Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry
Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry
复制标题
DOI：
10.1001/jamapediatrics.2016.3643
复制
发表时间：
2017-02-01
期刊：
影响因子：
26.1
通讯作者：
Rossano, JosephW.
中科院分区：
文献类型：
--
作者：
Naim, Maryam Y.;Burke, Rita V.;Rossano, JosephW.
重要性有几个数据的患病率或结果的旁观者心肺复苏（BCPR）在儿童18岁及young.OBJECTIVE表征BCPR在儿科院外心脏骤停（OHCAs）。设计，设置，这项对心脏骤停登记以提高生存率数据库的分析调查了2013年1月至2014年12月18岁及以下儿童的非创伤性OHCA 2015.暴露旁观者CPR，包括常规CPR和仅按压CPR。主要结局和指标总体生存率和神经学有利生存率，定义为出院时脑功能分类评分为1或2。结果在3900名18岁以下OHCA儿童中，2317名婴儿2346例（59.4%），女性2346例（60.2%），非电击心律3595例（92.2%）。1814名儿童（46.5%）接受了旁观者心肺复苏术，白色儿童（687/1221 [56.3%]）比非裔美国儿童（447/1134 [39.4%]）和西班牙裔儿童（197/455 [43.3%]）更常见（P
IMPORTANCE There are few data on the prevalence or outcome of bystander cardiopulmonary resuscitation (BCPR) in children 18 years and younger.OBJECTIVE To characterize BCPR in pediatric out-of-hospital cardiac arrests (OHCAs).DESIGN, SETTING, AND PARTICIPANTS This analysis of the Cardiac Arrest Registry to Enhance Survival database investigated nontraumatic OHCAs in children 18 years and younger from January 2013 through December 2015.EXPOSURES Bystander CPR, which included conventional CPR and compression-only CPR.MAIN OUTCOMES AND MEASURES Overall survival and neurologically favorable survival, defined as a Cerebral Performance Category score of 1 or 2, at the time of hospital discharge.RESULTS Of the 3900 children younger than 18 years with OHCA, 2317 (59.4%) were infants, 2346 (60.2%) were female, and 3595 (92.2%) had nonshockable rhythms. Bystander CPR was performed on 1814 children (46.5%) and was more common for white children (687 of 1221 [56.3%]) compared with African American children (447 of 1134 [39.4%]) and Hispanic children (197 of 455 [43.3%]) (P