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Paediatric in-hospital arrest trends in Japan
Incidence, outcomes, and temporal trends of pediatric in-hospital cardiac arrest in Japan: a nationwide study
Resuscitation · Added 27 September 2026
Nationwide Japanese administrative data (2011–2022, 7.1M paediatric admissions) testing whether paediatric in-hospital arrest incidence and outcomes are changing — incidence fell from 1.03 to 0.86 per 1000 admissions while survival to discharge rose from 25.8% to 29.6%, with adrenaline given in 71% and intubation in 62% of arrests.
- Study type
- Cohort
- Design
- Retrospective nationwide administrative database study
- Participants
- 6,962 paediatric in-hospital cardiac arrests among 7,117,481 admissions, 2011–2022
- Main finding
- Incidence fell from 1.03 to 0.86 per 1000 admissions (p trend 0.009); survival to discharge rose from 25.8% to 29.6% (p trend 0.006); adrenaline given in 71.0% and intubation in 61.7% of arrests
- Caveat
- Case ascertainment via administrative procedure codes, not a clinical registry
- Bottom line
- Context only
Why it matters in Australia (Medium relevance). in-hospital data, not prehospital, but useful outcome benchmarks for paediatric arrests transported to ED; code-based ascertainment means authors call for registry validation
Learning goal
Update my understanding of how paediatric arrest incidence and survival trends shape resuscitation decisions in prehospital care.
More
- Topic: Paediatrics
- Daily scan: 27 September 2026
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