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Conventional cardiopulmonary resuscitation by bystanders improved outcomes in children with out-of-hospital cardiac arrest

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Question

In children who experience out-of-hospital cardiac arrest (patients) does the type of cardio-pulmonary resuscitation (CPR) (risk factor) or cause of arrest (risk factor) influence the likelihood of favourable neurological outcome (outcome)?

Methods

Design

Population based observational cohort study. Data were collected from the All-Japan Utstein Registry for the Fire and Disaster Management Agency.

Setting

Population based study, Japan.

Patients

Children under 17 years of age with an out-of-hospital cardiac arrest. The cause of arrest was presumed to be cardiac unless there was evidence of trauma, hanging, drowning, drug overdose, respiratory disease, etc, as attributed by physicians working with emergency personnel. All emergency medical providers undertook CPR in accordance with American Heart Association and International Liaison Committee on Resuscitation guidelines.

Data collection

Data were collected prospectively by emergency medical personnel in cooperation with physicians.

Outcomes

Favourable neurological outcome at 1 month after cardiac arrest (Glasgow-Pittsburgh …

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