Intubation Trends and Survival in Pediatric In-Hospital Cardiac Arrest
In this cohort study of pediatric patients with IHCA between 2017 and 2022 without an advanced airway at the start of CPR, no association was identified between intra-arrest tracheal intubation and hospital survival after time-dependent propensity score matching. In subgroup analysis, intra-arrest intubation in children 8 years or older was associated with higher survival odds. These findings may have important clinical implications for clinicians caring for children with IHCA and warrant further investigation into the physiologic and practical mechanisms of this association.
Authors
- Ron Reeder (ORCID: https://orcid.org/0000-0003-0021-5944)
- Todd Sweberg
- Joan Roberts
- Alexis Topjian (ORCID: https://orcid.org/0000-0001-7855-8627)
- Lindsay N. Shepard (ORCID: https://orcid.org/0000-0002-6097-8452)
- Jesse Y. Hsu (ORCID: https://orcid.org/0000-0002-1522-6534)
- Garrett Keim (ORCID: https://orcid.org/0000-0002-7054-8798)
- Ryan W. Morgan (ORCID: https://orcid.org/0000-0003-1664-5316)
- Nadir Yehya (ORCID: https://orcid.org/0000-0002-2996-217X)
- Anne-Marie Guerguerian (ORCID: https://orcid.org/0000-0002-2621-5128)
- Caitlin E. O’Brien (ORCID: https://orcid.org/0000-0002-5609-1955)
- Punkaj Gupta (ORCID: https://orcid.org/0000-0003-1764-3910)
- Maya Dewan (ORCID: https://orcid.org/0000-0002-9966-3845)
- Ericka L. Fink (ORCID: https://orcid.org/0000-0002-3683-4571)
- Linda Brown (ORCID: https://orcid.org/0000-0001-5130-8548)
- Monica E. Kleinman (ORCID: https://orcid.org/0000-0002-4318-4378)
- Noorjahan Ali (ORCID: https://orcid.org/0000-0001-6677-6512)
- Javier J. Lasa (ORCID: https://orcid.org/0000-0001-5146-4954)
- Robert A. Berg
- Lillian Su
- Robert M Sutton
Institutions
- American Heart Association (US)
- Children's Hospital of Philadelphia (US)
- University of Utah (US)
- University of Pennsylvania (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-11-20
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.44365
- Citations
- 2
- Primary Topic
- Cardiac Arrest and Resuscitation
- Type
- article
- Field-Weighted Citation Impact
- 4.51