Acute cardiac care & resuscitation
Practice patterns for acquiring neuroimaging after pediatric in-hospital cardiac arrest
Authors' conclusion
Practice patterns for acquiring neuroimaging after IHCA are variable and influenced by patient, cardiac arrest, and site factors.
Study context
- Population
- Patients who survived in-hospital cardiac arrest (IHCA) and were enrolled in the ICU-RESUS trial
- Participants
- 1,000 patients
- Exposure
- Patient and cardiac arrest factors associated with obtaining neuroimaging, and with which neuroimaging modality was obtained, within 7 days following IHCA
- Outcome
- Neuroimaging frequency
- Follow-up
- Within 7 days following IHCA
Main finding
As reported in the abstract
- ≥ 1 neuroimaging study
- 44%
Observational data: associations, not effects.
Further findings
Variation by site
- Neuroimaging timing and frequency varied by site
Factors associated with obtaining neuroimaging (multivariable models)
- Greater odds of neuroimaging with cardiac arrest in CICU (versus PICU), longer duration CPR, receiving ECMO post-arrest, and post-arrest care with targeted temperature management or EEG monitoring
Factors associated with neuroimaging modality
- Ultrasound (US) performance associated with congenital heart disease
- CT associated with age ≥ 1-month, greater pre-arrest disability, and receiving CPR for ≥ 16 min
- MRI utilization increased with pre-existing respiratory insufficiency and respiratory decompensation as arrest cause, and medical cardiac and surgical non-cardiac or trauma illness category
- If neuroimaging was obtained, US more common in CICU while CT/MRI utilized more in PICU
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Practice patterns for acquiring neuroimaging after pediatric in-hospital cardiac arrest. Resuscitation. Published 21 January 2025. doi:10.
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