Hospitalized children more likely to die after cardiac arrest during night shift

Hospitalized children are more likely to die after a cardiac arrest if it occurs during the night shift, according to research presented at the American Heart Association's Scientific Sessions 2013.

Adults who suffer a cardiac arrest while hospitalized are already known to fare worse if resuscitation is needed during the night shift.

This AHA Get With The Guidelines-Resuscitation Registry study is the first documentation of a similar effect in children.

Of 10,541 consecutive cardiac arrests in patients under age 18 in 2000-10, the researchers found:

Thirty-four percent of children survived to hospital discharge after cardiac arrest during the night shift (11 p.m.-6:59 a.m.).

Thirty-eight percent of children survived after cardiac arrest on day or evening shifts.

Survival following nightshift cardiac arrest was 13 percent lower after accounting for differences in patient and hospital characteristics.

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Note: Actual presentation is 10 a.m. CT/ 11 a.m. ET Sunday, Nov. 17, 2013.

Resources:

Cardiac Arrest Statistics
2010 American Heart Association Guidelines for CPR and Emergency Cardiovascular Care Science
Chain of Survival
History of CPR

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