by the Thames Valley Air Ambulance from 1st Jan 2022 to 1st Jan 2024 were reviewed for eligibility to receive ECPR against inclusion criteria. Eligible cases were modelled using Geographic Information System software, and spatial autocorrelation analysis was performed to identify any significant ‘hotspots’, ‘cold spots’, or significant geographical distribution of eligible cases.

Results

Of some 1,182 cardiac arrests attended, 188 (16%) cases were eligible under inclusion criteria for ECPR. In 2023 seven patients received ECPR, all focussed in a small area of the Thames Valley. The majority of eligible cases fall outside of the catchment of any one hospital when utilising the hospital-based or rendez-vous models of ECPR. Global Moran’s analysis of the entire region found no significant clustering or dispersal, suggesting a near-random distribution despite some evidence of hotspots.

Conclusion

ECPR can improve survival for out-of-hospital cardiac arrest, but time constraints preclude access to this therapy for many, which affects equitability across a geographical area. Geospatial analysis techniques can aid in reviewing the optimal delivery methods of ECPR and improve equitable geographical access to services. The methodology described may aid other organisations in planning the delivery of ECPR.

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引用次数: 0

A survey of team culture and learning organization in the resuscitation of neonates with congenital anomalies: A single center experience

IF 2.1 Q3 CRITICAL CARE MEDICINE

Resuscitation plus

Pub Date : 2025-01-24 DOI: 10.1016/j.resplu.2025.100877

Anna Bostwick , Anne Ades , Carolina Rodriguez-Paras , Madeline Dombroski , Charis Lim , Maria Ordoñez Paredes , Lauren Heimall , Leane Soorikian , Sara C. Handley , Heidi M. Herrick

Aim

Delivery room resuscitation of neonates with congenital anomalies is complex. This study aimed to assess survey psychometrics and measure learning organization culture among resuscitation team members in a pediatric hospital delivery room dedicated to neonates with congenital anomalies.

Methods

We administered the Short-Form Learning Organization Survey with the addition of an open-ended question to all delivery room resuscitation team members from 5/2023 to 7/2023. Psychometric properties were assessed to confirm the survey’s reliability and validity in the delivery room context. Total and subscale scores were calculated, and differences were assessed by clinical role. The open-ended qualitative data were analyzed using an inductive approach and coded for theme and valence (positive, negative, neutral).

Results

The response rate was 52% (159/307) with all roles represented. Psychometric assessment produced a 25-item survey with high reliability and validity. There were no differences in total scores across roles. Nurses had higher scores compared to attending physicians (p < 0.01) and advanced practice providers (p < 0.05) for the supportive learning environment subscale, and advanced practice providers (p < 0.05) for the training subscale after multiple comparisons adjustment. Qualitative analysis revealed seven themes: time constraint, environment, adequate staffing, different opinions, care deviations, leadership, and training. Valence analysis showed variation by role, with more positive nursing responses.

Conclusion

The refined 25-item Short-Form Learning Organization Survey is a reliable and valid measure of learning organization culture for neonatal resuscitation teams. Differences in subscale scores and qualitative valence across roles highlight opportunities to improve interprofessional learning organization and team culture.

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引用次数: 0

Effectiveness of chain of survival for out-of-hospital-cardiac-arrest (OHCA) in resource limited countries: A systematic review

IF 2.1 Q3 CRITICAL CARE MEDICINE

Resuscitation plus

Pub Date : 2025-01-22 DOI: 10.1016/j.resplu.2025.100874

Mirza Noor Ali Baig , Zafar Fatmi , Nadeem Ullah Khan , Uzma Rahim Khan , Ahmed Raheem , Junaid Abdul Razzak

Aim

Given the critical disparities in survival for out-of-hospital-cardiac-arrest (OHCA) in resource limited countries and the lack of context-specific evidence to guide resuscitation practices, we aimed to systematically evaluate the effectiveness of the chain of survival components including bystander response, emergency medical services (EMS) response, advanced life support, and post-resuscitation care on outcomes such as return of spontaneous circulation, survival to admission, survival to hospital discharge, and neurological outcomes in these settings.

