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Table 2  Event characteristics and outcomes by systolic and diastolic blood pressure thresholds at 0–6 h post-arrest

From: Identification of post-cardiac arrest blood pressure thresholds associated with outcomes in children: an ICU-Resuscitation study

 

Post-arrest systolic BP

(0–6 h)a

P value

Post-arrest diastolic BP

(0–6 h)a

P value

 > 10th percentile

(N = 352)

 < 10th percentile

(N = 341)

 > 50th percentile

(N = 346)

 < 50th percentile

(N = 347)

Interventions in place prior to event

 Vascular access

308 (87.5%)

320 (93.8%)

0.006b

301 (87.0%)

327 (94.2%)

0.001b

 Arterial catheter

130 (36.9%)

174 (51.0%)

 < .001b

152 (43.9%)

152 (43.8%)

1.000b

 Central venous catheter

208 (59.1%)

232 (68.0%)

0.018b

220 (63.6%)

220 (63.4%)

1.000b

 Vasoactive infusion

111 (31.5%)

167 (49.0%)

 < .001b

138 (39.9%)

140 (40.3%)

0.938b

 Invasive mechanical ventilation

224 (63.6%)

241 (70.7%)

0.052b

224 (64.7%)

241 (69.5%)

0.196b

 Non-invasive ventilation

78 (22.2%)

63 (18.5%)

0.258b

75 (21.7%)

66 (19.0%)

0.397b

 End-tidal CO2 monitoring

186 (52.8%)

226 (66.3%)

 < .001b

193 (55.8%)

219 (63.1%)

0.053b

Immediate causes of event

 Arrhythmia

55 (15.6%)

47 (13.8%)

0.521b

49 (14.2%)

53 (15.3%)

0.748b

 Cyanosis without respiratory decompensation

19 (5.4%)

9 (2.6%)

0.082b

18 (5.2%)

10 (2.9%)

0.128b

 Hypotension

118 (33.5%)

196 (57.5%)

 < .001b

139 (40.2%)

175 (50.4%)

0.008b

 Respiratory decompensation

241 (68.5%)

192 (56.3%)

 < .001b

225 (65.0%)

208 (59.9%)

0.182b

Vasoactive inotropic score (2 h prior to CPR)

0.0 [0.0, 0.8]

0.0 [0.0, 5.0]

 < .001c

0.0 [0.0, 5.0]

0.0 [0.0, 3.0]

0.113b

Duration of CPR (minutes)d

3.0 [1.0, 6.0]

4.0 [2.0, 8.0]

0.005c

3.0 [1.0, 6.0]

4.0 [2.0, 8.0]

0.012c

Duration of CPR categories (minutes)d

  

0.129b

  

0.011b

 < 6

247 (70.2%)

212 (62.2%)

 

244 (70.5%)

215 (62.0%)

 

 6–15

72 (20.5%)

83 (24.3%)

 

74 (21.4%)

81 (23.3%)

 

 16–35

26 (7.4%)

34 (10.0%)

 

24 (6.9%)

36 (10.4%)

 

 > 35

7 (2.0%)

12 (3.5%)

 

4 (1.2%)

15 (4.3%)

 

CPR timed

  

0.904b

  

0.899b

 Weekday

185 (52.6%)

184 (54.0%)

 

183 (52.9%)

186 (53.6%)

 

 Weeknight

57 (16.2%)

56 (16.4%)

 

55 (15.9%)

58 (16.7%)

 

 Weekend

110 (31.3%)

101 (29.6%)

 

108 (31.2%)

103 (29.7%)

 

First documented rhythm

  

0.514b

  

0.219b

 Pulseless electrical activity / asystole

132 (37.5%)

134 (39.3%)

 

124 (35.8%)

142 (40.9%)

 

 Ventricular fibrillation / tachycardia

17 (4.8%)

22 (6.5%)

 

17 (4.9%)

22 (6.3%)

 

 Bradycardia with poor perfusion

203 (57.7%)

185 (54.3%)

 

205 (59.2%)

183 (52.7%)

 

Pharmacologic interventions during event

 Epinephrine

214 (60.8%)

267 (78.3%)

 < .001b

226 (65.3%)

255 (73.5%)

0.021b

 Minutes to first epinephrine bolus

1.0 [0.0, 2.0]

1.0 [0.0, 2.0]

0.817c

1.0 [0.0, 2.0]

1.0 [0.0, 2.0]

0.099c

 Number of epinephrine boluses

2.0 [1.0, 3.0]

2.0 [1.0, 3.0]

0.713c

1.5 [1.0, 3.0]

2.0 [1.0, 3.0]

0.517c

 Atropine

46 (13.1%)

33 (9.7%)

0.188b

46 (13.3%)

33 (9.5%)

0.122b

 Calcium

60 (17.0%)

117 (34.3%)

 < .001b

76 (22.0%)

101 (29.1%)

0.036b

 Sodium bicarbonate

81 (23.0%)

135 (39.6%)

 < .001b

95 (27.5%)

121 (34.9%)

0.040b

 Vasopressin

5 (1.4%)

10 (2.9%)

0.199b

5 (1.4%)

10 (2.9%)

0.296b

 Fluid bolus

56 (15.9%)

72 (21.1%)

0.079b

53 (15.3%)

75 (21.6%)

0.040b

Vasoactive-inotropic score

 Vasoactive inotropic score 6 h post-arrest

  

 < .001b

  

0.006b

 None

207 (58.8%)

133 (39.0%)

 

178 (51.4%)

162 (46.7%)

 

 1–20

126 (35.8%)

158 (46.3%)

 

146 (42.2%)

138 (39.8%)

 

 > 20

19 (5.4%)

50 (14.7%)

 

22 (6.4%)

47 (13.5%)

 

Vasoactive inotropic score 24 h post-arrest

  

 < .001b

  

0.188b

 None

214 (60.8%)

153 (44.9%)

 

181 (52.3%)

186 (53.6%)

 

 1–20

123 (34.9%)

154 (45.2%)

 

146 (42.2%)

131 (37.8%)

 

 > 20

15 (4.3%)

34 (10.0%)

 

19 (5.5%)

30 (8.6%)

 

Outcomes

      

 Survival to hospital discharge

289 (82.1%)

224 (65.7%)

 < .001b

283 (81.8%)

230 (66.3%)

 < .001b

 Survival to hospital discharge with favorable neurologic outcome

269 (76.4%)

208 (61.0%)

 < .001b

267 (77.2%)

210 (60.5%)

 < .001b

  1. aPost-arrest systolic or diastolic thresholds defined as the minimum recorded systolic or diastolic blood pressure in the time period less than or equal to the 10th or 50th percentile for age, sex, and height, respectively
  2. bFishers Exact test
  3. cWilcoxon rank-sum test
  4. dCPR = Cardiopulmonary resuscitation