• Stephanie R Brown, Maria Frazier, Joan Roberts, Heather Wolfe, Ken Tegtmeyer, Robert Sutton, Maya Dewan, and PediRES-Q Collaborative Investigators.
• Section of Pediatric Critical Care Medicine, Oklahoma Children's Hospital, Oklahoma City, OK, USA; Division of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. Electronic address: stephanie-r-brown@ouhsc.edu.
• Resuscitation. 2023 Aug 1; 189: 109874109874.

Aim Of StudyTo determine outcomes in pediatric patients who had an in-hospital cardiac arrest and subsequently received extracorporeal cardiopulmonary resuscitation (ECPR). Our secondary objective was to identify cardiopulmonary resuscitation (CPR) event characteristics and CPR quality metrics associated with survival after ECPR.MethodsMulticenter retrospective cohort study of pediatric patients in the pediRES-Q database who received ECPR after in-hospital cardiac arrest between July 1, 2015 and June 2, 2021. Primary outcome was survival to ICU discharge. Secondary outcomes were survival to hospital discharge and favorable neurologic outcome at ICU and hospital discharge.ResultsAmong 124 patients included in this study, median age was 0.9 years (IQR 0.2-5) and the majority of patients had primarily cardiac disease (92 patients, 75%). Survival to ICU discharge occurred in 61/120 (51%) patients, 36/61 (59%) of whom had favorable neurologic outcome. No demographic or clinical variables were associated with survival after ECPR.ConclusionIn this multicenter retrospective cohort study of pediatric patients who received ECPR for IHCA we found a high rate of survival to ICU discharge with good neurologic outcome.Copyright © 2023 Elsevier B.V. All rights reserved.

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