Methods

This systematic review, following PRISMA guidelines, included observational and interventional studies on OHCA management from low, lower-middle, and upper-middle-income countries, published in English (2004–2023). PubMed, Embase, CINAHL, and Cochrane Library were searched using predefined terms. Two reviewers independently screened studies, extracted data using the Utstein template, and resolved conflicts with a third reviewer. Data included pre-hospital, patient, and post-resuscitation care factors, as well as short and long-term outcomes. Descriptive analysis and narrative synthesis were conducted, with return of spontaneous circulation (ROSC) rates compared across income groups using t-tests.

Results

Sixteen (16) eligible studies were included. No study was found from low-income countries. ROSC rates ranged from 0.7% to 44%, survival to discharge from 0.6% to 14.1%, and good neurological outcomes (CPC 1–2) from 0.6% to 53.8%. While upper-middle-income countries showed slightly higher ROSC rates, differences were not statistically significant. Risk of bias was moderate to high due to selection bias, inadequate confounding control, and inconsistent reporting. These findings emphasize the need for standardized reporting and further research to improve outcomes in resource limited countries.

Conclusion

This review highlights low survival rates for OHCA in resource limited countries, with significant variability and gaps in evidence. Strengthening EMS systems, adopting context-specific strategies, and standardizing reporting are critical to improving outcomes.

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引用次数: 0

Potential benefits and challenges of simulation-based neonatal resuscitation competition: A survey analysis of provincial competition in China

IF 2.1 Q3 CRITICAL CARE MEDICINE

Resuscitation plus

Pub Date : 2025-01-21 DOI: 10.1016/j.resplu.2025.100875

Chenguang Xu , Qianshen Zhang , Fang Lin , Yihua Chen , Yin Xue , Wenjie Yan , Rong Zhou , Yuqian Yang , Po-Yin Cheung

Background

Simulation-based neonatal resuscitation training has been implemented worldwide with good educational and clinical results. Simulation-based competition (SBC), as an innovative derivative of neonatal resuscitation training, has been practiced recently but its potential effectiveness and challenges of competition are rarely studied. We tested the hypothesis that after SBC, participants could improve compliance with NRP® algorithm and teamwork, achieve lower stress and higher confidence in neonatal resuscitation.

Methods

In February 2023, 108 health care providers in 27 teams from different regional centres participated in provincial SBC. Each team consisted of 4 members (NICU physician [lead], NICU nurse, midwife and obstetrician). The teams were to complete a resuscitation scenario (16 min) and their performance was evaluated. All participants were encouraged to take part in a post-resuscitation questionnaire survey voluntarily immediately after the scenarios finished. Demographic characteristics and questionnaire results of participants were collected, including the confidence and perceived stress levels before and after the competition.

Results

Ninety-eight (90.7%) participants completed the survey with 114 post-resuscitation questionnaire surveys. Participants perceived top benefits of SBC including improved compliance with NRP® algorithm, technical skills and teamwork, with the least benefit in improving self-confidence (vs. other benefits, P < 0.001). The confidence level did not change before and after the competition, whereas stress was reduced after the competition.

Conclusions

Participants in SBC might be benefited with improved compliance with NRP® algorithm, technical skills and teamwork. However, the impact, influence and sustainability of these benefits are uncertain. Further research is needed to explore ways to improve self-confidence and decrease stress in neonatal resuscitation.

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引用次数: 0

Exoskeletons as potential devices to support and enhance rescuers’ chest compression performance during out-of-hospital cardiac arrest

IF 2.1 Q3 CRITICAL CARE MEDICINE

Resuscitation plus

Pub Date : 2025-01-17 DOI: 10.1016/j.resplu.2025.100871

Seamus Thierry , Cyran Le Guennec , Alexandre Le Falher , Lola Lauby , Laure Boyer , Lucia Vicente Martinez , Alexis Paillet , Willy Allegre

Exoskeletons are wearable structures that support and assist movement, or augment the capabilities of the human body. These functionalities could theoretically assist bystanders or rescuers performing manual chest compressions during out-of-hospital cardiac arrest, as this emergency procedure is prone to physical exhaustion. Compressions are an intense muscular effort involving a dynamic muscular pattern with conflicting postural constraints. Rescuer fatigue sets in rapidly, leading to postural instability and a lack of mechanical power delivered by the arms to the patient’s torso, which affects hemodynamic efficiency.

