Poor long-term survival of out-of-hospital cardiac arrest in children a multicenter, prospective registry in osaka, japan

Matsui, Satoshi; Sobue, Tomotaka; Irisawa, Taro; Yamada, Tomoki; Hayakawa, Koichi; Yoshiya, Kazuhisa; Noguchi, Kazuo; Nishimura, Tetsuro; Ishibe, Takuya; Yagi, Yoshiki; Kiguchi, Takeyuki; Kishimoto, Masafumi; Shintani, Hiroshi; Hayashi, Yasuyuki; Sogabe, Taku; Morooka, Takaya; Sakamoto, Haruko; Suzuki, Keitaro; Nakamura, Fumiko; Nishioka, Norihiro; Okada, Yohei; Matsuyama, Tasuku; Sado, Junya; Shimazu, Takeshi; Tanaka, Ryojiro; Kurosawa, Hiroshi; Iwami, Taku; Kitamura, Tetsuhisa

doi:https://doi.org/10.1536/ihj.19-574

Poor long-term survival of out-of-hospital cardiac arrest in children a multicenter, prospective registry in osaka, japan

Matsui, Satoshi; Sobue, Tomotaka; Irisawa, Taro et al.

International Heart Journal, 2020, 61(2), 254-262

Number of Access:3,142（2025-07-19 13:50 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/78720

