Pediatric Out-of-hospital Cardiopulmonary Arrest

Cardiac Arrest Clinical Trial

— Ped-CPA  

Official title:

Pediatric Out-of-hospital Cardiopulmonary Arrest, Current Status of Out-of-hospital Management, Predictive Factors of Mortality, Physicians' Attitudes, Training Perspectives : a Multicentric Retrospective Study.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05474131
• Other study ID #: 2022-07Obs-CHRMT
• Status: Completed
• Start date: January 1, 2019
• Est. completion date: March 15, 2022

Study information

• Verified date: July 2022
• Source: Centre Hospitalier Régional Metz-Thionville
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The objective of this observational and retrospective study is to determine the predictive factors of in-hospital mortality following an out-of-hospital cardiopulmonary arrest (CPA) in the population under 18 years old. Data are collected from telephone calls and medical regulation records processed by the health call center of 2 french departments between January 1, 2019, and March 15, 2022. The medical records of the included patients will also be reread in order to obtain the patient's status at 30 days after the CPA.

Detailed description:

The literature reports numerous works evaluating the epidemiological characteristics of pediatric out-of-hospital cardiorespiratory arrest. An improvement in survival has been reported in the case of resuscitation guided by the operator in medical regulation before the arrival of the emergency services. Indeed, the regulation phase at the 15 center in France is of fundamental importance. Recent evolutions, notably with the creation of specific call-taking professions, show the importance attached to improving practices.

The population concerned is characterized by children under 18 years of age, victims of an extra-hospital cardiorespiratory arrest. It is a retrospective study over three years and three months, multicentric, from the emergency service (SAMU) 57 and 69.

The primary endpoint was the all-cause mortality at thirty days of the admission.

The case report form (CRF) will collect the main aspects of telephone management at the 15 centers, out-of-hospital management by the emergency teams, and the personal characteristics of the emergency physicians and out-of-hospital responders (gender, age, family situation, etc.). The medical management in the emergency department and the first stages of in-hospital management will also be analyzed. The patients included who are still alive will receive a notification of non-objection by mail.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 137
• Est. completion date: March 15, 2022
• Est. primary completion date: March 15, 2022
• Gender: All
• Age group: 1 Day to 17 Years

Eligibility

Inclusion Criteria:

• child under 17 years old

• and call for cardiac arrest or cardiac arrest detected on call

Exclusion Criteria:

• non-real cardiac arrest

Related Conditions & MeSH terms

• Cardiac Arrest
• Heart Arrest
• Out-of-Hospital Cardiac Arrest
• Pediatric

Locations

Country	Name	City	State
France	CHR Metz-Thionville/Hopital de Mercy	Metz

Sponsors (2)

Lead Sponsor	Collaborator
Centre Hospitalier Régional Metz-Thionville	Hospices Civils de Lyon

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	death from any cause within thirty days of admission	The vital status at Day 30 will be systematically sought.	at day 30
Secondary	Resuscitation in pre-hospital care during the listening of the sound tapes of the SAMU	The resumption of a spontaneous cardiac activity will be sought during the listening of the sound tapes of the SAMU	at day 1