ArticleResuscitation plus2026
Pediatric in-hospital life-threatening emergencies and cardiac arrest in France: adherence to international guidelines and barriers to implementation.
Article in Resuscitation plus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
8 authors.
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Abstract
Background: Pediatric in-hospital cardiac arrest (pIHCA) and pediatric in-hospital life-threatening emergencies (pIHLTE) are rare but require rapid, coordinated, guideline-based responses. Little is known about hospitals organization and adherence to international recommendations for these situations. This study evaluated practices regarding the prevention, management, and follow-up of pIHLTE and pIHCA. Methods: A nationwide cross-sectional survey was sent to all French hospitals providing pediatric care (November 2023-December 2024). Questionnaire assessed adherence to 15 recommendations from European Resuscitation Council guidelines, covering prevention, treatment, and post-event processes. Analyses were conducted at hospital level. Results: Among 263 eligible hospitals, 181 (68.8%) responded. Adherence to individual recommendations ranged from 25% to 100%. All hospitals reported an emergency call system, an pediatric advanced life support (PALS) response, and personnel trained in advanced pediatric cardiopulmonary resuscitation (CPR). Hospitals followed a median of 10/15 recommendations (IQR 7-12), and 36% met more than 11. Dedicated PALS teams existed in 35% centers; response times <3 min concerned 41%. Training remained inconsistent, with only 48% offering comprehensive Pediatric Basic Life Support (PBLS)/PALS programs. Debriefing practices varied: 60% conducted them routinely, 25% performed none. Barriers included time constraints (65%), medical (52%) or paramedical (48%) staffing shortages. Conclusion: This nationwide study identifies key gaps in alignment with European guidelines for pIHCA and pIHLTE in France. Standardized emergency call numbers, minimum PALS certification coverage, and mandated debriefing and audit processes might improve care quality and consistency.
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