Title

A quantitative analysis of out-of-hospital pediatric and adolescent resuscitation quality - A report from the ROC epistry-cardiac arrest

Document Type

Journal Article

Publisher

Elsevier

Faculty

Health, Engineering and Science

School

School of Medical Sciences

RAS ID

21483

Comments

This article was originally published as: Sutton, R. M., Case, E., Brown, S. P., Atkins, D. L., Nadkarni, V. M., Kaltman, J., ... & ROC Investigators. (2015). A quantitative analysis of out-of-hospital pediatric and adolescent resuscitation quality–A report from the ROC epistry-cardiac arrest. Resuscitation. Original article available here

Abstract

Aim: High-quality cardiopulmonary resuscitation (CPR) may improve survival. The quality of CPR performed during pediatric out-of-hospital cardiac arrest (p-OHCA) is largely unknown. The main objective of this study was to describe the quality of CPR performed during p-OHCA resuscitation attempts. Methods: Prospective observational multi-center cohort study of p-OHCA patients ≥1 and(ROC) Epistry database. The primary outcome was an a priori composite variable of compliance with American Heart Association (AHA) guidelines for both chest compression (CC) rate and CC fraction (CCF). Event compliance was defined as a case with 60% or more of its minute epochs compliant with AHA targets (rate 100-120min-1; depth ≥38mm; and CCF ≥0.80). In a secondary analysis, multivariable logistic regression was used to evaluate the association between guideline compliance and return of spontaneous circulation (ROSC). Results: Between December 2005 and December 2012, 2564 pediatric events were treated by EMS providers, 390 of which were included in the final cohort. Of these events, 22% achieved AHA compliance for both rate and CCF, 36% for rate alone, 53% for CCF alone, and 58% for depth alone. Over time, there was a significant increase in CCF (p

DOI

10.1016/j.resuscitation.2015.04.010

Access Rights

Open access

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