title: Survival and neurological status after out-of-hospital cardiac arrest in the pediatric population in Andalusia.
abstract: OBJECTIVE
  Little is known about the evolution and long-term neurological status of pediatric patients who survive out-of-hospital cardiac arrest. Our aim is to describe long-term survival and neurological status.
  
  
  METHODS
  Retrospective observational study, based on the Andalusian Register of out-of-hospital Cardiac Arrest.
  
  
  METHODS
  Pre-hospital Care.
  
  
  METHODS
  The study included patients aged 0-15 years between January 2008 and December 2012.
  
  
  METHODS
  Patients follow up.
  
  
  METHODS
  Prehospital and hospital care variables were analyzed and one-year follow-up was performed, along with a specific follow-up of survivors in June 2014.
  
  
  RESULTS
  Of 5069 patients included in the register, 125 (2.5%) were aged ≤15 years. Cardiac arrest was witnessed in 52.8% of cases and resuscitation was performed in 65.6%. The initial rhythm was shockable in 7 (5.2%) cases. Nearly half (48.8%) the patients reached the hospital alive, of whom 20% did so while receiving resuscitation maneuvers. Only 9 (7.2%) patients survived to hospital discharge; 5 showed ad integrum recovery and 4 showed significant neurological impairment. The 5 patients with complete recovery continued their long-term situation. The remaining 4 patients, although slight improvement, were maintained in situation of neurological disability.
  
  
  CONCLUSIONS
  Survival after out-of-hospital cardiac arrest in pediatric patients was low. The long-term prognosis of survivors with good neurological recovery remains, although improvement in the rest was minimal.
authors.affiliation: Empresa Pública de Emergencias Sanitarias, Almería, España; Grupo de cuidados cardiológicos en emergencias, Empresa Pública de Emergencias Sanitarias de Andalucía (EPES), Almería, España. Electronic address: frosell@al.epes.es.
authors.forename: F
authors.initials: F
authors.lastname: Rosell-Ortiz
authors.affiliation: Servicio de Urgencias, Hospital El Toyo, Almería, España.
authors.forename: F J
authors.initials: FJ
authors.lastname: Mellado-Vergel
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Río Carrión, Palencia, España.
authors.forename: J B
authors.initials: JB
authors.lastname: López-Messa
authors.affiliation: Empresa Pública de Emergencias Sanitarias, Almería, España.
authors.forename: P
authors.initials: P
authors.lastname: Fernández-Valle
authors.affiliation: Empresa Pública de Emergencias Sanitarias, Almería, España; Grupo de cuidados cardiológicos en emergencias, Empresa Pública de Emergencias Sanitarias de Andalucía (EPES), Almería, España.
authors.forename: M M
authors.initials: MM
authors.lastname: Ruiz-Montero
authors.affiliation: Empresa Pública de Emergencias Sanitarias, Almería, España; Grupo de cuidados cardiológicos en emergencias, Empresa Pública de Emergencias Sanitarias de Andalucía (EPES), Almería, España.
authors.forename: I
authors.initials: I
authors.lastname: González-Lobato
authors.affiliation: Empresa Pública de Emergencias Sanitarias, Almería, España; Grupo de cuidados cardiológicos en emergencias, Empresa Pública de Emergencias Sanitarias de Andalucía (EPES), Almería, España.
authors.forename: M
authors.initials: M
authors.lastname: Martínez-Lara
authors.affiliation: Empresa Pública de Emergencias Sanitarias, Almería, España; Grupo de cuidados cardiológicos en emergencias, Empresa Pública de Emergencias Sanitarias de Andalucía (EPES), Almería, España.
authors.forename: S
authors.initials: S
authors.lastname: Vergara-Pérez
authors.affiliation: Empresa Pública de Emergencias Sanitarias, Almería, España.
authors.forename: I
authors.initials: I
authors.lastname: Vivar-Díaz
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Clínico de Málaga, Málaga, España.
authors.forename: Á
authors.initials: Á
authors.lastname: García-Alcántara
authors.affiliation: Empresa Pública de Emergencias Sanitarias, Almería, España.
authors.forename: J
authors.initials: J
authors.lastname: García del Águila
mesh_terms: D000293:Adolescent; D016887:Cardiopulmonary Resuscitation; D002648:Child; D002675:Child, Preschool; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D008297:Male; D009422:Nervous System Diseases / Q000209:etiology*; D058687:Out-of-Hospital Cardiac Arrest / Q000150:complications / Q000401:mortality*; D011379:Prognosis; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology; D016896:Treatment Outcome