Open AccessAssociation Between Time to Defibrillation and Survival in Pediatric In-Hospital Cardiac Arrest With a First Documented Shockable Rhythm
Author(s) -
Elizabeth A. Hunt,
Jordan DuvalArnould,
Melania M. Bembea,
Tia T. Raymond,
Aaron W. Calhoun,
Dianne L. Atkins,
Robert A. Berg,
Vinay Nadkarni,
Michael W. Donnino,
Lars W. Andersen
Publication year - 2018
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2018.2643
Subject(s) - defibrillation , rhythm , medicine , association (psychology) , chain of survival , cardiology , emergency medicine , cardiopulmonary resuscitation , basic life support , psychology , resuscitation , psychotherapist
Key Points Question In children who have an in-hospital cardiac arrest with a first documented shockable rhythm, is time to first defibrillation attempt associated with survival to hospital discharge? Findings In a cohort study from the Get With The Guidelines–Resuscitation national registry of 477 pediatric patients who experienced in-hospital cardiac arrest, time to first defibrillation attempt was not associated with survival. Time to first defibrillation was also not associated with return of circulation, 24-hour survival, or favorable neurologic outcome. Meaning In contrast to published adult in-hospital cardiac arrest and pediatric out-of-hospital cardiac arrest data, there was no significant association between time to first defibrillation attempt in pediatric in-hospital cardiac arrests with first documented shockable rhythm and survival to hospital discharge.
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