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首页> 外文期刊>Circulation: An Official Journal of the American Heart Association >Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest.
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Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest.

机译：儿童的院外心脏骤停的流行病学和预后：复苏结果联合会Epistry-心脏骤停。

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BACKGROUND: Population-based data for pediatric cardiac arrest are scant and largely from urban areas. The Resuscitation Outcomes Consortium (ROC) Epistry-Cardiac Arrest is a population-based emergency medical services registry of out-of-hospital nontraumatic cardiac arrest (OHCA). This study examined age-stratified incidence and outcomes of pediatric OHCA. We hypothesized that survival to hospital discharge is less frequent from pediatric OHCA than adult OHCA. METHODS AND RESULTS: This prospective population-based cohort study in 11 US and Canadian ROC sites included persons <20 years of age who received cardiopulmonary resuscitation or defibrillation by emergency medical service providers and/or received bystander automatic external defibrillator shock or who were pulseless but received no resuscitation by emergency medical services between December 2005 and March 2007. Patients were stratified a priori into 3 age groups: <1 year (infants; n=277), 1 to 11 years (children; n=154), and 12 to 19 years (adolescents; n=193). The incidence of pediatric OHCA was 8.04 per 100 000 person-years (72.71 in infants, 3.73 in children, and 6.37 in adolescents) versus 126.52 per 100,000 person-years for adults. Survival for all pediatric OHCA was 6.4% (3.3% for infants, 9.1% for children, and 8.9% for adolescents) versus 4.5% for adults (P=0.03). Unadjusted odds ratio for pediatric survival to discharge compared with adults was 0.71 (95% confidence interval, 0.37 to 1.39) for infants, 2.11 (95% confidence interval, 1.21 to 3.66) for children, and 2.04 (95% confidence interval, 1.24 to 3.38) for adolescents. CONCLUSIONS: This study demonstrates that the incidence of OHCA in infants approaches that observed in adults but is lower among children and adolescents. Survival to discharge was more common among children and adolescents than infants or adults.
机译：背景：基于人群的小儿心脏骤停数据很少，并且大部分来自城市地区。心肺复苏复苏法（ROC）心脏骤停是基于人群的医院外非创伤性心脏骤停（OHCA）紧急医疗服务注册中心。这项研究检查了年龄分层的儿科OHCA的发生率和结局。我们假设，儿童OHCA的出院生存率比成人OHCA少。方法和结果：这项基于人群的前瞻性队列研究在美国和加拿大的11个ROC地点进行，包括年龄<20岁且接受紧急医疗服务提供者的心肺复苏或除颤和/或旁观者自动外部除颤器电击或无脉动但在2005年12月至2007年3月之间没有接受紧急医疗救助。患者被分为三个年龄组：<1岁（婴儿; n = 277）; 1-11岁（儿童; n = 154）;以及12至19岁（青少年; n = 193）。儿科OHCA的发生率为每10万人年8.04（婴儿为72.71，儿童为3.73，青少年为6.37），而成人每100,000人年为126.52。所有儿科OHCA的生存率为6.4％（婴儿为3.3％，儿童为9.1％，青少年为8.9％），而成年人为4.5％（P = 0.03）。与成人相比，小儿存活至出院的未经调整优势比为婴儿：0.71（95％置信区间，0.37至1.39），儿童2.11（95％置信区间，1.21至3.66）和2.04（95％置信区间，1.24至1.24）。 3.38）。结论：这项研究表明，婴儿OHCA的发生率接近成人，但在儿童和青少年中较低。在儿童和青少年中，存活到出院比婴儿或成人更为普遍。

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