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Longer chest compression pause worsens outcomes after paediatric IHCA

Presented By
Dr Kasper Glerup Lauridsen, Aarhus University, Denmark
AHA 2020

Longer chest compression interruption was associated with neurological outcome, survival to hospital discharge, and return of spontaneous circulation in children with in-hospital cardiac arrest (IHCA). In a Danish cohort study, each 5-second increment of longest chest compression pause duration was associated with 6% lower odds for survival with favourable neurological outcome [1].

Extracorporeal cardiopulmonary resuscitation often requires interruptions to chest compression (CC); the possible impact on survival and neurological outcomes has been unknown. This cohort study included all index paediatric IHCAs ≥1 min in Pediatric Resuscitation Quality (PediRES-Q), a worldwide collaborative network, from July 2015 through December 2019. Age was by definition <18 years. Favourable neurological outcome was defined as Pediatric Cerebral Performance Category (PCPC) ≤3 at discharge or no change from baseline.

A total of 371 index IHCAs were identified. M...

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