Maayke Hunfeld

216 Chapter 7 provide care by an educational psychologist to monitor these children during their development into adulthood and to provide parents a realistic view of the strengths and weakness in their child’s intellectual functioning. Neuropsychological assessment should include intelligence scores, attention, processing speed, memory and executive functioning. Moreover, psychosocial functioning, quality of life and participation, may add useful information regarding functioning of OHCA children in daily life. Furthermore, to improve outcome, it is important to provide OHCA children and their families with resources and education after critical illness and PICU admission (36) . In 2021, a pediatric core outcome set for CA in children (P-COSCA) has been developed, with the purpose to avoid inconsistencies in research regarding outcome after pediatric CA (37) . A core set of 5 outcomes was identified; survival, brain function, cognitive function, physical function, and basic daily life skills at different time points post-CA. Additionally, a scientific statement has been published recently describing many outcome domains after sudden CA, not only for the individuals themselves, but also for their care providers and community (38) . We recommend that future research on outcome after CA should adhere to these scientific statements. To answer the” growing into deficit” question, larger cohorts should be assessed into adulthood. One possible way to achieve this is to establish a long-term follow- up program within multicenter international collaborations like the Pediatric Resuscitation Quality Collaborative (PediRES-Q) (39) . Conclusions Outcome expressed in PCPC was good in the majority of paediatric OHCA survivors at 3-6 months and 24 months post-OHCA. Neuropsychological assessment showed adverse outcome at 3-6 and 24 months, in domains of attention and intelligence, although most children returned to their original school. PCPC scores were not associated with intelligence scores. Due to the relatively young age of our cohort, follow-up should continue over a longer life span in order to fully understand the long-term consequences and impact of OHCA in childhood.