Demographics of Pediatric OHCA Survivors With Postdischarge Diseases: A National Population-Based Follow-Up Study

Overview

Journal Front Pediatr

Specialty Pediatrics

Date 2020 Feb 11

PMID 32039107

Citations 2

Authors

Tsung-Han Lee

I-Cheng Juan

Hsiu-Ying Hsu

Wen-Liang Chen

Cheng-Chieh Huang

Mei-Chueh Yang

Wei-Yuan Lei

Chih-Ming Lin

Chu-Chung Chou

Chin-Fu Chang

Yan-Ren Lin

Affiliations

Soon will be listed here.

Abstract

Postdischarge diseases (PDDs) have been reported for adult survivors of out-of-hospital cardiac arrest (OHCA). However, the detailed demographics of pediatric OHCA survivors with PDDs are not well-documented, and information regarding functional survivors is particularly limited. We aimed to report detailed information on the PDDs of survivors of traumatic and non-traumatic pediatric OHCA using a national healthcare database. We retrospectively obtained data from the Taiwan government healthcare database (2011-2015). Information on the demographics of traumatic and non-traumatic pediatric OHCA survivors (<20 years) was obtained and reported. The patients who survived to discharge (survivors) and those classified as functional survivors were followed up for 1 year for the analysis of newly diagnosed PDDs. The time from discharge to PDD diagnosis was also reported. A total of 2,178 non-traumatic and 288 traumatic OHCA pediatric cases were included. Among the non-traumatic OHCA survivors ( = 374, survival rate = 17.2%), respiratory tract ( = 270, 72.2%), gastrointestinal ( = 187, 50.0%), and neurological diseases ( = 167, 49.1%) were the three most common PDD categories, and in these three categories, the majority of PDDs were atypical/influenza pneumonia, non-infective acute gastroenteritis, and generalized/status epilepsy, respectively. Among the traumatic OHCA survivors ( = 21, survival rate = 7.3%), respiratory tract diseases ( = 17, 81.0%) were the most common, followed by skin or soft tissue ( = 14, 66.7%) diseases. Most functional survivors still suffered from neurological and respiratory tract diseases. Most PDDs, except for skin or soft tissue diseases, were newly diagnosed within the first 3 months after discharge. Respiratory tract (pneumonia), neurological (epilepsy), and skin or soft tissue (dermatitis) diseases were very common among both non-traumatic and traumatic OHCA survivors. More importantly, most PDDs, except for skin or soft tissue diseases, were newly diagnosed within the first 3 months after discharge.

Citing Articles

Out-of-Hospital Cardiac Arrest in the Paediatric Patient: An Observational Study in the Context of National Regulations.

Pireddu R, Ristagno G, Gianquintieri L, Bonora R, Pagliosa A, Andreassi A J Clin Med. 2024; 13(11).

PMID: 38892845 PMC: 11172461. DOI: 10.3390/jcm13113133.

Long-Term Outcomes after Non-Traumatic Out-of-Hospital Cardiac Arrest in Pediatric Patients: A Systematic Review.

Ng Z, Ho S, Caleb T, Yaow C, Teoh S, Tham L J Clin Med. 2022; 11(17).

PMID: 36078931 PMC: 9457161. DOI: 10.3390/jcm11175003.

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