Evidence map›Paper›PMID 42343202›Full record

ArticleBMC emergency medicine2026

Aetiology-dependent short- and long-term survival after paediatric out-of-hospital cardiac arrest: a multicentre, retrospective, cohort study.

Romana Erblich, Matthias Noitz, Marius Knöll, Helmut Trimmel, Wolfgang Voelckel, Dominik Jenny, Jens Meier, Martin W Dünser

Abstract readMulticenter Study
In one paragraph

Article in BMC emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Romana ErblichDepartment of Anaesthesiology and Critical Care Medicine, Kepler University Hospital and Johannes Kepler University, Krankenhausstrasse 9, Linz, 4020, Austria.
Matthias NoitzDepartment of Anaesthesiology and Critical Care Medicine, Kepler University Hospital and Johannes Kepler University, Krankenhausstrasse 9, Linz, 4020, Austria.
Marius KnöllDepartment of Anaesthesiology and Critical Care Medicine, Kepler University Hospital and Johannes Kepler University, Krankenhausstrasse 9, Linz, 4020, Austria.
Helmut TrimmelPatient Safety and Emergency Medicine, Karl Landsteiner Institute for Medical Simulation, Seebenstein, Austria.
Wolfgang VoelckelOEAMTC Flugrettung, Vienna, Austria.
Dominik JennyDepartment of Anaesthesiology and Critical Care Medicine, Kepler University Hospital and Johannes Kepler University, Krankenhausstrasse 9, Linz, 4020, Austria.
Jens MeierDepartment of Anaesthesiology and Critical Care Medicine, Kepler University Hospital and Johannes Kepler University, Krankenhausstrasse 9, Linz, 4020, Austria.
Martin W DünserDepartment of Anaesthesiology and Critical Care Medicine, Kepler University Hospital and Johannes Kepler University, Krankenhausstrasse 9, Linz, 4020, Austria. martin.duenser@i-med.ac.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOut-of-hospital cardiac arrest (OHCA) in children is rare and associated with poor outcomes. Data on aetiology-specific differences in short- and long-term survival are limited.

methodsThis multicentre, retrospective study included children (< 18 years) with OHCA managed by a nationwide helicopter emergency medical service. Patient characteristics, OHCA-related variables, resuscitation interventions, and outcomes were collected. The primary objective was to compare sustained return of spontaneous circulation (ROSC), 30-day survival, and 1-year survival rates across different OHCA aetiologies.

resultsAmong 9,018 patients with OHCA, 247 [2.7% (95% CI, 2.2-3.1%)] were children, of whom 200 were included. External or traumatic aetiologies accounted for 129 cases (64.5%). Non-traumatic OHCA occurred in 71 children (35.6%). Trauma was the most frequent aetiology [n = 78 (39.0%)], followed by drowning [n = 34 (17.0%)], non-cardiac non-traumatic causes [n = 27 (13.5%)], suspected cardiac causes [n = 27 (13.5%)], Sudden Infant Death Syndrome (SIDS) [n = 17 (8.5%)], and asphyxiation [n = 17 (8.5%)]. Sustained ROSC, 30-day survival, and 1-year survival differed significantly across aetiology groups (all p < 0.001). Drowning was associated with the highest sustained ROSC (77.4%), 30-day (55.9%), and 1-year survival rates (50.0%), followed by non-cardiac non-traumatic causes (ROSC, 54.2%; 30-day survival, 38.5%; 1-year survival, 34.6%), and asphyxiation (ROSC, 57.1%; 30-day survival, 20.0%; 1-year survival, 20.0%). Outcomes were poorest in SIDS (ROSC, 20.0%; 30-day survival, 5.9%; 1-year survival, 5.9%). OHCA aetiology was independently associated with ROSC, 30-day, and 1-year survival rates in multivariable analyses.

conclusionsPaediatric OHCA was rare and demonstrated marked heterogeneity in both aetiology and outcomes. Short- and long-term survival rates varied significantly across OHCA aetiologies.

Indexed as

Out-of-Hospital Cardiac ArrestAdolescentCardiopulmonary ResuscitationChildChild, PreschoolDrowningEmergency Medical ServicesFemaleHumansInfantMaleRetrospective StudiesReturn of Spontaneous CirculationSurvival RateTime FactorsWounds and InjuriesAetiologyAsphyxiationChildrenDrowningSIDSTrauma

Identifiers

PMID42343202
PMCPMC13560181

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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.