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Epidemiology and aetiology of paediatric traumatic cardiac arrest in England and Wales

Vassallo, James; Webster, Melanie; Barnard, Edward B G; Lyttle, Mark D; Smith, Jason E

Epidemiology and aetiology of paediatric traumatic cardiac arrest in England and Wales Thumbnail


Authors

James Vassallo

Melanie Webster

Edward B G Barnard

Jason E Smith



Abstract

© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ. Objective To describe the epidemiology and aetiology of paediatric traumatic cardiac arrest (TCA) in England and Wales. Design Population-based analysis of the UK Trauma Audit and Research Network (TARN) database. Patients and setting All paediatric and adolescent patients with TCA recorded on the TARN database for a 10-year period (2006-2015). Measures Patient demographics, Injury Severity Score (ISS), location of TCA ('prehospital only', 'in-hospital only' or 'both'), interventions performed and outcome. Results 21 710 paediatric patients were included in the database; 129 (0.6%) sustained TCA meeting study inclusion criteria. The majority, 103 (79.8%), had a prehospital TCA. 62.8% were male, with a median age of 11.7 (3.4-16.6) years, and a median ISS of 34 (25-45). 110 (85.3%) had blunt injuries, with road-traffic collision the most common mechanism (n=73, 56.6%). 123 (95.3%) had severe haemorrhage and/or traumatic brain injury. Overall 30-day survival was 5.4% ((95% CI 2.6 to 10.8), n=7). 'Pre-hospital only' TCA was associated with significantly higher survival (n=6) than those with TCA in both 'pre-hospital and in-hospital' (n=1) - 13.0% (95% CI 6.1% to 25.7%) and 1.2% (95% CI 0.1% to 6.4%), respectively, p

Journal Article Type Article
Acceptance Date Aug 23, 2018
Online Publication Date Sep 27, 2018
Publication Date May 1, 2019
Deposit Date Oct 5, 2018
Publicly Available Date Oct 5, 2018
Journal Archives of Disease in Childhood
Print ISSN 0003-9888
Electronic ISSN 1468-2044
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 104
Issue 5
Pages 437-443
DOI https://doi.org/10.1136/archdischild-2018-314985
Keywords paediatric, traumatic, cardiac arrest
Public URL https://uwe-repository.worktribe.com/output/860228
Publisher URL http://dx.doi.org/10.1136/archdischild-2018-314985
Additional Information Additional Information : This is the author's accepted manuscript. The final published version is available here: http://dx.doi.org/10.1136/archdischild-2018-314985.
Contract Date Oct 5, 2018

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