Acute cardiac care & resuscitation
Factors associated with family decision-making after pediatric out-of-hospital cardiac arrest
Study context
- Population
- Patients <18 years admitted to the paediatric intensive care unit (ICU) after out-of-hospital cardiac arrest (OHCA), 2011–2022, urban tertiary children's hospital
- Participants
- 217 patients
- Outcome
- New advance care plan (written DNR and/or DNI) ordered during hospitalization; discharge with new medical technology (tracheostomy and/or feeding tube)
Methodological detailsexploratory, descriptive, single-centre
- Exploratory
- Descriptive
- Single-centre
Main finding
As reported in the abstract
- New advance care plan (ACP) placed during admission
- 78 (36%)
- Survivors discharged home with new medical technology
- 26% (27/102)
- ACP: greater change in Pediatric Cerebral Performance Category (PCPC) score, aOR (95% CI 1.28-1.73), p-value < 0.001
- 1.49
- ACP: palliative care consultation, aOR (95% CI 1.16-4.89), p-value 0.018
- 2.39
- New medical technology: lower change in PCPC score, aOR (95% CI 0.61-0.95), p-value = 0.015
- 0.76
- New medical technology: palliative care consultation, aOR (95% CI 3.01-16.60), p-value < 0.001
- 7.07
Observational data: associations, not effects.
Original publication
Factors associated with family decision-making after pediatric out-of-hospital cardiac arrest. Resuscitation. Published 6 May 2024. doi:10.
Summarised from the published abstract; every number is checked against it