Evidence map›Paper›PMID 41767207›Full record

ReviewResuscitation plus2026

Characteristics, management, and outcomes of perioperative cardiac arrest in children undergoing noncardiac surgery procedures: a scoping review.

Anisha S Nadkarni, Lisa Hwang, Donald H Shaffner, Alejandro V Garcia, Katie Lobner, Melania M Bembea

Abstract readReview
In one paragraph

Review in Resuscitation plus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Anisha S NadkarniDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lisa HwangDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Donald H ShaffnerDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Alejandro V GarciaDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Katie LobnerWilliam H. Welch Medical Library, Baltimore, MD, USA.
Melania M BembeaDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The primary goal of this scoping review was to create a comprehensive synthesis of the characteristics, management, and outcomes of perioperative CA events in children undergoing noncardiac surgery. Methods: We conducted electronic searches of PubMed, Embase, and Scopus in February 2024, with an update in June 2025. Inclusion and exclusion criteria were defined a priori. We included studies in children (age <18 years) undergoing noncardiac surgery, experiencing CA while under the care of anesthesia personnel or in immediate postoperative phases, with at least one pre-defined survival, neurofunctional, quality of life, or healthcare utilization outcome ascertained. Two authors reviewed citations independently with a third author solving conflicts. Results: Of 801 unique citations, 18 studies met inclusion criteria. There were 17 retrospective cohort studies, 1 cross sectional study, and no interventional studies. Median number of CA events per study was 21 (interquartile range, 13-27). Survival to hospital discharge ranged from 30% to 91% overall, with survival of 46% in the U.S.-based study. Younger age, higher American Society of Anesthesiologists score, and emergent procedures were associated with higher CA event occurrence. No study reported data on CA management, including quality of resuscitation, medication use, or defibrillation use. No studies obtained neurofunctional outcomes using standardized measures. No studies addressed long-term survival, neurofunctional, healthcare utilization, or quality of life outcomes after hospital discharge. Conclusion: Studies on pediatric perioperative CA are heterogenous, with modest sample sizes, and variability in definitions and reporting of outcomes. A large knowledge gap remains in CA management, neurologic consequences, and long-term outcomes.

Indexed as

AnesthesiologistCardiac arrestCardiopulmonary resuscitationChildrenPediatric anesthesiaPerioperative care

Identifiers

PMID41767207
PMCPMC12936754

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.