Maayke Hunfeld

84 Chapter 3 Figure 3. Treatment consequences across Europe once decided prognosis is futile 3.4 Follow-up In 28 PICUs (68%) CA survivors were scheduled for regular follow-up visits as standard of care, mainly performed by paediatric neurologists (96%) and intensivists (40%). All first follow-up visits were scheduled within 6 months. Subsequent outpatient visits depended on the medical condition (42%) or the presence of a standardised follow-up program (27%) (Appendix B, supplementary table S5). Fifty-six percent of respondents routinely performed neuropsychological assessment during follow-up. Discussion This survey among members of ESPNIC and EPNS showed that methods to assess neurological outcome in children surviving CA but in comatose condition were mainly neurological examination (GCS and brainstem reflexes), MRI and EEG. Local guidelines for neuro-prognostication in comatose children after CA are uncommon in most