ArticleResuscitation plus2025
Association between bystander-initiated cardio-pulmonary resuscitation in pediatric out-of-hospital cardiac arrest and patient outcomes: Results from the French National Registry.
Article in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- Safety and Efficacy of Intra-Osseous versus Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis.Therapeutics and clinical risk management · 2025Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Effects of bystander cardiopulmonary resuscitation (CPR) on patient outcomes during pediatric out-of-hospital cardiac arrest (OHCA) remain to be fully elucidated. This study investigated bystander-initiated CPR effects on return of spontaneous circulation (ROSC) and survival at hospital admission in comparative pediatric population experiencing OHCA. Methods: Multicenter retrospective observational study conducted between January 2015 and December 2023 using the French National Cardiac Arrest Registry (RéAC) data. Pediatric patients (0-17 years) with OHCA were included. Patients who received bystander-initiated CPR were matched with those who did not using propensity score. Primary endpoints were ROSC and survival at hospital admission. Secondary endpoints were survival at D30 and favorable neurological outcomes (Cerebral Performance Category (CPC score of 1 or 2). Results: Of 2162 eligible pediatric patients, 1289 (59.6 %) received bystander-initiated CPR. After propensity score matching (n = 645 pairs), bystander-initiated CPR (vs without CPR by a bystander) was associated with improved ROSC (31.2 % vs 23.7 %; adjusted OR [AOR] 1.7, 95 % CI 1.1-1.9) and survival at hospital admission (28.7 % vs 19.8 %; AOR 1.7, 95 % CI 1.3-2.2). No significant difference was observed for survival at D30 (3.7 % vs 3.9 %; AOR 0.9, 95 % CI 0.5-1.7) or favorable neurological outcomes. Conclusions: In this nationwide French cohort, bystander-initiated CPR in pediatric OHCA was associated with improved ROSC and survival at hospital admission, but not with D30 survival or favorable neurological outcomes. These findings reinforce the importance of promoting bystander CPR, while highlighting the need for additional strategies to improve long-term outcomes in pediatric OHCA.
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