AI Article Synopsis
- The study examined the impact of pediatric age on dispatcher recognition of cardiac arrest in out-of-hospital situations, focusing on the importance of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) for improving outcomes.
- A total of 2754 pediatric patients under 19 years were analyzed, revealing that recognition rates dropped significantly with increasing age; the highest recognition was in children under 1 year (61.5%), and the lowest in those aged 14-18 years (47.1%).
- The findings suggest that tailored protocols for dispatchers based on the child’s age and the cause of arrest may enhance recognition rates and improve outcomes in pediatric cardiac arrest situations.
Article Abstract
Background: Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) is an important prognostic factor in pediatric out-of-hospital cardiac arrest (OHCA). The recognition of cardiac arrest by dispatcher is a key factor for successful DA-CPR. In this study, we evaluated the association between pediatric age and dispatcher recognition.
Methods: A retrospective observational study was designed using a nationwide OHCA registry. Patients under 19 years of age were enrolled. Patients were categorized into four groups according to age (<1 year, 1-6 years, 7-13 years, and 14-18 years). The primary outcome was cardiac arrest recognition by dispatcher. A multivariable logistic regression analysis was performed.
Results: A total of 2754 pediatric OHCA patients were enrolled. A negative trend was observed between age and dispatcher performance (p < 0.01). The rate of cardiac arrest recognition was highest in patients under one year of age (61.5%) and lowest in patients ages 14-18 years old (47.1%). Patients in the 7-13 years and 14-18 years age groups were both associated with a decreased rate of recognition (adjusted odds ratio with 95% confidence interval: 0.55 (0.41-0.74) and 0.44 (0.34-0.57), respectively). In the interaction analysis, the association between age and outcomes was more prominent in patients with non-medical causes.
Conclusion: Patients ages 7-18 years old were negatively associated with cardiac arrest recognition and DA-CPR instruction provision within optimal timeframes compared to those younger than one year old. Development of a tailored protocol could be considered according to age and cause of arrest for better dispatcher performance in pediatric OHCA patients.
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| http://dx.doi.org/10.1016/j.ajem.2022.05.038 | DOI Listing |
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