Out-of-hospital sudden cardiac arrest in children with congenital heart defects
- PMID: 28838970
- DOI: 10.1136/archdischild-2017-312621
Out-of-hospital sudden cardiac arrest in children with congenital heart defects
Abstract
Aims: Out-of-hospital sudden cardiac arrest (SCA) is a rare but devastating event in children and adolescents. The risk is assumed to be higher in children with congenital heart defects (CHDs) than in healthy individuals. The aim of the present study was to investigate the rate of and survival after out-of-hospital cardiac arrest in children 2-18 years old with CHDs.
Methods and results: Data concerning all live births in Norway between 1994 and 2009 were retrieved from the Medical Birth Registry of Norway, the patient administrative systems at all hospitals in Norway, the Oslo University Hospital's Clinical Registry for Congenital Heart Defects and the Norwegian Cause of Death Registry. Survivors were followed through 2012, and supplementary information for the deceased children was retrieved from medical records at Norwegian hospitals. Among the 943 871 live births in Norway from 1994 to 2009, 11 272 (1.2%) children had a CHD. We identified 11 (0.1%) children 2-18 years old with CHDs who experienced out-of-hospital SCA. The estimated rate of out-of-hospital SCA in children 2-18 years old with CHD was 10 per 100 000 person-years. Early cardiopulmonary resuscitation was initiated in all patients. Three children survived.
Conclusions: The incidence of and survival after out-of-hospital SCA in children with CHDs were comparable to the reported rates in the general child population.
Keywords: cardiology; cardiopulmonary resuscitation; congenital heart defect; out-of-hospital sudden cardiac arrest; survival.
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Conflict of interest statement
Competing interests: None declared.
Similar articles
-
Severe congenital heart defects: incidence, causes and time trends of preoperative mortality in Norway.Arch Dis Child. 2020 Aug;105(8):738-743. doi: 10.1136/archdischild-2019-317581. Epub 2020 Feb 12. Arch Dis Child. 2020. PMID: 32051128 Free PMC article.
-
Endocarditis in children and adolescents with congenital heart defects: a Norwegian nationwide register-based cohort study.Arch Dis Child. 2018 Jul;103(7):670-674. doi: 10.1136/archdischild-2017-313917. Epub 2018 Mar 6. Arch Dis Child. 2018. PMID: 29510997
-
Sudden Cardiac Death in the Young.Circulation. 2016 Mar 8;133(10):1006-26. doi: 10.1161/CIRCULATIONAHA.115.020254. Circulation. 2016. PMID: 26951821 Free PMC article. Review.
-
Sudden unexpected death in children with congenital heart defects.Eur Heart J. 2016 Feb 14;37(7):621-6. doi: 10.1093/eurheartj/ehv478. Epub 2015 Sep 4. Eur Heart J. 2016. PMID: 26341891
-
Emergency department factors associated with survival after sudden cardiac arrest.Resuscitation. 2013 Mar;84(3):292-7. doi: 10.1016/j.resuscitation.2012.10.013. Epub 2012 Oct 24. Resuscitation. 2013. PMID: 23103887 Review.
Cited by
-
Global burden of out-of-hospital cardiac arrest in children: a systematic review, meta-analysis, and meta-regression.Pediatr Res. 2023 Aug;94(2):423-433. doi: 10.1038/s41390-022-02462-5. Epub 2023 Jan 16. Pediatr Res. 2023. PMID: 36646884
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical