{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T23:56:55Z","timestamp":1790553415907,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>National data on pediatric in\u2010hospital cardiac arrest (pIHCA) are limited, and cohorts from highly specialized pediatric centers may not reflect the broader hospital population. We aimed to describe pIHCA reported across Swedish hospitals, with particular focus on hospitals outside the two national centers for highly specialized pediatric cardiac care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective observational registry study included patients aged 0\u201318\u2009years with pIHCA reported to the Swedish Registry for Cardiopulmonary Resuscitation between January 1, 2005 and September 25, 2025. Cases from the two highly specialized centers were analyzed separately and as part of the complete national registry\u2010reported cohort. The primary outcome was 30\u2010day survival; secondary outcomes included return of spontaneous circulation (ROSC) and 1\u2010year survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 525 pIHCA events, 344 occurred outside the two highly specialized centers and 181 at these centers. In the broader Swedish hospital population, 31.7% of arrests occurred on hospital wards, 26.2% in emergency departments, and 22.7% in intensive care units. CPR was initiated immediately in 81.4% of events. Forty\u2010nine percent survived to 30\u2009days, and 44% to 1 year. At the two highly specialized centers, infants, congenital heart disease, and arrests in intensive care units were substantially more common, and 30\u2010day survival was 70%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patient characteristics, arrest location, and survival differed substantially between the broader Swedish hospital population and the two highly specialized centers. These findings highlight the heterogeneity of pIHCA across hospital settings and the importance of considering hospital type and case mix when interpreting pIHCA data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Editorial Comment<\/jats:title>\n                    <jats:p>Pediatric patient in\u2010hospital cardiac arrest is uncommon, though they registered in a national database in Sweden. This analysis presents 20\u2009years of experience and follow\u2010up for these cases describing associated factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aas.70346","type":"journal-article","created":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T23:49:52Z","timestamp":1790552992000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A National Pediatric Cohort Study on In\u2010Hospital Cardiac Arrest in Sweden"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4871-4151","authenticated-orcid":false,"given":"Hannah","family":"Fovaeus","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Pediatrics Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6558-6282","authenticated-orcid":false,"given":"Johan","family":"Holmen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesiology and Intensive Care Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5093-9743","authenticated-orcid":false,"given":"Zacharias","family":"Mandalenakis","sequence":"additional","affiliation":[{"name":"Department of Molecular and Clinical Medicine, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Medicine, Adult Congenital Unit Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3254-7441","authenticated-orcid":false,"given":"Matilda Frisk","family":"Torell","sequence":"additional","affiliation":[{"name":"Department of Molecular and Clinical Medicine, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Cardiology Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6171-9182","authenticated-orcid":false,"given":"Mattias","family":"Molin","sequence":"additional","affiliation":[{"name":"Statistiska Konsultgruppen  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Araz","family":"Rawshani","sequence":"additional","affiliation":[{"name":"Department of Molecular and Clinical Medicine, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Cardiology Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6387-8855","authenticated-orcid":false,"given":"Albert Gyllencreutz","family":"Castellheim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Pediatric Anesthesiology and Intensive Care Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"100902","DOI":"10.1016\/j.resplu.2025.100902","article-title":"Pediatric Cardiac Arrest Registries and Survival Outcomes: A European Study","volume":"22","author":"Markel F.","year":"2025","journal-title":"Resuscitation Plus"},{"key":"e_1_2_10_3_1","unstructured":"A.Rawshani \u201cSwedish Register for Cadiopulmonary Resuscitation Annual Report 2020 \u201d2021 https:\/\/arsrapporter.registercentrum.se\/shlr\/20210929\/."},{"issue":"3","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1097\/MCC.0b013e32832931e1","article-title":"Cardiopulmonary Resuscitation in Children","volume":"15","author":"Topjian A. 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