Real-Time Assessment of Factors Impacting Prognostic Predictions After Pediatric Cardiac Arrest: A Single-Center Prospective Study

Megan McSherry; Bingqing Zhang; Lauren Louderback; Aubree Little; Kathleen E. Walsh; Craig A. Press; Jennifer McGuire; R Ichord; Matthew P. Kirschen; Charlotte Woods-Hill; Alexis Topjian

doi:10.1097/pcc.0000000000003965

May 20, 2026Pediatric Critical Care Medicine

Real-Time Assessment of Factors Impacting Prognostic Predictions After Pediatric Cardiac Arrest: A Single-Center Prospective Study

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Key Points

This study aims to identify clinical factors that providers use in real time to predict survival and neurologic outcomes in children after cardiac arrest.
Single center prospective observational study conducted at The Children's Hospital of Philadelphia.
Participants included 64 children resuscitated from in-hospital and out-of-hospital cardiac arrest.
Mixed-effect models analyzed factors reported by 245 unique providers over 7 days post-arrest.
Baseline neurologic function and clinical neurologic examination were most frequently reported factors influencing prognosis.
Reliance on intra-arrest factors decreased while reliance on neuromonitoring and neuroimaging increased over time.
Factor use varied significantly by provider discipline and patient characteristics.

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Implication

Single-center prospective study examines factors affecting survival predictions in children post-cardiac arrest, highlighting variability by provider and patient traits.

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Cite This Study

McSherry et al. (2026) studied this question.

synapsesocial.com/papers/6a0ff43fd674f7c03778d803 https://doi.org/10.1097/pcc.0000000000003965

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Real-Time Assessment of Factors Impacting Prognostic Predictions After Pediatric Cardiac Arrest: A Single-Center Prospective Study

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Real-Time Assessment of Factors Impacting Prognostic Predictions After Pediatric Cardiac Arrest: A Single-Center Prospective Study

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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