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

Lahn David John Straney, Luregn J Schlapbach, Glenn Yong, Janet Elizabeth Bray, Johnny Millar, Anthony Slater, Janet Alexander, Judith C Finn

Research output: Contribution to journalArticleResearchpeer-review

8 Citations (Scopus)

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.
Original languageEnglish
Pages (from-to)613 - 620
Number of pages8
JournalPediatric Critical Care Medicine
Volume16
Issue number7
DOIs
Publication statusPublished - 2015

Cite this

Straney, Lahn David John ; Schlapbach, Luregn J ; Yong, Glenn ; Bray, Janet Elizabeth ; Millar, Johnny ; Slater, Anthony ; Alexander, Janet ; Finn, Judith C. / Trends in PICU admission and survival rates in children in Australia and New Zealand following cardiac arrest. In: Pediatric Critical Care Medicine. 2015 ; Vol. 16, No. 7. pp. 613 - 620.
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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.",
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Trends in PICU admission and survival rates in children in Australia and New Zealand following cardiac arrest. / Straney, Lahn David John; Schlapbach, Luregn J; Yong, Glenn; Bray, Janet Elizabeth; Millar, Johnny; Slater, Anthony; Alexander, Janet; Finn, Judith C.

In: Pediatric Critical Care Medicine, Vol. 16, No. 7, 2015, p. 613 - 620.

Research output: Contribution to journalArticleResearchpeer-review

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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

VL - 16

SP - 613

EP - 620

JO - Pediatric Critical Care Medicine

JF - Pediatric Critical Care Medicine

SN - 1529-7535

IS - 7

ER -