Evidence map›Paper›PMID 35573969›Full record

ArticleFrontiers in pediatrics2022

Epidemiology of Cardiopulmonary Arrest and Outcome of Resuscitation in PICU Across China: A Prospective Multicenter Cohort Study.

Xin Ding, Gang Liu, Suyun Qian, Jiansheng Zeng, Ying Wang, Jianping Chu, Qing Chen, Jianli Chen, Yuanyuan Duan, Danqun Jin and 16 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 12 institutions in 1 country.

Xin DingDepartment of Pediatric Intensive Care Unit, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Gang LiuDepartment of Pediatric Intensive Care Unit, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Suyun QianDepartment of Pediatric Intensive Care Unit, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Jiansheng ZengDepartment of Pediatric Intensive Care Unit, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Ying WangDepartment of Pediatric Intensive Care Unit, Xi'an Children's Hospital, Xi'an, China.
Jianping ChuDepartment of Pediatric Intensive Care Unit, Xi'an Children's Hospital, Xi'an, China.
Qing ChenDepartment of Pediatric Intensive Care Unit, Guiyang Maternal and Child Health Care Hospital, Guiyang, China.
Jianli ChenDepartment of Pediatric Intensive Care Unit, Guiyang Maternal and Child Health Care Hospital, Guiyang, China.
Yuanyuan DuanDepartment of Pediatric Intensive Care Unit, Anhui Children's Hospital, Hefei, China.
Danqun JinDepartment of Pediatric Intensive Care Unit, Anhui Children's Hospital, Hefei, China.
Jiaotian HuangDepartment of Pediatric Intensive Care Unit, Children's Hospital of Hunan Province, Changsha, China.
Xiulan LuDepartment of Pediatric Intensive Care Unit, Children's Hospital of Hunan Province, Changsha, China.
Yanmei GuoDepartment of Pediatric Intensive Care Unit, Hebei Children's Hospital, Shijiazhuang, China.
Xiaona ShiDepartment of Pediatric Intensive Care Unit, Hebei Children's Hospital, Shijiazhuang, China.
Ximin HuoDepartment of Pediatric Intensive Care Unit, Hebei Children's Hospital, Shijiazhuang, China.
Jun SuDepartment of Pediatric Intensive Care Unit, Zhengzhou Children's Hospital, Zhengzhou, China.
Yibing ChengDepartment of Pediatric Intensive Care Unit, Zhengzhou Children's Hospital, Zhengzhou, China.
Yi YinDepartment of Pediatric Intensive Care Unit, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Xiaowei XinDepartment of Pediatric Intensive Care Unit, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Zhengyun SunDepartment of Pediatric Intensive Care Unit, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Shaodong ZhaoDepartment of Pediatric Intensive Care Unit, Children's Hospital of Nanjing Medical University, Nanjing, China.
Hongjun MiaoDepartment of Pediatric Intensive Care Unit, Children's Hospital of Nanjing Medical University, Nanjing, China.
Zixuan LouJinan Children's Hospital, Jinan, China.
Jun LiJinan Children's Hospital, Jinan, China.
Jinghui JiangDepartment of Pediatric Intensive Care Unit, Liaocheng People's Hospital, Liaocheng, China.
Shengying DongDepartment of Pediatric Intensive Care Unit, Liaocheng People's Hospital, Liaocheng, China.
Capital Medical University · CNHospital of Hebei Province · CNAnhui Provincial Children's Hospital · CNHunan Children's Hospital · CNLiaocheng People's Hospital · CNSecond Affiliated Hospital of Nanjing Medical University · CNShandong Provincial Hospital · CNXi’an Children’s Hospital · CNYunnan Maternal and Child Health · CNZhengzhou Children's Hospital · CNBeijing Children’s Hospital · CNShandong First Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the epidemiology and the effectiveness of resuscitation from cardiopulmonary arrest (CPA) among critically ill children and adolescents during pediatric intensive care unit (PICU) stay across China. Methods: A prospective multicenter study was conducted in 11 PICUs in tertiary hospitals. Consecutively hospitalized critically ill children, from 29-day old to 18-year old, who had suffered from CPA and required cardiopulmonary resuscitation (CPR) in the PICU were enrolled (December 2017-October 2018). Data were collected and analyzed using the "in-hospital Utstein style." Neurological outcome was assessed with the Pediatric Cerebral Performance Category (PCPC) scale among children who had survived. Factors associated with the return of spontaneous circulation (ROSC) and survival at discharge were evaluated using multivariate logistic regression. Results: Among 11,599 admissions to PICU, 372 children (3.2%) had CPA during their stay; 281 (75.5%) received CPR, and 91 (24.5%) did not (due to an order of "Do Not Resuscitate" requested by their guardians). Cardiopulmonary disease was the most common reason for CPA (28.1% respiratory and 19.6% circulatory). The most frequent initial dysrhythmia was bradycardia (79%). In total, 170 (60.3%) of the total children had an ROSC, 91 had (37.4%) survived till hospital discharge, 28 (11.5%) had survived 6 months, and 19 (7.8%) had survived for 1 year after discharge. Among the 91 children who were viable at discharge, 47.2% (43/91) received a good PCPC score (1-3). The regression analysis results revealed that the duration of CPR and the dose of epinephrine were significantly associated with ROSC, while the duration of CPR, number of CPR attempts, ventricular tachycardia/ventricular fibrillation (VT/VF), and the dose of epinephrine were significantly associated with survival at discharge. Conclusion: The prevalence of CPA in critically ill children and adolescents is relatively high in China. The duration of CPR and the dose of epinephrine are associated with ROSC. The long-term prognosis of children who had survived after CPR needs further improvement.

Indexed as

cardiopulmonary arrestcardiopulmonary resuscitationChinacritical ill childrenmulticenter study

Identifiers

PMID35573969
PMCPMC9096021
OpenAlexW4286829391

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.