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Title	Poor long-term survival of out-of-hospital cardiac arrest in children a multicenter, prospective registry in osaka, japan
Creator	CreatorName Matsui, Satoshi
	NRID 1000050270674 1000050270674 researchmap permalink read_0159567 read_0159567 Scopus Author ID 7005649935 7005649935 CreatorName Sobue, Tomotaka
	NRID 1000050379202 1000050379202 researchmap permalink taroiri taroiri Scopus Author ID 7006596493 7006596493 CreatorName Irisawa, Taro
	NRID 1000040623434 1000040623434 CreatorName Yamada, Tomoki
	NRID 1000060403086 1000060403086 CreatorName Hayakawa, Koichi
	NRID 1000040379201 1000040379201 CreatorName Yoshiya, Kazuhisa
	CreatorName Noguchi, Kazuo
	CreatorName Nishimura, Tetsuro
	CreatorName Ishibe, Takuya
	CreatorName Yagi, Yoshiki
	NRID 1000030724380 1000030724380 CreatorName Kiguchi, Takeyuki
	CreatorName Kishimoto, Masafumi
	CreatorName Shintani, Hiroshi
	CreatorName Hayashi, Yasuyuki
	CreatorName Sogabe, Taku
	CreatorName Morooka, Takaya
	CreatorName Sakamoto, Haruko
	CreatorName Suzuki, Keitaro
	CreatorName Nakamura, Fumiko
	CreatorName Nishioka, Norihiro
	CreatorName Okada, Yohei
	NRID 1000050829025 1000050829025 CreatorName Matsuyama, Tasuku
	CreatorName Sado, Junya
	NRID 1000050196474 1000050196474 CreatorName Shimazu, Takeshi
	CreatorName Tanaka, Ryojiro
	CreatorName Kurosawa, Hiroshi
	NRID 1000060437291 1000060437291 CreatorName Iwami, Taku
	NRID 1000030639810 1000030639810 ORCID 0000-0003-0107-0580 0000-0003-0107-0580 researchmap permalink Kitamura_T Kitamura_T Scopus Author ID 22234282700 22234282700 CreatorName Kitamura, Tetsuhisa
Subject	Chain of survival
	Long-term outcome
	Pediatric cerebral performance category score
	Post-cardiac arrest care
Abstract	The effect of post-cardiac arrest care in children with out-of-hospital cardiac arrest (OHCA) has not been adequately established, and the long-term outcome after pediatric OHCA has not been sufficiently investigated. We describe here detailed in-hospital characteristics, actual management, and survival, including neurological status, 90 days after OHCA occurrence in children with OHCA transported to critical care medical centers (CCMCs). We analyzed the database of the Comprehensive Registry of Intensive Care for OHCA Survival (CRITI-CAL) study, which is a multicenter, prospective observational data registry designed to accumulate both pre-and in-hospital data on OHCA treatments. We enrolled all consecutive pediatric patients aged <18 years who had an OHCA and for whom resuscitation was attempted and who were transported to CCMCs between 2012 and 2016. A total of 263 pediatric patients with OHCA were enrolled. The average age of the patients was 6.3 years, 38.0% were aged < 1 year, and 60.8% were male. After hospital arrival, 4.9% of these pediatric patients re-ceived defibrillation; 1.9%, extracorporeal life support; 6.5%, target temperature management; and 88.2% adrenaline administration. The proportions of patients with 90-day survival and a pediatric cerebral performance category (PCPC) score of 1 or 2 were 6.1% and 1.9%, respectively. The proportion of patients with a PCPC score of 1 or 2 at 90 days after OHCA occurrence did not significantly improve during the study period. The proportion of pediatric patients with a 90-day PCPC score of 1 or 2 transported to CCMCs was ex-tremely low, and no significant improvements were observed during the study period.
Publisher	International Heart Journal Association
Source Title	International Heart Journal
Volume (Issue)	61(2)
Page	254-262
Date of Issued	2020-03-28
Language	English
Handle URL	https://hdl.handle.net/11094/78720
PISSN	13492365
eISSN	13493299
NCID	AA12013242
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1536/ihj.19-574
Relation.isIdenticalTo	PMID 32173714
Access Rights	open access
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCTERMS.bibliographicCitation	International Heart Journal. 2020, 61(2), p. 254-262
DC.title	Poor long-term survival of out-of-hospital cardiac arrest in children a multicenter, prospective registry in osaka, japan
DC.creator	Matsui, Satoshi
	Sobue, Tomotaka
	Irisawa, Taro
	Yamada, Tomoki
	Hayakawa, Koichi
	Yoshiya, Kazuhisa
	Noguchi, Kazuo
	Nishimura, Tetsuro
	Ishibe, Takuya
	Yagi, Yoshiki
	Kiguchi, Takeyuki
	Kishimoto, Masafumi
	Shintani, Hiroshi
	Hayashi, Yasuyuki
	Sogabe, Taku
	Morooka, Takaya
	Sakamoto, Haruko
	Suzuki, Keitaro
	Nakamura, Fumiko
	Nishioka, Norihiro
	Okada, Yohei
	Matsuyama, Tasuku
	Sado, Junya
	Shimazu, Takeshi
	Tanaka, Ryojiro
	Kurosawa, Hiroshi
	Iwami, Taku
	Kitamura, Tetsuhisa
DC.publisher	International Heart Journal Association
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2020-03-28
DC.identifier	https://doi.org/10.1536/ihj.19-574
DC.subject	Chain of survival
	Long-term outcome
	Pediatric cerebral performance category score
	Post-cardiac arrest care
DCTERMS.abstract	The effect of post-cardiac arrest care in children with out-of-hospital cardiac arrest (OHCA) has not been adequately established, and the long-term outcome after pediatric OHCA has not been sufficiently investigated. We describe here detailed in-hospital characteristics, actual management, and survival, including neurological status, 90 days after OHCA occurrence in children with OHCA transported to critical care medical centers (CCMCs). We analyzed the database of the Comprehensive Registry of Intensive Care for OHCA Survival (CRITI-CAL) study, which is a multicenter, prospective observational data registry designed to accumulate both pre-and in-hospital data on OHCA treatments. We enrolled all consecutive pediatric patients aged <18 years who had an OHCA and for whom resuscitation was attempted and who were transported to CCMCs between 2012 and 2016. A total of 263 pediatric patients with OHCA were enrolled. The average age of the patients was 6.3 years, 38.0% were aged < 1 year, and 60.8% were male. After hospital arrival, 4.9% of these pediatric patients re-ceived defibrillation; 1.9%, extracorporeal life support; 6.5%, target temperature management; and 88.2% adrenaline administration. The proportions of patients with 90-day survival and a pediatric cerebral performance category (PCPC) score of 1 or 2 were 6.1% and 1.9%, respectively. The proportion of patients with a PCPC score of 1 or 2 at 90 days after OHCA occurrence did not significantly improve during the study period. The proportion of pediatric patients with a 90-day PCPC score of 1 or 2 transported to CCMCs was ex-tremely low, and no significant improvements were observed during the study period.
DC.format	78720
citation_title	Poor long-term survival of out-of-hospital cardiac arrest in children a multicenter, prospective registry in osaka, japan
citation_author	Matsui, Satoshi
	Sobue, Tomotaka
	Irisawa, Taro
	Yamada, Tomoki
	Hayakawa, Koichi
	Yoshiya, Kazuhisa
	Noguchi, Kazuo
	Nishimura, Tetsuro
	Ishibe, Takuya
	Yagi, Yoshiki
	Kiguchi, Takeyuki
	Kishimoto, Masafumi
	Shintani, Hiroshi
	Hayashi, Yasuyuki
	Sogabe, Taku
	Morooka, Takaya
	Sakamoto, Haruko
	Suzuki, Keitaro
	Nakamura, Fumiko
	Nishioka, Norihiro
	Okada, Yohei
	Matsuyama, Tasuku
	Sado, Junya
	Shimazu, Takeshi
	Tanaka, Ryojiro
	Kurosawa, Hiroshi
	Iwami, Taku
	Kitamura, Tetsuhisa
citation_publisher	International Heart Journal Association
citation_language	English
citation_date	2020-03-28
citation_journal_title	International Heart Journal
citation_volume	61
citation_issue	2
citation_firstpage	254
citation_lastpage	262
citation_doi	https://doi.org/10.1536/ihj.19-574
citation_pmid	32173714
citation_public_url	https://hdl.handle.net/11094/78720

Poor long-term survival of out-of-hospital cardiac arrest in children a multicenter, prospective registry in osaka, japan

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