50% of these without neurological deficits. Two to ten percent of the children who are resuscitated in the prehospital setting survive. Survival rates for paediatric and adult OHCAs are equally poor. The incidence for paediatric out-of-hospital-cardiac-arrests (OHCA) is rather uniform throughout developed countries with 7.3-9.1-cases per 100 000 person-years. Both rules therefore appear not to be transferable to a paediatric population. The proportion of CPRs that could have been abandoned is 48.2% for the BLS-TOR and only 10.3% for the ALS-TOR-rule. ALS-TOR-criteria did not give false predictions of death. Retrospective application of the BLS-TOR-rule in our patient cohort identified the resuscitation of one later survivor as futile. ALS-TOR-criteria for death had a sensitivity of 10.3%, specificity of 100%, a PPV of 100% and an NPV of 35%. Sensitivity for BLS-TOR-criteria predicting death was 48.3%, specificity 92.9%, the PPV 93.3% and the NPV 46.4%. ResultsĢ6 patients achieved ROSC and 14 were discharged alive ( n = 7 PCPC 1/2, n = 7 PCPC 5). Morrison’s BLS- and ALS-TOR-rules as well as the Trauma-TOR-criteria by the American Association of EMS Physicians were evaluated for application in children, by calculating sensitivity, specificity, negative and positive predictive value for death-, as well as survival-prediction in our cohort. 43 paediatric patients admitted to our institution after emergency-medical-system (EMS)-confirmed OHCA from 2003 to 2013 were included. We performed a retrospective analysis of an eleven-year single centre patient cohort. Our goal was to find out to which extent existing TOR-criteria can be transferred to paediatric OHCA-patients with special regard to their prognostic value. Termination-of-resuscitation (TOR)-criteria aim to preclude futile resuscitation efforts. The duration of CPR varies considerably and transportation of patients under CPR is often unsuccessful. Only a small number of patients survive out-of-hospital-cardiac-arrest (OHCA).
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