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

https://doi.org/10.1136/adc.2010.199232

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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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