Bystander cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrest in England: an observational registry cohort study

H Albargi; S Mallett; S Berhane; Scott J. Booth; Claire Hawkes; Gavin D. Perkins; M Norton; Theresa Foster; Bernie  Scholefield

doi:https://www.resuscitationjournal.com/article/S0300-9572(21)00449-4/fulltext

Bystander cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrest in England: an observational registry cohort study

H Albargi^*, S Mallett, S Berhane, Scott J. Booth, Claire Hawkes, Gavin D. Perkins, M Norton, Theresa Foster, Bernie Scholefield

^*Corresponding author for this work

Applied Technologies for Clinical Care

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

Introduction
Bystander cardiopulmonary resuscitation (BCPR) is strongly advocated by resuscitation councils for paediatric out-of-hospital cardiac arrests (OHCAs). However, there are limited reports on rates of BCPR in children and its relationship with return of spontaneous circulation (ROSC) or survival outcomes.
Objective
We describe the rate of BCPR and its association with any ROSC and survival- to- hospital-discharge.
Methods
We conducted retrospective analysis of prospectively collected paediatric (Results
There were 2363 paediatric OHCAs treated across 11 EMS regions. BCPR was performed in 69.6% (1646/2363) of the cases overall (range 57.7% (206/367) to 83.7% (139/166) across EMS regions). Only 34.9% (550/1572) of BCPR cases were witnessed. Overall, any ROSC was achieved in 22.8% (523/2289) and survival to hospital discharge in 10.8% (225/2066). Adjusted odds ratio (aOR) for any ROSC was significantly improved following BCPR compared to no BCPR (aOR 1.37, 95% CI 1.03–1.81), but adjusted odds ratio for survival-to-hospital-discharge were similar (aOR 1.01, 95% CI 0.66–1.55).
Conclusions
BCPR was associated with improved rates of any ROSC but not survival-to-hospital-discharge. Variations in EMS BCPR rates may indicate opportunities for regional targeted increase in public BCPR education.

Original language	English
Journal	Resuscitation
DOIs	https://doi.org/https://www.resuscitationjournal.com/article/S0300-9572(21)00449-4/fulltext
Publication status	Published - 1 Jan 2022

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Cite this

Albargi, H., Mallett, S., Berhane, S., Booth, S. J., Hawkes, C., Perkins, G. D., Norton, M., Foster, T., & Scholefield, B. (2022). Bystander cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrest in England: an observational registry cohort study. Resuscitation. https://doi.org/https://www.resuscitationjournal.com/article/S0300-9572(21)00449-4/fulltext

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title = "Bystander cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrest in England: an observational registry cohort study",

abstract = "IntroductionBystander cardiopulmonary resuscitation (BCPR) is strongly advocated by resuscitation councils for paediatric out-of-hospital cardiac arrests (OHCAs). However, there are limited reports on rates of BCPR in children and its relationship with return of spontaneous circulation (ROSC) or survival outcomes.ObjectiveWe describe the rate of BCPR and its association with any ROSC and survival- to- hospital-discharge.MethodsWe conducted retrospective analysis of prospectively collected paediatric (ResultsThere were 2363 paediatric OHCAs treated across 11 EMS regions. BCPR was performed in 69.6% (1646/2363) of the cases overall (range 57.7% (206/367) to 83.7% (139/166) across EMS regions). Only 34.9% (550/1572) of BCPR cases were witnessed. Overall, any ROSC was achieved in 22.8% (523/2289) and survival to hospital discharge in 10.8% (225/2066). Adjusted odds ratio (aOR) for any ROSC was significantly improved following BCPR compared to no BCPR (aOR 1.37, 95% CI 1.03–1.81), but adjusted odds ratio for survival-to-hospital-discharge were similar (aOR 1.01, 95% CI 0.66–1.55).ConclusionsBCPR was associated with improved rates of any ROSC but not survival-to-hospital-discharge. Variations in EMS BCPR rates may indicate opportunities for regional targeted increase in public BCPR education.",

author = "H Albargi and S Mallett and S Berhane and Booth, {Scott J.} and Claire Hawkes and Perkins, {Gavin D.} and M Norton and Theresa Foster and Bernie Scholefield",

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T1 - Bystander cardiopulmonary resuscitation for paediatric out-of-hospital cardiac arrest in England: an observational registry cohort study

AU - Albargi, H

AU - Mallett, S

AU - Berhane, S

AU - Booth, Scott J.

AU - Hawkes, Claire

AU - Perkins, Gavin D.

AU - Norton, M

AU - Foster, Theresa

AU - Scholefield, Bernie

PY - 2022/1/1

Y1 - 2022/1/1

N2 - IntroductionBystander cardiopulmonary resuscitation (BCPR) is strongly advocated by resuscitation councils for paediatric out-of-hospital cardiac arrests (OHCAs). However, there are limited reports on rates of BCPR in children and its relationship with return of spontaneous circulation (ROSC) or survival outcomes.ObjectiveWe describe the rate of BCPR and its association with any ROSC and survival- to- hospital-discharge.MethodsWe conducted retrospective analysis of prospectively collected paediatric (ResultsThere were 2363 paediatric OHCAs treated across 11 EMS regions. BCPR was performed in 69.6% (1646/2363) of the cases overall (range 57.7% (206/367) to 83.7% (139/166) across EMS regions). Only 34.9% (550/1572) of BCPR cases were witnessed. Overall, any ROSC was achieved in 22.8% (523/2289) and survival to hospital discharge in 10.8% (225/2066). Adjusted odds ratio (aOR) for any ROSC was significantly improved following BCPR compared to no BCPR (aOR 1.37, 95% CI 1.03–1.81), but adjusted odds ratio for survival-to-hospital-discharge were similar (aOR 1.01, 95% CI 0.66–1.55).ConclusionsBCPR was associated with improved rates of any ROSC but not survival-to-hospital-discharge. Variations in EMS BCPR rates may indicate opportunities for regional targeted increase in public BCPR education.

AB - IntroductionBystander cardiopulmonary resuscitation (BCPR) is strongly advocated by resuscitation councils for paediatric out-of-hospital cardiac arrests (OHCAs). However, there are limited reports on rates of BCPR in children and its relationship with return of spontaneous circulation (ROSC) or survival outcomes.ObjectiveWe describe the rate of BCPR and its association with any ROSC and survival- to- hospital-discharge.MethodsWe conducted retrospective analysis of prospectively collected paediatric (ResultsThere were 2363 paediatric OHCAs treated across 11 EMS regions. BCPR was performed in 69.6% (1646/2363) of the cases overall (range 57.7% (206/367) to 83.7% (139/166) across EMS regions). Only 34.9% (550/1572) of BCPR cases were witnessed. Overall, any ROSC was achieved in 22.8% (523/2289) and survival to hospital discharge in 10.8% (225/2066). Adjusted odds ratio (aOR) for any ROSC was significantly improved following BCPR compared to no BCPR (aOR 1.37, 95% CI 1.03–1.81), but adjusted odds ratio for survival-to-hospital-discharge were similar (aOR 1.01, 95% CI 0.66–1.55).ConclusionsBCPR was associated with improved rates of any ROSC but not survival-to-hospital-discharge. Variations in EMS BCPR rates may indicate opportunities for regional targeted increase in public BCPR education.

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