Physical augmentation and postural stabilization are two functions that could be provided by an exoskeleton during cardiopulmonary resuscitation. This device would combine the advantages of manual and mechanical chest compressions, bypassing anthropometric parameters such as the rescuer’s aerobic capacity and muscle mass to maintain efficient chest compressions, and avoiding the negative issues associated with over-assistance through a servomotor function. This concept paper examines the specifications of an ideal theoretical device in this context, noting the potential technical difficulties and barriers to implementation.

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引用次数: 0

Early amiodarone or lidocaine administration during in-hospital cardiac arrest caused by shockable rhythms

IF 2.1 Q3 CRITICAL CARE MEDICINE

Resuscitation plus

Pub Date : 2025-01-16 DOI: 10.1016/j.resplu.2025.100872

Rafael C. Paganoni , Jack C. Pluenneke , Adham M. Mohamed , Charles H. Hayes III , Carole E. Freiberger-O’Keefe , Paul S. Chan

Introduction

Published data investigating a time-dependent effect of initiation of antiarrhythmic therapy for shockable in-hospital cardiac arrest (IHCA) is lacking. We aimed to evaluate the association between time of intravenous amiodarone or lidocaine administration and return of spontaneous circulation (ROSC) in patients with IHCA caused by ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT).

Methods

This was a retrospective, multi-center, single health system, observational cohort study of patients with an IHCA caused by VF/pVT and who received amiodarone or lidocaine during 2014–2024. The primary outcome was ROSC, and the secondary outcome was survival to hospital discharge. A multivariable logistic regression model was constructed to evaluate the association between (1) time to drug administration and (2) drug administration prior to the second defibrillator shock on both survival outcomes.

Results

A total of 88 patients with a shockable IHCA were identified. Longer time to amiodarone or lidocaine administration was associated with lower likelihood of ROSC (adjusted odds ratio [aOR] 0.91; 95% CI: 0.83–0.99, P = 0.04) but not with survival to discharge (aOR 0.99; CI 0.90–1.10P = 0.90). Administration of antiarrhythmic therapy prior to the second defibrillator shock was associated with higher likelihood of ROSC (aOR 6.48; CI 2.08–20.21, P = 0.001) and survival to discharge (aOR 2.82; CI 1.03–7.77, P = 0.04).

Conclusion

Early administration of amiodarone or lidocaine, particularly prior to the second defibrillator shock, was associated with an increased odds of survival outcomes in IHCA with shockable rhythms.

{"title":"Early amiodarone or lidocaine administration during in-hospital cardiac arrest caused by shockable rhythms","authors":"Rafael C. Paganoni , Jack C. Pluenneke , Adham M. Mohamed , Charles H. Hayes III , Carole E. Freiberger-O’Keefe , Paul S. Chan","doi":"10.1016/j.resplu.2025.100872","DOIUrl":"10.1016/j.resplu.2025.100872","url":null,"abstract":"<div><h3>Introduction</h3><div>Published data investigating a time-dependent effect of initiation of antiarrhythmic therapy for shockable in-hospital cardiac arrest (IHCA) is lacking. We aimed to evaluate the association between time of intravenous amiodarone or lidocaine administration and return of spontaneous circulation (ROSC) in patients with IHCA caused by ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT).</div></div><div><h3>Methods</h3><div>This was a retrospective, multi-center, single health system, observational cohort study of patients with an IHCA caused by VF/pVT and who received amiodarone or lidocaine during 2014–2024. The primary outcome was ROSC, and the secondary outcome was survival to hospital discharge. A multivariable logistic regression model was constructed to evaluate the association between (1) time to drug administration and (2) drug administration prior to the second defibrillator shock on both survival outcomes.</div></div><div><h3>Results</h3><div>A total of 88 patients with a shockable IHCA were identified. Longer time to amiodarone or lidocaine administration was associated with lower likelihood of ROSC (adjusted odds ratio [aOR] 0.91; 95% CI: 0.83–0.99, P = 0.04) but not with survival to discharge (aOR 0.99; CI 0.90–1.10P = 0.90). Administration of antiarrhythmic therapy prior to the second defibrillator shock was associated with higher likelihood of ROSC (aOR 6.48; CI 2.08–20.21, P = 0.001) and survival to discharge (aOR 2.82; CI 1.03–7.77, P = 0.04).</div></div><div><h3>Conclusion</h3><div>Early administration of amiodarone or lidocaine, particularly prior to the second defibrillator shock, was associated with an increased odds of survival outcomes in IHCA with shockable rhythms.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100872"},"PeriodicalIF":2.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143160241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adherence to prehospital thoracostomy practice guidelines for traumatic cardiac arrest: A retrospective study

