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Singapore paediatric OHCA incidence and survival

Incidence, aetiologies and survival outcomes of paediatric out-of-hospital cardiac arrest in Singapore
Resuscitation Plus · Added 10 August 2026

Abstract not yet available (ahead-of-print). Observational study reporting incidence, aetiologies and survival outcomes of paediatric out-of-hospital cardiac arrest in Singapore.

Study type
Registry
Design
Retrospective analysis of a prospective registry (PAROS) with descriptive and multivariate analysis
Participants
414 patients aged <18 years with OHCA in Singapore, 2010–2021
Main finding
Incidence 4.62 per 100,000 person-years (infants 33.5); bystander CPR 64.5%; aetiologies respiratory 21%, drowning 20.2%, trauma 18.5%; ROSC 35.5%, 30-day survival 11.1%, good neurological outcome 8%; 30-day survival improved in 2019–2021 vs 2010–2012 (aOR 4.34; 95% CI 1.09–17.22)
Caveat
Single-country registry data; wide confidence interval on the survival trend
Bottom line
Context only

Why it matters in Australia (High relevance). Paediatric OHCA is directly relevant to Australian paramedic practice; Singapore provides a useful regional comparator with similar urban EMS systems.

Learning goal

Update my approach to paediatric cardiac arrest by recognising the contribution of respiratory causes and drowning.

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