AI Article Synopsis
- - The study aimed to evaluate how bystander-initiated CPR and AED use impact survival rates in children experiencing non-traumatic out-of-hospital cardiac arrests during school sports activities in Japan.
- - Analyzed data from 318 cases showed that the combination of CPR and AED significantly increased the chances of favorable neurological outcomes after one month, with a survival rate of 64.8%.
- - While CPR or AED alone did not result in significantly better outcomes compared to no intervention, combining both methods greatly enhanced survival rates for children suffering from cardiac arrest in these situations.
Article Abstract
Objective: To investigate the prognostic impact of bystander-initiated cardiopulmonary resuscitation (CPR) and public-access automated external defibrillator (AED) use on non-traumatic out-of-hospital cardiac arrest (OHCA) occurring during school-supervised sports activities in children.
Methods: From a nationwide database of pediatric OHCAs occurring under school supervision in Japan, data between April 2008 and December 2020 were obtained. We analyzed non-traumatic OHCAs that occurred during school-supervised sports activities among schoolchildren from elementary, junior high, high, and technical colleges. A multivariable logistic regression model was used to evaluate the effect of basic life support (BLS) on 1-month survival with favorable neurological outcomes after OHCA.
Results: In total, 318 OHCA cases were analyzed. The 1-month survival with favorable neurological outcomes was 64.8% (164/253) in cases receiving both bystander-CPR and AED application, 40.7% (11/27) in cases receiving CPR only, 38.5% (5/13) in patients receiving AED application only, and 28.0% (7/25) in cases receiving no bystander intervention. Compared with cases receiving no BLS, cases receiving both CPR and AED had a significantly higher proportion of 1-month survival with favorable neurological outcomes (adjusted odds ratio [AOR]: 3.97, 95% confidence interval [CI]: 1.32-11.90, = 0.014). However, compared to cases receiving no BLS, there was no significant difference in the outcome in the cases receiving CPR only (AOR: 1.35, 95% CI: 0.34-5.29, = 0.671) and the cases receiving AED application only (AOR: 1.26, 95% CI: 0.25-6.38, = 0.778).
Conclusion: The combination of CPR and AED as BLS performed by bystanders for non-traumatic OHCA during school-supervised sports activities improved the outcomes.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10753082 | PMC |
| http://dx.doi.org/10.1016/j.resplu.2023.100531 | DOI Listing |
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