AIM: To describe the epidemiology and outcomes of out-of-hospital @entity1167 (OHCA) in a Hong Kong (HK) pediatric population and to identify factors associated with favorable outcomes. METHODS: Retrospective case note review of @entity1 younger than 18 years who presented to the emergency department of Prince of Wales Hospital, HK with @entity1167 from 2003 to 2013. @entity1 were classified as @entity1 (<1 year), @entity1 (1-11 years) and adolescents (12-18 years). @entity1 characteristics, OHCA details, interventions, and outcomes were reported following the Utstein format. RESULTS: There were 53 @entity1 in the study (77.4% @entity1 ) and 34.6% of @entity1 had @entity102 . In the @entity1 group, 35.7% had complicated pregnancies. The incidence of OHCA in HK was 5.37 per 100,000 @entity1 -years. Out-of-hospital @entity1167 was identified by bystanders in 62.3%, but bystander cardiopulmonary resuscitation was provided in only 28.3%. Shockable rhythms were uncommon (9.4%). Most OHCA in @entity1 had unknown causes. In @entity1 , commonest causes were @entity1576 and environmental hazards, and in adolescents, @entity130 and cardiogenic events. Overall survival to hospital discharge rate was 20.8%; 13.2% had good neurological outcomes. Bystander cardiopulmonary resuscitation (odds ratio [OR], 7.44; 95% confidence interval [95% CI], 1.75-31.7; P = 0.007), prehospital return of spontaneous circulation (OR, 11.4; 95% CI, 1.75-74.7; P = 0.013), and return of spontaneous circulation within 30 minutes (OR, 90.0; 95% CI, 11.1-727; P < 0.0005) were associated with survival to discharge. CONCLUSIONS: The incidence of OHCA in HK is comparable to global data. The outcome of OHCA in the pediatric population has improved over the decades. Better prehospital care could improve outcome.

XXXX in the Pediatric Population in Hong Kong: A 10-Year Review at a University Hospital.

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients', 'infants', 'Patient', 'person', 'infant', 'men'] @entity102 :: ('MESH:D002908', 'Disease') :: ['chronic illnesses'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory illness'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity1167 :: (MESH:D006323,Disease) :: ['Out-of-Hospital Cardiac Arrest']
