Pediatric survivors of out-of-hospital ventricular fibrillation: Etiologies and outcomes

Silka, Michael J.; Kobayashi, Ryan; Hill, Allison C.; Bar‐Cohen, Yaniv

doi:10.1016/j.hrthm.2017.08.014

Cited by 12 publications

(10 citation statements)

References 21 publications

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“…Both in adult patients and in children, an early rhythm evaluation allows the implementation of advanced resuscitation activities [18]. The conducted research did not confirm a frequent occurrence of OHCA in VF/pVT rhythm compared to asystole and PEA [19]. Ventricular arrhythmia (VES, VT, AV block) which did not cause cardiac arrest during air transport constituted 0,91% (n = 427) of all the patients.…”

Section: Discussionmentioning

confidence: 91%

The NACA score as a predictor of ventricular cardiac arrhythmias – A retrospective six-year study

Leszczyński

Mioduski

Gałązkowski

2020

The American Journal of Emergency Medicine

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Background: Helicopter Emergency Medical Service (HEMS) conducts the evaluation of a patient's condition using NACA score before transporting the patient to hospital. The conditions inside the rescue helicopter limit or even make it impossible to conduct some medical procedures. An appropriate classification of the patient may lead to a lower possibility of occurrence of adverse events during the flight. The aim of the research was to evaluate the correlation of NACA score with the cardiac arrhythmia that may be life threatening. Methods: A retrospective observational study included a group of 47,131 patients, who were transported by HEMS services between 2012 and 2017. The research was conducted using the analysis of variance ANOVA running a post hoc test. In order to calculate the correlation of variables, Kruskal-Wallis and r-Pearson tests were carried out, interpreting the results according to J. Gilville's scale. The significance level was set at α = 0,05. Results: The average number of points using NACA score for the studied group was 4,06 (SD ± 1,38). Twelve heart rhythms were selected while evaluating correlations using NACA score. There was a significant relation between the ECG variable and NACA score (p = 0,003). There was a very strong correlation between NACA score and the following: VF/pVT (r-Pearson = 0,856; p = 0,006), PEA (r-Pearson = 0,810; p = 0,015) and Asystole (r-Pearson = 0,728; p = 0,026). Conclusions: NACA score allows to predict the risk of occurrence of ventricular arrhythmia of the myocardium as well as cardiac arrest. The possibility of occurrence of a life-threatening rhythm is significantly higher in patients classified as NACA IV or higher.

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Section: Discussionmentioning

confidence: 91%

The NACA score as a predictor of ventricular cardiac arrhythmias – A retrospective six-year study

Leszczyński

Mioduski

Gałązkowski

2020

The American Journal of Emergency Medicine

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“…Mean age ranged from 1.5 to 6.4 years. Three studies were conducted in the United States of America [ 22 , 23 , 24 ], two were conducted in the Netherlands [ 25 , 26 ], one in Finland [ 27 ], and one in Taiwan [ 28 ]. Two studies were prospective cohort studies, and five were retrospective cohort studies.…”

Section: Resultsmentioning

confidence: 99%

“…Four articles reported the HRQoL outcomes of pediatric OHCA patients. One [ 26 ] study was comparative, comparing the HRQoL of the long-term survivors of pediatric OHCA to the general population, while the other three [ 23 , 24 , 27 ] studies were non-comparative. The summary of the four studies is presented in Table 2 .…”

Section: Resultsmentioning

confidence: 99%

Long-Term Outcomes after Non-Traumatic Out-of-Hospital Cardiac Arrest in Pediatric Patients: A Systematic Review

Caleb

et al. 2022

JCM

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Long-term outcomes after non-traumatic pediatric out-of-hospital cardiac arrest (OHCA) are not well understood. This systematic review aimed to summarize long-term outcomes (1 year and beyond), including overall survival, survival with favorable neurological outcomes, and health-related quality of life (HRQoL) outcomes) amongst pediatric OHCA patients who survived to discharge. Embase, Medline, and The Cochrane Library were searched from inception to October 6, 2021. Studies were included if they reported outcomes at 1 year or beyond after pediatric OHCA. Data abstraction and quality assessment was conducted by three authors independently. Qualitative outcomes were reported systematically. Seven studies were included, and amongst patients that survived to hospital discharge or to 30 days, longer-term survival was at least 95% at 24 months of follow up. A highly variable proportion (range 10–71%) of patients had favorable neurological outcomes at 24 months of follow up. With regard to health-related quality of life outcomes, at a time point distal to 1 year, at least 60% of pediatric non-traumatic OHCA patients were reported to have good outcomes. Our study found that at least 95% of pediatric OHCA patients, who survived to discharge, survived to a time point distal to 1 year. There is a general paucity of data surrounding the pediatric OHCA population.

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“…[123][124] Furthermore, in young patients with diagnoses such as catecholaminergic polymorphic ventricular tachycardia (CPVT) or Brugada syndrome, SCA is often the presenting symptom of the disease. 125,126 Therefore, while development of pediatric ICD recommendations based on specific cardiovascular diagnoses would be intuitively preferable, the following discussion of ICD indications will begin with general considerations for the young patient with an unexplained SCA, followed by a more nuanced series of recommendations for ICD implantation when a specific cause of SCA or defined risk factor has been identified.…”

Section: Introductionmentioning

confidence: 99%

2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients

et al. 2021

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Pediatric survivors of out-of-hospital ventricular fibrillation: Etiologies and outcomes

Cited by 12 publications

References 21 publications

The NACA score as a predictor of ventricular cardiac arrhythmias – A retrospective six-year study

The NACA score as a predictor of ventricular cardiac arrhythmias – A retrospective six-year study

Long-Term Outcomes after Non-Traumatic Out-of-Hospital Cardiac Arrest in Pediatric Patients: A Systematic Review

2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients

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