Trends in PICU admission and survival rates in children in Australia and New Zealand following cardiac arrest

Straney, Lahn D., Schlapbach, Luregn J., Yong, Glenn, Bray, Janet E., Millar, Johnny, Slater, Anthony, Alexander, Janet, Finn, Judith and for the Australian and New Zealand Intensive Care Society Paediatric Study Group (2015) Trends in PICU admission and survival rates in children in Australia and New Zealand following cardiac arrest. Pediatric Critical Care Medicine, 16 7: 613-620. doi:10.1097/PCC.0000000000000425


Author Straney, Lahn D.
Schlapbach, Luregn J.
Yong, Glenn
Bray, Janet E.
Millar, Johnny
Slater, Anthony
Alexander, Janet
Finn, Judith
for the Australian and New Zealand Intensive Care Society Paediatric Study Group
Title Trends in PICU admission and survival rates in children in Australia and New Zealand following cardiac arrest
Journal name Pediatric Critical Care Medicine   Check publisher's open access policy
ISSN 1947-3893
1529-7535
Publication date 2015-09-01
Year available 2015
Sub-type Article (original research)
DOI 10.1097/PCC.0000000000000425
Open Access Status Not Open Access
Volume 16
Issue 7
Start page 613
End page 620
Total pages 18
Place of publication Philadelphia, PA United States
Publisher Lippincott Williams & Wilkins
Language eng
Formatted abstract
Objectives: To describe the temporal trends in rates of PICU admissions and mortality for out-of-hospital cardiac arrests and in-hospital cardiac arrests admitted to PICU over the last decade.

Design: Multicenter, retrospective analysis of prospectively collected binational data of the Australian and New Zealand Paediatric Intensive Care Registry. All nine specialist PICUs in Australia and New Zealand were included.
Patients: All children admitted between 2003 and 2012 to PICU who were less than 16 years old at the time of admission.

Interventions: None.

Measurements and Main Results: There were a total of 71,425 PICU admissions between 2003 and 2012. Overall, cardiac arrest accounted for 1.86% of all admissions (1,329 cases), including 677 cases of in-hospital cardiac arrest (51.0%) and 652 cases of out-of-hospital cardiac arrest (49.0%). Over the last decade, there has been a 29.6% increase in the odds of PICU survival for all pediatric admissions (odds ratio, 1.30; 95% CI, 1.09–1.54). By contrast, there was no significant improvement in the risk-adjusted odds of survival for out-of-hospital cardiac arrest admissions (odds ratio, 1.03; 95% CI, 0.50–2.10; p = 0.94) or in-hospital cardiac arrest admissions (odds ratio, 1.03; 95% CI, 0.54–1.98; p = 0.92).

Conclusions: Despite improvements in overall outcomes in children admitted to Australian and New Zealand PICUs, survival of children admitted with out-of-hospital cardiac arrest or in-hospital cardiac arrest did not change significantly over the past decade.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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Created: Mon, 19 Oct 2015, 19:37:13 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work