Evidence map›Paper›PMID 42598112›Full record

ArticleResuscitation plus2026

Incidence, aetiologies and survival outcomes of paediatric out-of-hospital cardiac arrest in Singapore.

Dalton Shaohan Chee, Stephanie Fook-Chong, Nur Shahidah, Benjamin Sieu-Hon Leong, Michael Yih Chong Chia, Desmond Renhao Mao, Wei Ming Ng, Han Nee Gan, Nausheen Edwin Doctor, David Pflug and 2 more

Abstract read
In one paragraph

Article 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Guideline
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

12 authors.

Dalton Shaohan CheeLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Stephanie Fook-ChongPre-hospital and Emergency Research Centre, Health Services Research and Population Health, Duke-NUS Medical School, Singapore.
Nur ShahidahPre-hospital and Emergency Research Centre, Health Services Research and Population Health, Duke-NUS Medical School, Singapore.
Benjamin Sieu-Hon LeongEmergency Medicine Department, National University Hospital, Singapore.
Michael Yih Chong ChiaEmergency Department, Tan Tock Seng Hospital, Singapore.
Desmond Renhao MaoAcute and Emergency Care Centre, Khoo Teck Puat Hospital, Singapore.
Wei Ming NgEmergency Medicine Department, Ng Teng Fong General Hospital, Singapore.
Han Nee GanAccident and Emergency, Changi General Hospital, Singapore.
Nausheen Edwin DoctorDepartment of Emergency Medicine, Sengkang General Hospital, Singapore.
David PflugEmergency Medical Services Department, Singapore Civil Defence Force, Singapore.
Marcus E H OngDepartment of Emergency Medicine, Singapore General Hospital, Singapore.
Lai Peng ThamDepartment of Emergency Medicine, KK Women's and Children's Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Paediatric out-of-hospital cardiac arrests (OHCA) result in poor survival outcomes globally. This study aims to present the incidence, aetiology and survival outcomes of paediatric OHCA in Singapore. Methods: Data on persons aged less than 18 years, who sustained OHCA in Singapore from 2010 to 2021, were extracted from the Pan Asian Resuscitation Outcomes Study (PAROS) Registry, a prospective international database of participating sites in 11 Asia-Pacific countries. The final aetiologies were obtained from the discharge summaries in the electronic medical records, and coroner's reports. Descriptive statistics were obtained for baseline characteristics, and survival outcomes. Multivariate analyses were performed to identify predictors of survival. Results: A total of 414 patients were analysed. The overall incidence of paediatric OHCA in Singapore was 4.62 per 100,000 person-years, with highest in infants less than 1 year old (33.5 per 100,000 person-years). Bystander CPR rate was 64.5% for the whole cohort. The most common aetiologies were respiratory (21%), drowning (20.2%) and trauma (18.5%). Overall, 35.5% of the patients had return of spontaneous circulation (ROSC), 11.1% of the patients had survival to 30 days and 8% had good neurological outcome (Cerebral Performance Category (CPC) 1 or 2). There was increase in 30-day survival for time period 2019 to 2021, compared with 2010 to 2012 (aOR 4.34; 95% CI 1.09-17.22; Conclusion: Incidence of paediatric OHCA in Singapore was 4.62 per 100,000 person-years. Most common aetiologies were respiratory, drowning and trauma. We observed improving trend of survival outcomes from 2010 to 2021 in Singapore.

Indexed as

AetiologyEpidemiologyIncidenceOut-of-hospital cardiac arrestPaediatric cardiac arrestSingaporeSurvival

Identifiers

PMID42598112
PMCPMC13471326

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