Home Paediatrics Singapore paediatric OHCA incidence and survival
Paediatrics
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.
More
- Topic: Paediatrics
- Daily scan: 10 August 2026
Related papers on Paediatrics
-
AR decision support grabs clinician gaze
Secondary analysis of a pediatric cardiac arrest simulation trial found AR-based decision support captured 42-59% of visual attention with distinct role-specific fixation patterns among team leaders and medication nurses
-
US paediatric ED use: low EMS share, high acuity
Retrospective analysis of 202.5 million US pediatric ED visits (2016–2022) found children comprised only 7% of EMS transports but presented with higher acuity, more abnormal vital signs, and increasing psychiatric and behavioral presentations over time.
-
Synchronised ventilation faster ROSC in neonatal piglets
In a neonatal piglet model of asystolic cardiac arrest, CCSV resulted in a significantly faster time to ROSC compared to 3:1 C:V.
-
Observation cuts CT in paediatric abdominal trauma
Observation with deferred CT decisionmaking was associated with less frequent CT use, particularly in patients with intermediate clinician suspicion, without an increase in missed injuries.