IF 2.1 Q3 CRITICAL CARE MEDICINE

Resuscitation plus

Pub Date : 2025-01-16 DOI: 10.1016/j.resplu.2025.100870

Nicolas Beysard , Tara Agudo , Peter Serfozo , Tobias Zingg , Perrine Truong , Roland Albrecht , Vincent Darioli , Mathieu Pasquier

Objectives

The management of traumatic cardiac arrest (TCA) focuses on the immediate treatment of reversible causes, including bilateral thoracostomy. In our prehospital emergency service, bilateral thoracostomy has been recommended since 2012 for the management of TCA. We sought to analyse the prehospital management and clinical course of patients with TCA, focusing on changes over time in the use of thoracostomy.

Methods

In this single-centre retrospective observational study, we included patients with TCA managed by physicians of the prehospital service of Lausanne University Hospital from 2012 to 2024. The primary outcome was the annual rate of bilateral thoracostomy. Secondary outcomes included the rate of additional on-site measures, such as pelvic binder placement and airway management, and follow-up at 48 h.

Results

Among 3206 cardiac arrests during the study period, 473 (15%) were TCAs. Among the 247 patients with resuscitation attempts, thoracostomy was judged as indicated in 223 (90%) and performed in 148 (66%). Twenty-seven (18%) patients who had a thoracostomy were alive on arrival at hospital, with 9 (6.1%) still alive at 48 h. The mean annual proportion of patients in whom a thoracostomy was performed was 68% (range 0–100%) and increased significantly over the years (p < 0.001).

Conclusions

The annual rate of thoracostomy in TCA patients increased significantly in the period 2012 to 2024. Larger studies are required to determine the impact of thoracostomy on survival.

{"title":"Adherence to prehospital thoracostomy practice guidelines for traumatic cardiac arrest: A retrospective study","authors":"Nicolas Beysard , Tara Agudo , Peter Serfozo , Tobias Zingg , Perrine Truong , Roland Albrecht , Vincent Darioli , Mathieu Pasquier","doi":"10.1016/j.resplu.2025.100870","DOIUrl":"10.1016/j.resplu.2025.100870","url":null,"abstract":"<div><h3>Objectives</h3><div>The management of traumatic cardiac arrest (TCA) focuses on the immediate treatment of reversible causes, including bilateral thoracostomy. In our prehospital emergency service, bilateral thoracostomy has been recommended since 2012 for the management of TCA. We sought to analyse the prehospital management and clinical course of patients with TCA, focusing on changes over time in the use of thoracostomy.</div></div><div><h3>Methods</h3><div>In this single-centre retrospective observational study, we included patients with TCA managed by physicians of the prehospital service of Lausanne University Hospital from 2012 to 2024. The primary outcome was the annual rate of bilateral thoracostomy. Secondary outcomes included the rate of additional on-site measures, such as pelvic binder placement and airway management, and follow-up at 48 h.</div></div><div><h3>Results</h3><div>Among 3206 cardiac arrests during the study period, 473 (15%) were TCAs. Among the 247 patients with resuscitation attempts, thoracostomy was judged as indicated in 223 (90%) and performed in 148 (66%). Twenty-seven (18%) patients who had a thoracostomy were alive on arrival at hospital, with 9 (6.1%) still alive at 48 h. The mean annual proportion of patients in whom a thoracostomy was performed was 68% (range 0–100%) and increased significantly over the years (<em>p</em> < 0.001).</div></div><div><h3>Conclusions</h3><div>The annual rate of thoracostomy in TCA patients increased significantly in the period 2012 to 2024. Larger studies are required to determine the impact of thoracostomy on survival.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100870"},"PeriodicalIF":2.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143160247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Automated external defibrillator: Rhythm analysis and defibrillation on paediatric out-of-hospital cardiac arrest

