Aetiology-dependent short- and long-term survival after paediatric out-of-hospital cardiac arrest: a multicentre, retrospective, cohort study

Description

Romana Erblich and colleagues compare survival after out-of-hospital cardiac arrest in children across the arrest's different causes. Their 2026 multicentre retrospective study draws on a nationwide helicopter emergency service that treated 9,018 arrest patients, of whom 247 were children and 200 entered the analysis. External and traumatic causes dominated the pediatric cases.

Trauma was the single commonest cause, followed by drowning. Survival differed sharply by cause at every horizon measured. Drowning led the table, with over half the children alive at thirty days and half at one year in the reported rates. Sudden infant death syndrome fared worst, with only one child in twenty surviving. Non-cardiac internal causes and asphyxiation sat between those poles. Adjusted models kept cause independently tied to circulation return and to survival. The authors underline how strongly prognosis in pediatric arrest depends on what caused it.

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Source: https://europepmc.org/article/MED/PMC13560181