Pireddu Roberta, Ristagno Giuseppe, Gianquintieri Lorenzo, Bonora Rodolfo, Pagliosa Andrea, Andreassi Aida, Sechi Giuseppe Maria, Signorelli Carlo, Stirparo Giuseppe
School of Public Health, Faculty of Medicine, University Vita-Salute San Raffaele, 20132 Milano, Italy.
Department of Medical and Surgical Pathophysiology and Transplantation, University of Milano, 20133 Milano, Italy.
J Clin Med. 2024 May 27;13(11):3133. doi: 10.3390/jcm13113133.
Cardiac arrest results in a high death rate if cardiopulmonary resuscitation and early defibrillation are not performed. Mortality is strongly linked to regulations, in terms of prevention and emergency-urgency system organization. In Italy, training of lay rescuers and the presence of defibrillators were recently made mandatory in schools. Our analysis aims to analyze Out-of-Hospital Cardiac Arrest (OHCA) events in pediatric patients (under 18 years old), to understand the epidemiology of this phenomenon and provide helpful evidence for policy-making. A retrospective observational analysis was conducted on the emergency databases of Lombardy Region, considering all pediatric OHCAs managed between 1 January 2016, and 31 December 2019. The demographics of the patients and the logistics of the events were statistically analyzed. The incidence in pediatric subjects is 4.5 (95% CI 3.6-5.6) per 100,000 of the population. School buildings and sports facilities have relatively few events (1.9% and 4.4%, respectively), while 39.4% of OHCAs are preventable, being due to violent accidents or trauma, mainly occurring on the streets (23.2%). Limiting violent events is necessary to reduce OHCA mortality in children. Raising awareness and giving practical training to citizens is a priority in general but specifically in schools.
如果不进行心肺复苏和早期除颤，心脏骤停会导致很高的死亡率。在预防和紧急应急系统组织方面，死亡率与相关规定密切相关。在意大利，最近规定学校必须对非专业救援人员进行培训并配备除颤器。我们的分析旨在分析儿科患者（18岁以下）的院外心脏骤停（OHCA）事件，以了解这一现象的流行病学情况，并为政策制定提供有用的证据。我们对伦巴第大区的急诊数据库进行了回顾性观察分析，纳入了2016年1月1日至2019年12月31日期间管理的所有儿科OHCA病例。对患者的人口统计学特征和事件的相关情况进行了统计分析。儿科患者的发病率为每10万人中有4.5例（95%可信区间3.6 - 5.6）。学校建筑和体育设施发生的事件相对较少（分别为1.9%和4.4%），而39.4%的OHCA是可预防的，原因是暴力事故或创伤，主要发生在街道上（23.2%）。限制暴力事件对于降低儿童OHCA死亡率很有必要。提高公众意识并为公民提供实践培训总体上是一个优先事项，在学校中尤为如此。
