Pediatric in-hospital CPR quality at night and on weekends.
Cardiopulmonary Resuscitation
/ methods
Child
Female
Heart Arrest
/ mortality
Heart Massage
/ methods
Hospital Mortality
Hospitals, Pediatric
/ standards
Humans
Male
Outcome and Process Assessment, Health Care
Quality of Health Care
/ organization & administration
Return of Spontaneous Circulation
Time Factors
Time Out, Healthcare
/ standards
United States
/ epidemiology
CPR
Cardiac arrest
Cardiopulmonary resuscitation
Chest compressions
Pediatric
Quality
Return of spontaneous circulation
Journal
Resuscitation
ISSN: 1873-1570
Titre abrégé: Resuscitation
Pays: Ireland
ID NLM: 0332173
Informations de publication
Date de publication:
01 01 2020
01 01 2020
Historique:
received:
25
07
2019
revised:
03
10
2019
accepted:
09
10
2019
pubmed:
18
11
2019
medline:
7
2
2021
entrez:
18
11
2019
Statut:
ppublish
Résumé
Survival after in-hospital cardiac arrest (IHCA) has been reported to be worse for arrests at night or during weekends.This study aimed to determine whether measured cardiopulmonary resuscitation (CPR) quality metrics might explain this difference in outcomes. IHCA data was collected by the Pediatric Resuscitation Quality (pediRES-Q) collaborative for patients <18 years. Metrics of CPR quality [chest compression rate, depth and fraction] were measured using monitordefibrillator pads, and events were compared by time of day and day of week. We evaluated 6915 sixty-second epochs of chest compression (CC) data from 239 subjects between October 2015 and March 2019, across 18 hospitals. There was no significant difference in CPR quality metrics during day (07:00-22:59) versus night (23:00-06:59), or weekdays (Monday 07:00 to Friday 22:59) versus weekends (Friday 23:00 to Monday 06:59).There was also no difference in rate of return of circulation. However, survival to hospital discharge was higher for arrests that occurred during the day (39.1%) vs. nights (22.4%, p = 0.015), as well as on weekdays (39.9%) vs. weekends (19.1%, p = 0.003). For pediatric IHCA where CC metrics were obtained, there was no significant difference in CPR quality metrics or rate of return of circulation by time of day or day of week. There was higher survival to hospital discharge when arrests occurred during the day (vs. nights), or on weekdays (vs. weekends), and this difference was not related to disparities in CC quality.
Identifiants
pubmed: 31734222
pii: S0300-9572(19)30693-8
doi: 10.1016/j.resuscitation.2019.10.039
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
56-63Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.