Effect of Amplitude Spectral Area on Termination of Fibrillation and Outcomes in Pediatric Cardiac Arrest.

Journal of the American Heart Association
Tia T RaymondPediatric Resuscitation Quality Collaborative (pediRES‐Q) Investigators

Abstract

Background Amplitude spectral area (AMSA) predicts termination of fibrillation (TOF) with return of spontaneous circulation (ROSC) and survival in adults but has not been studied in pediatric cardiac arrest. We characterized AMSA during pediatric cardiac arrest from a Pediatric Resuscitation Quality Collaborative and hypothesized that AMSA would be associated with TOF and ROSC. Methods and Results Children aged <18 years with cardiac arrest and ventricular fibrillation were studied. AMSA was calculated for 2 seconds before shock and averaged for each subject (AMSA-avg). TOF was defined as termination of ventricular fibrillation 10 seconds after defibrillation to any non-ventricular fibrillation rhythm. ROSC was defined as >20 minutes without chest compressions. Univariate and multivariable logistic regression analyses controlling for weight, current, and illness category were performed. Primary end points were TOF and ROSC. Secondary end points were 24-hour survival and survival to discharge. Between 2015 and 2019, 50 children from 14 hospitals with 111 shocks were identified. In univariate analyses AMSA was not associated with TOF and AMS-Aavg was not associated with ROSC. Multivariable logistic regression showed no associatio...Continue Reading

References

Oct 1, 1987·Annals of Emergency Medicine·A ZaritskyK Kuehl
Mar 1, 1980·Critical Care Medicine·R W YakaitisT E Moon
Dec 24, 1997·Critical Care Medicine·A D SlonimM M Pollack
Nov 9, 2000·The New England Journal of Medicine·T D ValenzuelaR G Hardman
Jan 22, 2002·Critical Care Medicine·A Marn-PernatJ Bisera
Apr 12, 2002·Resuscitation·Heitor P PovoasAnn Barbatsis
Mar 15, 2003·JAMA : the Journal of the American Medical Association·Lars WikPetter Andreas Steen
Jul 5, 2005·Resuscitation·Laurie J MorrisonUNKNOWN Steering Committee, Central Validation Committee, Safety and Efficacy Committee
Jun 2, 2006·The New England Journal of Medicine·Ricardo A SamsonUNKNOWN American Heart Association National Registry of CPR Investigators
Jan 4, 2008·The New England Journal of Medicine·Paul S ChanUNKNOWN American Heart Association National Registry of Cardiopulmonary Resuscitation Investigators
Mar 11, 2009·Circulation·Dianne L AtkinsUNKNOWN Resuscitation Outcomes Consortium Investigators
May 21, 2009·Critical Care Medicine·Frank W MolerUNKNOWN Pediatric Emergency Care Applied Research Network
Mar 24, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·James TibballsMichael Clifford
Oct 12, 2010·Journal of Emergencies, Trauma, and Shock·Sarah E Haskell, Dianne L Atkins
Jun 22, 2011·Circulation·Sheldon CheskesUNKNOWN Resuscitation Outcomes Consortium (ROC) Investigators
Dec 20, 2012·Circulation. Cardiovascular Quality and Outcomes·Saket GirotraUNKNOWN American Heart Association Get With the Guidelines–Resuscitation Investigators
Apr 23, 2013·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Yoshihide MitaniYoshihiro Komada
Jun 19, 2013·Journal of the American College of Cardiology·Paul S ChanUNKNOWN AHA GWTG-Resuscitation Investigators
Jun 27, 2013·Circulation·Peter A MeaneyUNKNOWN CPR Quality Summit Investigators, the American Heart Association Emergency Cardiovascular Care Committee, and the Council on
Nov 2, 2013·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Peter SchoeneThomas Rea
Jun 19, 2014·Circulation. Cardiovascular Quality and Outcomes·Natalie JayaramUNKNOWN American Heart Association's Get with the Guidelines-Resuscitation Investigators
Dec 4, 2014·Circulation·Giuseppe RistagnoUNKNOWN Azienda Regionale Emergenza Urgenza Research Group
Jan 16, 2019·JAMA Network Open·Elizabeth A HuntUNKNOWN American Heart Association’s Get With The Guidelines–Resuscitation Investigators

❮ Previous
Next ❯

Related Concepts

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.