Resuscitation Registry in CHD
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Cardiac Arrest, Congenital Heart Disease. Basic parameters: up to 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Germany
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Pediatric Resuscitation Outcome in Children With Heart Disease
Overview
Children with congenital heart defects are far more likely to suffer a cardiovascular arrest and be in the need of cardiopulmonary resuscitation than healthy children or those with diseases of other organ systems, especially after cardiothoracic surgery. Due to a lack of data, the exact number of resuscitations in this patient cohort, as well as the morbidity and mortality, is unknown. This study aims to register all cardiovascular arrests in pediatric patients with congenital heart disease and study the mortality and morbidity with a special focus on the neurodevelopmental outcome.
Detailed description
Background and aim: Children with heart defects, especially those after heart surgery, have an up to ten times higher risk for an in-hospital cardiac arrest, compared to children without heart disease. Although this patient cohort is particularly vulnerable, these events and outcomes are not systematically monitored in Germany. We designed a prospective multicenter-registry study aiming to record in-hospital cardiac arrests of children with congenital- (CHD) and acquired heart disease in Germany.
Methods: A web-based registry was designed, prospectively collecting data (patient´s demographics, CPR data, post-resuscitation care and clinical course, neurological outcome and follow-up), according to the Utstein template. All children (0-18 years) with heart disease suffering a cardiac arrest requiring resuscitation of ≥ two minutes will be included. The primary outcome is survival to discharge, the secondary outcome is morbidity, with a particular focus on neurological morbidity. An inclusion of 10-20 children/centre/year is anticipated. As this is an observational study, no intervention is planned.
Results: This registry will provide data on the mortality, early and mid-term neurologic outcome, and quality of life after cardiac arrest of children with heart disease in Germany. Correlations between patients´ characteristics, resuscitation characteristics and post-resuscitation care with primary and secondary outcomes will be analyzed.
Conclusions: By systematically recording and analyzing the outcome after in-hospital cardiac arrest in children with CHD, this study is an important first step to close knowledge gaps regarding the risk factors and outcome of cardiac arrest in this patient group, and aims to improve care and outcomes of these vulnerable patients.
Primary outcome measures
- survival to hospital discharge [Time frame: until the date of discharge or death from any cause, whichever came first, assessed up to 2 months]
Secondary outcome measures (2)
- Number of return of spontaneous circulation [Time frame: until the date of discharge or spontaneous circulation from any cause, whichever came first, assessed up to 2 months]
- Rate of morbidity [Time frame: until 2 years]
Eligibility criteria
Inclusion criteria
- congenital heart defects, congenital heart arrhythmia, familial cardiomyopathies, inflammatory heart diseases
- pediatric resuscitation (chest compressions ≥2min) in hospital or on arrival in hospital
- age <18 years
- informed consent of the parents or legal representative
Exclusion criteria
- absence or withdrawal of informed consent of the parents or legal representative
- do-not-resuscitate-order (DNR)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Case-only
Study locations
Germany · 3 centers
- Herzzentrum Leipzig — Leipzig
- Deutsches Herzzentrum Berlin — Berlin
- Universitätsklinikum Bonn (AöR) — Bonn
Publications
- Markel F, Kramer P, Anand J, Heimberg E, Herbsleb V, Amann V, Herberg U, von Borell du Vernay F, Seidemann K, Liem L, Michaelis A, Schmitt K, Weidenbach M. Paediatric Resuscitation Outcome in Children with Heart Disease (ProCHD): protocol of a Germany-wide multicentre, prospective open registry. BMJ Open. 2026 Jan 8;16(1):e107163. doi: 10.1136/bmjopen-2025-107163. PMID 41506771
Identifiers
NCT: NCT05373498 · 2020-0450