IF 2.1 Q3 CRITICAL CARE MEDICINE

Resuscitation plus

Pub Date : 2025-01-16 DOI: 10.1016/j.resplu.2025.100873

Emma Menant , Delphine Lavignasse , Sarah Ménétré , Jean-Philippe Didon , Xavier Jouven

Objective

This study aims to quantify the reliability of automated external defibrillators (AED) in paediatric out-of-hospital cardiac arrests (pOHCA) by evaluating the defibrillation and the shock advisory system efficacy. Furthermore, the relationship between the initial energy dose and patient outcomes is analysed.

Methods

We studied data from all pOHCA cases (age < 18 years) treated by the Paris Fire Brigade between January 2010 and December 2018, limited to those with available AED signals. The efficacy of shocks is the primary outcome. The secondary outcomes are the shock advisory system performance, pre-hospital return of a spontaneous circulation (ROSC), survival and energy dose. Energy dose, weight and age are compared using a Wilcoxon test according to the outcome’s values.

Results

A total of 1,990 electrocardiogram strips extracted from 349 pOHCA cases were included in the study. Shock advisory system had a sensitivity of 89.4% and a specificity of 99.8% for the detection of shockable rhythms. Shock efficacy observed for all patients who received a shock was 83.1% and first shock efficacy for patients in initial ventricular fibrillation was 96%. Patients who received a shock had a pre-hospital ROSC rate of 74.3%, a survival rate at hospital admission of 71.4% and 34.3% at hospital discharge.

Conclusion

This study shows that AED detect shockable rhythm with a good sensitivity and specificity and that shocks are associated with a very high rates of termination of shockable rhythms in pOHCA.

{"title":"Automated external defibrillator: Rhythm analysis and defibrillation on paediatric out-of-hospital cardiac arrest","authors":"Emma Menant , Delphine Lavignasse , Sarah Ménétré , Jean-Philippe Didon , Xavier Jouven","doi":"10.1016/j.resplu.2025.100873","DOIUrl":"10.1016/j.resplu.2025.100873","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to quantify the reliability of automated external defibrillators (AED) in paediatric out-of-hospital cardiac arrests (pOHCA) by evaluating the defibrillation and the shock advisory system efficacy. Furthermore, the relationship between the initial energy dose and patient outcomes is analysed.</div></div><div><h3>Methods</h3><div>We studied data from all pOHCA cases (age < 18 years) treated by the Paris Fire Brigade between January 2010 and December 2018, limited to those with available AED signals. The efficacy of shocks is the primary outcome. The secondary outcomes are the shock advisory system performance, pre-hospital return of a spontaneous circulation (ROSC), survival and energy dose. Energy dose, weight and age are compared using a Wilcoxon test according to the outcome’s values.</div></div><div><h3>Results</h3><div>A total of 1,990 electrocardiogram strips extracted from 349 pOHCA cases were included in the study. Shock advisory system had a sensitivity of 89.4% and a specificity of 99.8% for the detection of shockable rhythms. Shock efficacy observed for all patients who received a shock was 83.1% and first shock efficacy for patients in initial ventricular fibrillation was 96%. Patients who received a shock had a pre-hospital ROSC rate of 74.3%, a survival rate at hospital admission of 71.4% and 34.3% at hospital discharge.</div></div><div><h3>Conclusion</h3><div>This study shows that AED detect shockable rhythm with a good sensitivity and specificity and that shocks are associated with a very high rates of termination of shockable rhythms in pOHCA.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100873"},"PeriodicalIF":2.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143160248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COVID-19 and pediatric out-of-hospital cardiac arrest using U.S. registry database

IF 2.1 Q3 CRITICAL CARE MEDICINE

Resuscitation plus

Pub Date : 2025-01-11 DOI: 10.1016/j.resplu.2025.100869

Christopher Schmitt , Gary Beasley , Karine Guerrier , Jennifer Kramer , Maryam Y. Naim , Heather Griffis , Bryan McNally , Paul S. Chan , Rabab Al-Araji , Joseph Rossano

