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

on behalf of the ROC Investigators

Research output: Contribution to journalArticle

48 Citations (Scopus)

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 -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

Original languageEnglish (US)
Pages (from-to)150-157
Number of pages8
JournalResuscitation
Volume93
DOIs
StatePublished - Aug 1 2015

Fingerprint

Out-of-Hospital Cardiac Arrest
Pediatric Hospitals
Cardiopulmonary Resuscitation
Heart Arrest
Resuscitation
Compliance
Cohort Studies
Logistic Models
Guidelines
Pediatrics
Survival

Keywords

  • Cardiopulmonary resuscitation
  • Emergency medical services
  • Pediatric

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency
  • Emergency Medicine

Cite this

A quantitative analysis of out-of-hospital pediatric and adolescent resuscitation quality - A report from the ROC epistry-cardiac arrest. / on behalf of the ROC Investigators.

In: Resuscitation, Vol. 93, 01.08.2015, p. 150-157.

Research output: Contribution to journalArticle

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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 -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",
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author = "{on behalf of the ROC Investigators} and Sutton, {Robert M.} and Erin Case and Brown, {Siobhan P.} and Atkins, {Dianne L.} and Nadkarni, {Vinay M.} and Jonathan Kaltman and Clifton Callaway and Ahamed Idris and Graham Nichol and Jamie Hutchison and Drennan, {Ian R.} and Michael Austin and Daya, {Mohamud Ramzan} and Sheldon Cheskes and Jack Nuttall and Heather Herren and James Christenson and Dug Andrusiek and Christian Vaillancourt and Menegazzi, {James J.} and Rea, {Thomas D.} and Berg, {Robert A.}",
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AU - Brown, Siobhan P.

AU - Atkins, Dianne L.

AU - Nadkarni, Vinay M.

AU - Kaltman, Jonathan

AU - Callaway, Clifton

AU - Idris, Ahamed

AU - Nichol, Graham

AU - Hutchison, Jamie

AU - Drennan, Ian R.

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AU - Cheskes, Sheldon

AU - Nuttall, Jack

AU - Herren, Heather

AU - Christenson, James

AU - Andrusiek, Dug

AU - Vaillancourt, Christian

AU - Menegazzi, James J.

AU - Rea, Thomas D.

AU - Berg, Robert A.

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N2 - 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 -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

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