TY - JOUR
T1 - Trends in PICU admission and survival rates in children in Australia and New Zealand following cardiac arrest
AU - Straney, Lahn David John
AU - Schlapbach, Luregn J
AU - Yong, Glenn
AU - Bray, Janet Elizabeth
AU - Millar, Johnny
AU - Slater, Anthony
AU - Alexander, Janet
AU - Finn, Judith C
PY - 2015
Y1 - 2015
N2 - 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.
AB - 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.
UR - http://www.ncbi.nlm.nih.gov/pubmed/25901547
U2 - 10.1097/PCC.0000000000000425
DO - 10.1097/PCC.0000000000000425
M3 - Article
SN - 1529-7535
VL - 16
SP - 613
EP - 620
JO - Pediatric Critical Care Medicine
JF - Pediatric Critical Care Medicine
IS - 7
ER -