Background

Out-of-hospital cardiac arrests (OHCA) increased in the adult population during the COVID pandemic.^{1,2,3,4,5,6,7,8}

Objectives

We aimed to determine if OHCAs increased in the pediatric population during the COVID pandemic and whether the pandemic exacerbated pre-existing racial and socio-economic disparities.^{13,17,18,19,20}

Methods

Utilizing data from 2015 to 2020 from the Cardiac Arrest Registry to Enhance Survival (CARES) database, 13,513 pediatric OHCAs were analyzed. Age categories included infants (0–<1 year), children (1–12 years) and adolescents (13–18 years). This included information on patient demographics, use of CPR (cardiopulmonary resuscitation) or AED (automatic external defibrillator), outcomes, COVID prevalence, and socioeconomic variables.

Results

In the pediatric population, there was no increase in OHCAs during the COVID pandemic, however in the adolescent population there was an increase in OHCA incidence from 0.29 to 0.40 arrests per 1 million total residents (p < 0.0001), and a decrease in the infant population from 0.861 to 0.803 events per 1 million total residents (p = 0.02). The pandemic worsened the burden of OHCAs in communities with lower socioeconomic status and in which COVID was more prevalent. Disparities of CPR or AED use and survival outcomes were seen based on race, sex, and socioeconomic factors, however none of these disparities were further augmented by the COVID pandemic.

Conclusions

Adolescent populations showed higher rates of OHCAs during the COVID pandemic, especially in areas with higher COVID incidence. Infants, however, had slightly decreased rates, which may be related to changes in other respiratory infections, and parental behavioral changes during the pandemic.

{"title":"COVID-19 and pediatric out-of-hospital cardiac arrest using U.S. registry database","authors":"Christopher Schmitt , Gary Beasley , Karine Guerrier , Jennifer Kramer , Maryam Y. Naim , Heather Griffis , Bryan McNally , Paul S. Chan , Rabab Al-Araji , Joseph Rossano","doi":"10.1016/j.resplu.2025.100869","DOIUrl":"10.1016/j.resplu.2025.100869","url":null,"abstract":"<div><h3>Background</h3><div>Out-of-hospital cardiac arrests (OHCA) increased in the adult population during the COVID pandemic.<sup>1,2,3,4,5,6,7,8</sup></div></div><div><h3>Objectives</h3><div>We aimed to determine if OHCAs increased in the pediatric population during the COVID pandemic and whether the pandemic exacerbated pre-existing racial and socio-economic disparities.<sup>13,17,18,19,20</sup></div></div><div><h3>Methods</h3><div>Utilizing data from 2015 to 2020 from the Cardiac Arrest Registry to Enhance Survival (CARES) database, 13,513 pediatric OHCAs were analyzed. Age categories included infants (0–<1 year), children (1–12 years) and adolescents (13–18 years). This included information on patient demographics, use of CPR (cardiopulmonary resuscitation) or AED (automatic external defibrillator), outcomes, COVID prevalence, and socioeconomic variables.</div></div><div><h3>Results</h3><div>In the pediatric population, there was no increase in OHCAs during the COVID pandemic, however in the adolescent population there was an increase in OHCA incidence from 0.29 to 0.40 arrests per 1 million total residents (<em>p</em> < 0.0001), and a decrease in the infant population from 0.861 to 0.803 events per 1 million total residents (<em>p</em> = 0.02). The pandemic worsened the burden of OHCAs in communities with lower socioeconomic status and in which COVID was more prevalent. Disparities of CPR or AED use and survival outcomes were seen based on race, sex, and socioeconomic factors, however none of these disparities were further augmented by the COVID pandemic.</div></div><div><h3>Conclusions</h3><div>Adolescent populations showed higher rates of OHCAs during the COVID pandemic, especially in areas with higher COVID incidence. Infants, however, had slightly decreased rates, which may be related to changes in other respiratory infections, and parental behavioral changes during the pandemic.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"22 ","pages":"Article 100869"},"PeriodicalIF":2.1,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143160250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0