Automated External Defibrillator Application Before EMS Arrival in Pediatric Cardiac Arrests.
Pediatrics
; 142(4)2018 10.
Article
em En
| MEDLINE
| ID: mdl-30262669
ABSTRACT
BACKGROUND:
Little is known about the predictors of pre-emergency medical service (EMS) automated external defibrillator (AED) application in pediatric out-of-hospital cardiac arrests. We sought to determine patient- and neighborhood-level characteristics associated with pre-EMS AED application in the pediatric population.METHODS:
We reviewed prospectively collected data from the Cardiac Arrest Registry to Enhance Survival on pediatric patients (age >1 to ≤18 years old) who had out-of-hospital nontraumatic arrest (2013-2015).RESULTS:
A total of 1398 patients were included in this analysis (64% boys, 45% white, and median age of 11 years old). An AED was applied in 28% of the cases. Factors associated with pre-EMS AED application in univariable analyses were older age (odds ratio [OR] 1.9; 12-18 years old vs 2-11 years old; P < .001), white versus African American race (OR 1.4; P = .04), public location (OR 1.9; P < .001), witnessed status (OR 1.6; P < .001), arrests presumed to be cardiac versus respiratory etiology (OR 1.5; P = .02) or drowning etiology (OR 2.0; P < .001), white-populated neighborhoods (OR 1.2 per 20% increase in white race; P = .01), neighborhood median household income (OR 1.1 per $20 000 increase; P = .02), and neighborhood level of education (OR 1.3 per 20% increase in high school graduates; P = .006). However, only age, witnessed status, arrest location, and arrests of presumed cardiac etiology versus drowning remained significant in the multivariable model. The overall cohort survival to hospital discharge was 19%.CONCLUSIONS:
The overall pre-EMS AED application rate in pediatric patients remains low.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Desfibriladores
/
Serviços Médicos de Emergência
/
Parada Cardíaca Extra-Hospitalar
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
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Child, preschool
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Female
/
Humans
/
Male
Idioma:
En
Revista:
Pediatrics
Ano de publicação:
2018
Tipo de documento:
Article