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Using the data from the All-Japan Utstein Registry, this study evaluates the neurologically favourable patient outcomes and associated factors of out-of-hospital cardiac arrest (OHCA) with Japanese schoolchildren as witnesses. We analysed 1,068 school-age children (6-18years old) who underwent OHCA from 2011 to 2016. Among the 1,068 cases, 179 were witnessed by schoolchildren and 889 were witnessed by other bystanders. Propensity score-matched and logistic regression analyses were used to evaluate the outcomes and associated factors. Th