Acute cardiac care & resuscitation
Application of adult prehospital resuscitation rules to pediatric out of hospital cardiac arrest
Authors' conclusion
The adult BLS and ALS TOR rules had a high PPV for predicting pediatric OHCA patients without a neurologically favorable survival at one month after onset.
Study context
- Population
- Consecutive pediatric OHCA patients (0–17 years old), January 1, 2005, to December 31, 2011
- Participants
- 12,740 vs 2,091
- Comparison
- Adult basic life support (BLS) termination of resuscitation (TOR) rule vs adult advanced life support (ALS) TOR rule
- BLS TOR rulen = 12,740
- ALS TOR rulen = 2,091
- Outcome
- Specificity and PPV for identifying patients without neurologically favorable outcome
- Follow-up
- One month
Methodological detailsnationwide population-based observational cohort
- Nationwide population-based observational cohort
Performance
As reported in the abstract
Prediction of neurologically unfavorable one-month outcome
| Test or model | Met rule | Specificity | PPV |
|---|---|---|---|
| BLS TOR rule | 10,803 | 0.785 | 0.987 |
| ALS TOR rule | 381 | 0.986 | 0.997 |
Met rule
BLS TOR rule10,803
ALS TOR rule381
Specificity
BLS TOR rule0.785
ALS TOR rule0.986
PPV
BLS TOR rule0.987
ALS TOR rule0.997
Original publication
Application of adult prehospital resuscitation rules to pediatric out of hospital cardiac arrest. Resuscitation. Published 28 December 2022. doi:10.
Summarised from the published abstract; every number is checked against it