Goto et al identified factors predictive of long-term outcome for a child who has experienced an out-of-hospital cardiac arrest (OHCA). The authors are from Kanazawa University Hospital and Yawate Medical Center in Japan.
Patient selection: child with out-of-hospital cardiac arrest
Outcome: cerebral performance category (CPC) and survival
Parameters:
(1) prehospital return of spontaneous circulation (ROSC)
(2) initial shockable rhythm
(3) witnessed arrest
Prehospital ROSC
Shockable Rhythm
Witnessed Arrest
Long-Term Outcome
Y
Y
NA
good
Y
N
NA
fair
N
NA
Y
poor
N
NA
N
very poor
Long-Term Outcome
CPC 1 or 2
CPC 3 to 5
Death
good
64%
36%
16%
fair
35%
65%
36%
poor
3.3%
96.7%
90%
very poor
0.7%
99.3%
94%
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