Imperial College London
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Dr Rachel Phillips

Faculty of Medicine, School of Public Health

Senior Lecturer in Medical Statistics and Clinical Trials
 
 
 
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Contact

 

+44 (0)20 7594 8802r.phillips

 
 
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Location

 

Stadium HouseWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Tham:2018:10.1016/j.resuscitation.2018.01.040,
author = {Tham, LP and Wah, W and Phillips, R and Shahidah, N and Ng, YY and Shin, SD and Nishiuchi, T and Wong, KD and Ko, PCI and Khunklai, N and Naroo, GY and Ong, MEH},
doi = {10.1016/j.resuscitation.2018.01.040},
journal = {Resuscitation},
pages = {111--117},
title = {Epidemiology and outcome of paediatric out-of-hospital cardiac arrests: A paediatric sub-study of the Pan-Asian resuscitation outcomes study (PAROS)},
url = {http://dx.doi.org/10.1016/j.resuscitation.2018.01.040},
volume = {125},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: The Pan Asian Resuscitation Outcomes Study (PAROS) is a retrospective study of out- of-hospital cardiac arrest(OHCA), collaborating with EMS agencies and academic centers in Japan, South Korea, Malaysia, Singapore, Taiwan, Thailand and UAE-Dubai. The objectives of this study is to describe the characteristics and outcomes, and to find factors associated with survival after paediatric OHCA. Methods: We studied all children less than 17 years of age with OHCA conveyed by EMS and non-EMS transports from January 2009 to December 2012. We did univariate and multivariate logistic regression analyses to assess the factors associated with survival-to-discharge outcomes. Results: A total of 974 children with OHCA were included. Bystander cardiopulmonary resuscitation rates ranged from 53.5% (Korea), 35.6% (Singapore) to 11.8% (UAE). Overall, 8.6% (range 0%–9.7%) of the children survived to discharge from hospital. Adolescents (13–17 years) had the highest survival rate of 13.8%. 3.7% of the children survived with good neurological outcomes of CPC 1 or 2. The independent pre-hospital factors associated with survival to discharge were witnessed arrest and initial shockable rhythm. In the sub-group analysis, pre-hospital advanced airway [odds ratio (OR) = 3.35, 95% confidence interval (CI) = 1.23–9.13] was positively associated with survival-to-discharge outcomes in children less than 13 years-old. Among adolescents, bystander CPR (OR = 2.74, 95%CI = 1.03–7.3) and initial shockable rhythm (OR = 20.51, 95%CI = 2.15–195.7) were positive factors. Conclusion: The wide variation in the survival outcomes amongst the seven countries in our study may be due to the differences in the delivery of pre-hospital interventions and bystander CPR rates.
AU  - Tham,LP
AU  - Wah,W
AU  - Phillips,R
AU  - Shahidah,N
AU  - Ng,YY
AU  - Shin,SD
AU  - Nishiuchi,T
AU  - Wong,KD
AU  - Ko,PCI
AU  - Khunklai,N
AU  - Naroo,GY
AU  - Ong,MEH
DO  - 10.1016/j.resuscitation.2018.01.040
EP  - 117
PY  - 2018///
SN  - 0300-9572
SP  - 111
TI  - Epidemiology and outcome of paediatric out-of-hospital cardiac arrests: A paediatric sub-study of the Pan-Asian resuscitation outcomes study (PAROS)
T2  - Resuscitation
UR  - http://dx.doi.org/10.1016/j.resuscitation.2018.01.040
UR  - http://hdl.handle.net/10044/1/75167
VL  - 125
ER  -
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