期刊
RESUSCITATION
卷 93, 期 -, 页码 150-157出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.resuscitation.2015.04.010
关键词
Pediatric; Cardiopulmonary resuscitation; Emergency medical services
资金
- University of Washington Data Coordinating Center from the NHLBI [5U01 HL077863]
- University of Iowa from the NHLBI [HL077865]
- Medical College of Wisconsin from the NHLBI [HL077866]
- University of Washington from the NHLBI [HL077867]
- University of Pittsburgh from the NHLBI [HL077871]
- St. Michael's Hospital from the NHLBI [HL077872]
- Oregon Health and Science University from the NHLBI [HL077873]
- University of Alabama at Birmingham from the NHLBI [HL077881]
- Ottawa Hospital Research Institute from the NHLBI [HL077885]
- University of Texas SW Medical Ctr/Dallas from the NHLBI [HL077887]
- University of California, San Diego from the NHLBI [HL077908]
- National Institute of Neurological Disorders and Stroke (NINDS)
- U.S. Army Medical Research & Material Command
- Canadian Institutes of Health Research (CIHR) - Institute of Circulatory and Respiratory Health
- Defense Research and Development Canada
- Heart, Stroke Foundation of Canada
- AHA
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT [K23HD062629] Funding Source: NIH RePORTER
- NATIONAL HEART, LUNG, AND BLOOD INSTITUTE [R01HL117979, U01HL077885, U01HL077866, U01HL077887, U01HL077863, U01HL077908, U01HL077881, U01HL077873, U01HL077867, U01HL077872, U01HL077865, U01HL077871] Funding Source: NIH RePORTER
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 <19 years of age registered in the Resuscitation Outcomes Consortium (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 100-120 min(-1); depth >= 38 mm; 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 < 0.001) and depth (p = 0.03). After controlling for potential confounders, there was no significant association between AHA guideline compliance and ROSC. Conclusions: In this multi-center study, we have established that there are opportunities for professional rescuers to improve prehospital CPR quality. Encouragingly, CCF and depth both increased significantly over time. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
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