Epidemiological and Survival Trends of Pediatric Cardiac Arrests in Emergency Departments in Korea: A Cross-sectional, Nationwide Report

Journal of Korean Medical Science
Jae Yun AhnHye Young Jang

Abstract

Cardiac arrest (CA) in children is associated with high mortality rates. In Korea, cohort studies regarding the outcomes of pediatric CAs are lacking, especially in emergency departments (EDs) or in-hospital settings. This study was conducted to examine the trends in epidemiology and survival outcomes in children with resuscitation-attempted CAs using data from a cross-sectional, national, ED-based clinical registry. We extracted cases in which cardiopulmonary resuscitation and/or manual defibrillation were performed according to treatment codes using the National Emergency Department Information System (NEDIS) from 2008 to 2012. The total number of ED visits registered in the NEDIS during the 5-yr evaluation period was 20,424,530; among these, there were 2,970 resuscitation-attempted CAs in children. The annual rates of pediatric CAs per 1,000 ED visits showed an upward trend from 2.81 in 2009 to 3.62 in 2012 (P for trend = 0.045). The median number of estimated pediatric CAs at each ED was 7.8 (25th to 75th percentile, 4 to 13) per year. The overall rates for admission survival and discharge survival were 35.2% and 12.8%, respectively. The survival outcome of adults increased substantially over the past 5 yr (11.8% in 2008, 1...Continue Reading

References

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Citations

Oct 1, 2011·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·P Giralt MuiñaUNKNOWN GEDPECAM
Mar 8, 2018·Revista Da Sociedade Brasileira De Medicina Tropical·Edgar Marcelino CarvalhoGustavo Adolfo Sierra Romero
Dec 29, 2020·The American Journal of Emergency Medicine·Asami OkadaRyoji Iiduka

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