Variability in chest compression rate calculations during pediatric cardiopulmonary resuscitation.
American Heart Association Guideline
Cardiopulmonary resuscitation
Chest compression rate
Journal
Resuscitation
ISSN: 1873-1570
Titre abrégé: Resuscitation
Pays: Ireland
ID NLM: 0332173
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
30
08
2019
revised:
14
01
2020
accepted:
21
01
2020
pubmed:
24
2
2020
medline:
22
6
2021
entrez:
24
2
2020
Statut:
ppublish
Résumé
The mathematical method used to calculate chest compression (CC) rate during cardiopulmonary resuscitation varies in the literature and across device manufacturers. The objective of this study was to determine the variability in calculated CC rates by applying four published methods to the same dataset. This study was a secondary investigation of the first 200 pediatric cardiac arrest events with invasive arterial line waveform data in the ICU-RESUScitation Project (NCT02837497). Instantaneous CC rates were calculated during periods of uninterrupted CCs. The defined minimum interruption length affects rate calculation (e.g., if an interruption is defined as a break in CCs ≥ 2 s, the lowest possible calculated rate is 30 CCs/min). Average rates were calculated by four methods: 1) rate with an interruption defined as ≥ 1 s; 2) interruption ≥ 2 s; 3) interruption ≥ 3 s; 4) method #3 excluding top and bottom quartiles of calculated rates. American Heart Association Guideline-compliant rate was defined as 100-120 CCs/min. A clinically important change was defined as ±5 CCs/min. The percentage of events and epochs (30 s periods) that changed Guideline-compliant status was calculated. Across calculation methods, mean CC rates (118.7-119.5/min) were similar. Comparing all methods, 14 events (7%) and 114 epochs (6%) changed Guideline-compliant status. Using four published methods for calculating CC rate, average rates were similar, but 7% of events changed Guideline-compliant status. These data suggest that a uniform calculation method (interruption ≥ 1 s) should be adopted to decrease variability in resuscitation science.
Identifiants
pubmed: 32088254
pii: S0300-9572(20)30079-4
doi: 10.1016/j.resuscitation.2020.01.040
pmc: PMC7296394
mid: NIHMS1570802
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
127-133Subventions
Organisme : NHLBI NIH HHS
ID : R01 HL131544
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1 HD050096
Pays : United States
Organisme : NICHD NIH HHS
ID : P2C HD047879
Pays : United States
Organisme : NICHD NIH HHS
ID : UG1 HD063108
Pays : United States
Organisme : NICHD NIH HHS
ID : RL1 HD107773
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD049934
Pays : United States
Investigateurs
Athena F Zuppa
(AF)
Martha Sisko
(M)
David L Wessel
(DL)
Elyse Tomanio
(E)
Mark W Hall
(MW)
Lisa Steele
(L)
Sabrina Heidemann
(S)
Ann Pawluszka
(A)
Todd Carpenter
(T)
Ruth Grosskreuz
(R)
Tina Day
(T)
Anne McKenzie
(A)
Ericka L Fink
(EL)
Leighann Koch
(L)
Theresa Kirkpatrick
(T)
Tanaya Deshmukh
(T)
Ramany John
(R)
Kylee Arbogast
(K)
Melissa Pederson
(M)
Russel Telford
(R)
Whitney Colemam
(W)
Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
Références
Resuscitation. 2009 Aug;80(8):909-12
pubmed: 19467759
Crit Care Med. 2012 Nov;40(11):2940-4
pubmed: 22932398
Circulation. 2018 Apr 24;137(17):1784-1795
pubmed: 29279413
Resuscitation. 2018 Sep;130:159-166
pubmed: 30031055
Heart. 2015 Dec;101(24):1943-9
pubmed: 26385451
Resuscitation. 2009 Nov;80(11):1259-63
pubmed: 19733427
Circulation. 2015 Sep 15;132(11):1030-7
pubmed: 26253757
Circulation. 2015 Sep 15;132(11):1049-70
pubmed: 26130121
Heart Rhythm. 2018 Feb;15(2):248-255
pubmed: 28917561
Resuscitation. 2007 Sep;74(3):406-17
pubmed: 17391831
Resuscitation. 2013 Feb;84(2):168-72
pubmed: 22960227
Resuscitation. 2015 Jan;86:38-43
pubmed: 25447039
Ann Emerg Med. 1999 Feb;33(2):195-205
pubmed: 9922416
Crit Care Med. 1997 Dec;25(12):1951-5
pubmed: 9403741
Resuscitation. 2015 May;90:133-7
pubmed: 25772540
Circulation. 2014 Nov 25;130(22):1962-70
pubmed: 25252721
Pediatrics. 2006 Dec;118(6):2424-33
pubmed: 17142528
Circulation. 2015 Oct 20;132(16 Suppl 1):S51-83
pubmed: 26472859
Circulation. 2005 Feb 1;111(4):428-34
pubmed: 15687130
Pediatr Crit Care Med. 2006 Jul;7(4):301-7
pubmed: 16738501
Pediatrics. 2011 Jul;128(1):e145-51
pubmed: 21646262
Crit Care Med. 2016 Apr;44(4):798-808
pubmed: 26646466
Circ Cardiovasc Qual Outcomes. 2013 Jan 1;6(1):42-9
pubmed: 23250980
JAMA Pediatr. 2017 Jan 1;171(1):39-45
pubmed: 27820606
Crit Care Med. 2014 Jul;42(7):1688-95
pubmed: 24717462
Crit Care Med. 2015 Apr;43(4):840-8
pubmed: 25565457
Resuscitation. 2019 Jun;139:1-8
pubmed: 30946924
Circulation. 2001 Nov 13;104(20):2465-70
pubmed: 11705826
Circulation. 2013 Jul 23;128(4):417-35
pubmed: 23801105
Trials. 2018 Apr 3;19(1):213
pubmed: 29615134