Quantitative Analysis of CPR Quality During In-Hospital Resuscitation of Older Children and Adolescents

Few data exist on pediatric cardiopulmonary resuscitation (CPR) quality. This study is the first to evaluate actual in-hospital pediatric CPR. We hypothesized that with bedside CPR training and corrective feedback, CPR quality can approach American Heart Association (AHA) targets. Using CPR recordin...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2009-08, Vol.124 (2), p.494-499
Main Authors: Sutton, Robert M, Niles, Dana, Nysaether, Jon, Abella, Benjamin S, Arbogast, Kristy B, Nishisaki, Akira, Maltese, Matthew R, Donoghue, Aaron, Bishnoi, Ram, Helfaer, Mark A, Myklebust, Helge, Nadkarni, Vinay
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - education
Cardiopulmonary Resuscitation - instrumentation
Cardiopulmonary Resuscitation - standards
Child
CPR
CPR (First aid)
Curriculum
Defibrillators - standards
Demographic aspects
Emergency Service, Hospital - standards
Equipment Design
Feasibility
Feedback, Psychological
General aspects
Guideline Adherence - standards
Health participants
Health Services Research - statistics & numerical data
Heart Arrest - therapy
Hospitals
Hospitals, Pediatric - standards
Humans
Inservice Training - standards
Intensive Care Units, Pediatric - standards
Medical sciences
Miscellaneous
Pediatric emergencies
Pediatrics
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality Assurance, Health Care - standards
Quality management
Signal Processing, Computer-Assisted
Studies
Teenagers
United States
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Description
Summary:Few data exist on pediatric cardiopulmonary resuscitation (CPR) quality. This study is the first to evaluate actual in-hospital pediatric CPR. We hypothesized that with bedside CPR training and corrective feedback, CPR quality can approach American Heart Association (AHA) targets. Using CPR recording/feedback defibrillators, quality of CPR was assessed for patients >or=8 years of age who suffered a cardiac arrest in the PICU or emergency department (ED). Before and during the study, a bedside CPR training program was initiated. Between October 2006 and February 2008, twenty events in 18 patients met inclusion criteria and resulted in 36749 evaluable chest compressions (CCs) during 392.3 minutes of arrest. CCs were shallow (
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2008-1930