OBJECTIVE: The epidemiology of pediatric cardiac arrest in Europe is largely unknown. We aimed to characterize pediatric cardiac arrest registries and obtain the first survival outcome data on pediatric cardiac arrest in Europe. DESIGN: This is a prospective multinational survey. SETTING: We surveyed all 53 countries in Europe asking about: the existence registries for pediatric out-of-hospital cardiac arrest (pOHCA) and/or in-hospital cardiac arrest (pIHCA)), the data collected, and the structure of the registries. Subsequently, we investigated outcomes (number of pOHCA/pIHCA since start of the registry, return of spontaneous circulation (ROSC), survival to hospital discharge/30-day survival) from the countries with active registries. PATIENTS AND INTERVENTIONS: We obtained information from 33 countries including 25 of the 27 European Union states. MEASUREMENTS AND MAIN RESULTS: Thirteen countries (39%) have an ongoing pediatric cardiac arrest registry (pOHCA: 11 countries, pIHCA: 8 countries). All use the Utstein template for data collection. Five countries (15%) collect data about CPR quality. Eleven countries (33%) expressed interest in European collaboration on registry data. Overall, 13 countries reported data on outcomes from a total of 17,708 pOHCAs and 2,743 pIHCAs. The ROSC rate after pOHCA ranges from 10% to 72% as compared to 60% to 72% after pIHCA. Survival to hospital discharge ranges from 16% to 39% after pOHCA as compared to 32% to 57% after pIHCA. CONCLUSIONS: Less than 40% of the European countries have a pOHCA and/or pIHCA registry, reporting a wide variety in survival rates, especially after pOHCA. More systematic data collection is needed to identify the real incidence and outcomes from pediatric cardiac arrest, ideally through a joint European registry.

Department of Anesthesiology and Critical Care Medicine Children's Hospital of Philadelphia S 34th St and Civic Center Blvd Philadelphia PA 19104 United States

Department of Congenital Heart Disease Pediatric Cardiology Deutsches Herzzentrum der Charité Augustenburger Platz 1 13353 Berlin Germany

Department of Medicine Randers Regional Hospital Skovlyvej 15 8930 Randers Denmark

Department of Neonatal and Pediatric Intensive Care Division of Pediatric Intensive Care Erasmus MC Sophia Children's Hospital Dr Molewaterplein 60 3015 GJ Rotterdam the Netherlands

Department of Pediatric Pneumonology Immunology and Intensive Care Charité University Medicine Berlin Augustenburger Platz 1 13353 Berlin Germany

Health Research Institute of the Gregorio Marañón Hospital Madrid Spain

Heart Center Leipzig University Hospital Leipzig Strümpellstraße 39 04289 Leipzig Germany

Medical Education University Medical Center Heidelberglaan 100 3584 CX Utrecht the Netherlands

Paediatric Anaesthesiology and Intensive Care Medicine University Hospital Brno Medical Faculty of Masaryk University Černopolní 212 9 662 63 Brno Czech Republic

Paediatric Intensive Care and Emergency Department Hôpital Universitaire des Enfants Université Libre de Bruxelles Avenue Jean Joseph Crocq 7 1020 Brussels Belgium

Paediatric Intensive Care Unit NH Hospital K Nemocnici 1106 14 268 01 Hořovice Czech Republic

Pediatric Intensive Care Department Great Ormond Street Hospital Guilford St London WC1N 3BH United Kingdom

Pediatric Intensive Care Department Gregorio Marañon University Hospital Calle de O'Donnell 48 Retiro 28009 Madrid Spain

Research Center for Emergency Medicine Aarhus University Hospital Palle Juul Jensens Blvd 161 8200 Aarhus Denmark

SAMUR Protección Civil Rda de las Provincias 7 Moncloa Aravaca 28011 Madrid Spain

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