Evidence map›Paper›PMID 36397074›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2022

Pediatric out-of-hospital cardiac arrest in Denmark.

Mathias Geldermann Holgersen, Theo W Jensen, Niklas Breindahl, Julie L B Kjerulff, Sara H Breindahl, Stig Nikolaj Fasmer Blomberg, Signe Amalie Wolthers, Lars Bredevang Andersen, Christian Torp-Pedersen, Søren Mikkelsen and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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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

13 authors at 5 institutions in 3 countries.

Mathias Geldermann HolgersenCopenhagen Emergency Medical Services, Telegrafvej 5, 2750, Ballerup, The Capital Region of Denmark, Denmark.
Theo W JensenDepartment of Clinical Medicine, University of Copenhagen Denmark, Copenhagen, Denmark.
Niklas BreindahlDepartment of Clinical Medicine, University of Copenhagen Denmark, Copenhagen, Denmark.
Julie L B KjerulffDepartment of Research and Development, Emergency Medical Services, Aarhus, Central Denmark Region, Denmark.
Sara H BreindahlCopenhagen Emergency Medical Services, Telegrafvej 5, 2750, Ballerup, The Capital Region of Denmark, Denmark.
Stig Nikolaj Fasmer BlombergCopenhagen Emergency Medical Services, Telegrafvej 5, 2750, Ballerup, The Capital Region of Denmark, Denmark. stig.nikolaj.fasmer.blomberg@regionh.dk.ORCID http://orcid.org/0000-0002-5073-6820
Signe Amalie WolthersDepartment of Clinical Medicine, University of Copenhagen Denmark, Copenhagen, Denmark.
Lars Bredevang AndersenPrehospital Center Region Zealand, Næstved, Denmark.
Christian Torp-PedersenDepartments of Cardiology, Nordsjaellands Hospital, Hillerød, Denmark.
Søren MikkelsenPrehospital Research Unit, Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Freddy LippertDepartment of Clinical Medicine, University of Copenhagen Denmark, Copenhagen, Denmark.
Helle Collatz ChristensenDepartment of Clinical Medicine, University of Copenhagen Denmark, Copenhagen, Denmark.
Danish Cardiac Arrest Registry Group
University of Copenhagen · DKCapital Region of Denmark · DKCentral Denmark Region · DKRegion Zealand · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric out-of-hospital cardiac arrest (POHCA) has received limited attention. All causes of POHCA and outcomes were examined during a 4-year period in a Danish nationwide register and prehospital medical records. The aim was to describe the incidence, reversible causes, and survival rates for POHCA in Denmark.

methodsThis is a registry-based follow-up cohort study. All POHCA for a 4-year period (2016-2019) in Denmark were included. All prehospital medical records for the included subjects were reviewed manually by five independent raters establishing whether a presumed reversible cause could be assigned.

resultsWe identified 173 cases within the study period. The median incidence of POHCA in the population below 17 years of age was 4.2 per 100,000 persons at risk. We found a presumed reversible cause in 48.6% of cases, with hypoxia being the predominant cause of POHCA (42.2%). The thirty-day survival was 40%. Variations were seen across age groups, with the lowest survival rate in cases below 1 year of age. Defibrillators were used more frequently among survivors, with 16% of survivors defibrillated bystanders as opposed to 1.9% in non-survivors and 24% by EMS personnel as opposed to 7.8% in non-survivors. The differences in initial rhythm being shockable was 34% for survivors and 16% for non-survivors.

conclusionWe found pediatric out-of-hospital cardiac arrests was a rare event, with higher incidence and mortality in infants compared to other age groups of children. Use of defibrillators was disproportionally higher among survivors. Hypoxia was the most common presumed cause among all age groups.

Indexed as

Cardiopulmonary ResuscitationEmergency Medical ServicesOut-of-Hospital Cardiac ArrestChildDenmarkFollow-Up StudiesHumansHypoxiaInfant

Identifiers

PMID36397074
PMCPMC9670404
OpenAlexW4309512034

What OpenQuestion holds

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LicenceCC BY
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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.