Abstract 2015: Survival from Out-of-Hospital Cardiac Arrest is Better for Children than Adults: The ROC Epistry-Cardiac Arrest
Objectives Population-based data for pediatric cardiac arrest are scant and concentrated from large urban areas. The Resuscitation Outcomes Consortium (ROC) Epistry-Cardiac Arrest is a prospective population-based EMS registry of out-of-hospital non-traumatic cardiac arrest (OHCA). The purpose of this study is to examine the characteristics of OHCA in patients <20 yrs.
Design: Prospective population based cohort study with uniform data definitions.
Setting: 11 US and Canadian urban and rural sites participating in the ROC.
Population: Persons <20 years who
receive CPR by EMTs and/or receive a bystander AED shock or
are pulseless but receive no EMS resuscitation between 12/2005 thru 11/2006.
Hypothesis: Survival from pediatric OHCA is less than adult survival. Survival is discharge from hospital. Patients were divided in 3 groups: <1 yr, 1–11 yrs, 12–<20 yrs. Adult data derived from same registry, n = 16829.
Results Data from 389 OHCAs in children were submitted: 315 (81%) patients received EMS treatment. Table 1⇓ shows data from all children with OHCA. Table 2⇓ shows EMS-treated OHCAs. Survival of pediatric patients was statistically better than adults for all OHCAs (7.5% vs. 3.9%, p < 0.009) and for EMS-treated OHCAs (9.2% vs 6.9% p = 0.001). EMS scene time was <10 minutes for 22% of children vs 3.6% of adults, p < 0.001.
Conclusions Survival from OHCA is better among children than adults, and this current survival rate is better than most previous studies. Bystander CPR is provided for <40% of all patients. Ventricular fibrillation occurs in all age groups. Short scene times are more common in infants and children, suggesting a scoop and run approach for younger patients.