TY  - JOUR
PY  - 2021//
TI  - Sudden out-of-hospital cardiac arrest in pediatric patients in Kyushu area in Japan
JO  - Pediatrics international
A1  - Yoshinaga, Masao
A1  - Ishikawa, Shiro
A1  - Otsubo, Yoshikazu
A1  - Shida, Masanori
A1  - Hoshiko, Kiyomi
A1  - Yatsunami, Koichi
A1  - Kanaya, Yoshiaki
A1  - Takagi, Junichi
A1  - Takamura, Kazushi
A1  - Ganaha, Hitoshi
A1  - Sunagawa, Makoto
A1  - Soeda, Osamu
A1  - Ogawa, Yumi
A1  - Ogata, Hiromitsu
A1  - Kashima, Naoko
SP  - 1441
EP  - 1450
VL  - 63
IS  - 12
N2  - 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.<p /> <p>Language: en</p>
LA  - en
SN  - 1328-8067
UR  - http://dx.doi.org/10.1111/ped.14683
ID  - ref1
ER  -