Resuscitation
Volume 81, Issue 5 , Pages 512-517, May 2010

Pediatric out-of-hospital cardiac arrest in Korea: A nationwide population-based study☆☆

  • Chang Bae Park

      Affiliations

    • Department of Emergency Medicine, Seoul National University Hospital, Seoul, South Korea
  • ,
  • Sang Do Shin

      Affiliations

    • Department of Emergency Medicine, Seoul National University Hospital, Seoul, South Korea
    • Corresponding Author InformationCorresponding author at: Department of Emergency Medicine, Seoul National University College of Medicine, 101 Daehakro, Jongno-Gu, Seoul 110-744, Korea. Tel.: +82 2 2072 3257; fax: +82 2 741 7855.
  • ,
  • Gil Joon Suh

      Affiliations

    • Department of Emergency Medicine, Seoul National University Hospital, Seoul, South Korea
  • ,
  • Ki Ok Ahn

      Affiliations

    • Center for Education and Training of EMS and Rescue, Seoul Fire Academy, Seoul, South Korea
  • ,
  • Won Chul Cha

      Affiliations

    • Department of Emergency Medicine, Seoguipo Medical Center, Cheju, South Korea
  • ,
  • Kyoung Jun Song

      Affiliations

    • Department of Emergency Medicine, Seoul National University Boramae Medical Center, Seoul, South Korea
  • ,
  • Soo Jin Kim

      Affiliations

    • Department of Epidemiology, Seoul National University School of Public Health, Seoul, South Korea
  • ,
  • Eui Jung Lee

      Affiliations

    • Seoul Emergency Medical Information Center, Seoul, South Korea
  • ,
  • Marcus Eng Hock Ong

      Affiliations

    • Department of Emergency Medicine, Singapore General Hospital, Singapore

Received 1 September 2009; received in revised form 22 November 2009; accepted 25 November 2009. published online 22 February 2010.

Abstract 

Study objectives

Our objective was to describe the incidence and demographics of pediatric out-of-hospital cardiac arrest (OHCA) in Korea.

Methods

We identified non-traumatic OHCA patients aged less than 20 years from a Korean nationwide OHCA registry (2006–2007). Data from emergency medical service (EMS) run-sheets and hospital records were reviewed. We excluded cases with unknown hospital outcomes. Patient characteristics, treatment by EMS, and outcomes were compared by age groups: infant (<1 year), children (1–11 years), and adolescents (12–19 years).

Results

A total of 971 patients including infants (n=299, 30.8%), children (n=305, 31.4%), and adolescents (n=367, 37.8%) met inclusion criteria. The incidence of pediatric OHCA was 4.2 per 100,000 person-years (67.1 in infants, 2.5 in children, and 3.5 in adolescents). The rate of cardiopulmonary resuscitation administered was 82.1% (infants 80.6%, children 82.0%, and adolescent 83.4%). The rate of applying automated external defibrillators and advanced airway management (endotracheal intubation or laryngeal mask airway), was only 4.1% and 2.5%, respectively. 7.4% showed ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) in the initial ECG. Survival to hospital discharge for all pediatric OHCA was 4.9% (2.9% for infants, 4.7% for children, and 7.2% of adolescents). For EMS-treated pediatric OHCA or patients with VF or pulseless VT, the rate was 5.0% and 31.6%, respectively.

Conclusion

Incidence and hospital outcomes in pediatric OHCA in Korea were comparable to other population-based nationwide reports.

Keywords: Pediatric, Cardiac arrest, Incidence, Mortality, Pediatrics, Outcome

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 A Spanish translated version of the abstract of this article appears as Appendix in the final online version at doi:10.1016/j.resuscitation.2009.11.022.

☆☆ Study type: An observational study.

PII: S0300-9572(09)00627-3

doi:10.1016/j.resuscitation.2009.11.022

Resuscitation
Volume 81, Issue 5 , Pages 512-517, May 2010