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Longitudinal effect of high frequency training on CPR performance during simulated and actual pediatric cardiac arrest

STUDY AIM: To determine the impact of high-frequency CPR training on performance during simulated and real pediatric CPR events in a pediatric emergency department (ED). METHODS: Prospective observational study. A high-frequency CPR training program (Resuscitation Quality Improvement (RQI)) was impl...

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Autores principales: Donoghue, Aaron, Heard, Debra, Griffin, Russell, Abbadessa, Mary Kate, Gaines, Shannon, Je, Sangmo, Hanna, Richard, Erbayri, John, Myers, Sage, Niles, Dana, Nadkarni, Vinay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244246/
https://www.ncbi.nlm.nih.gov/pubmed/34223376
http://dx.doi.org/10.1016/j.resplu.2021.100117
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author Donoghue, Aaron
Heard, Debra
Griffin, Russell
Abbadessa, Mary Kate
Gaines, Shannon
Je, Sangmo
Hanna, Richard
Erbayri, John
Myers, Sage
Niles, Dana
Nadkarni, Vinay
author_facet Donoghue, Aaron
Heard, Debra
Griffin, Russell
Abbadessa, Mary Kate
Gaines, Shannon
Je, Sangmo
Hanna, Richard
Erbayri, John
Myers, Sage
Niles, Dana
Nadkarni, Vinay
author_sort Donoghue, Aaron
collection PubMed
description STUDY AIM: To determine the impact of high-frequency CPR training on performance during simulated and real pediatric CPR events in a pediatric emergency department (ED). METHODS: Prospective observational study. A high-frequency CPR training program (Resuscitation Quality Improvement (RQI)) was implemented among ED providers in a children’s hospital. Data on CPR performance was collected longitundinally during quarterly retraining sessions; scores were analyzed between quarter 1 and quarter 4 by nonparametric methods. Data on CPR performance during actual patient events was collected by simultaneous combination of video review and compression monitor devices to allow measurement of CPR quality by individual providers; linear mixed effects models were used to analyze the association between RQI components and CPR quality. RESULTS: 159 providers completed four consecutive RQI sessions. Scores for all CPR tasks during retraining sessions significantly improved during the study period. 28 actual CPR events were captured during the study period; 49 observations of RQI trained providers performing CPR on children were analyzed. A significant association was found between the number of prior RQI sessions and the percent of compressions meeting guidelines for rate (β coefficient -0.08; standard error 0.04; p = 0.03). CONCLUSIONS: Over a 15 month period, RQI resulted in improved performance during training sessions for all skills. A significant association was found between number of sessions and adherence to compression rate guidelines during real patient events. Fewer than 30% of providers performed CPR on a patient during the study period. Multicenter studies over longer time periods should be undertaken to overcome the limitation of these rare events.
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spelling pubmed-82442462021-07-02 Longitudinal effect of high frequency training on CPR performance during simulated and actual pediatric cardiac arrest Donoghue, Aaron Heard, Debra Griffin, Russell Abbadessa, Mary Kate Gaines, Shannon Je, Sangmo Hanna, Richard Erbayri, John Myers, Sage Niles, Dana Nadkarni, Vinay Resusc Plus Training and Education STUDY AIM: To determine the impact of high-frequency CPR training on performance during simulated and real pediatric CPR events in a pediatric emergency department (ED). METHODS: Prospective observational study. A high-frequency CPR training program (Resuscitation Quality Improvement (RQI)) was implemented among ED providers in a children’s hospital. Data on CPR performance was collected longitundinally during quarterly retraining sessions; scores were analyzed between quarter 1 and quarter 4 by nonparametric methods. Data on CPR performance during actual patient events was collected by simultaneous combination of video review and compression monitor devices to allow measurement of CPR quality by individual providers; linear mixed effects models were used to analyze the association between RQI components and CPR quality. RESULTS: 159 providers completed four consecutive RQI sessions. Scores for all CPR tasks during retraining sessions significantly improved during the study period. 28 actual CPR events were captured during the study period; 49 observations of RQI trained providers performing CPR on children were analyzed. A significant association was found between the number of prior RQI sessions and the percent of compressions meeting guidelines for rate (β coefficient -0.08; standard error 0.04; p = 0.03). CONCLUSIONS: Over a 15 month period, RQI resulted in improved performance during training sessions for all skills. A significant association was found between number of sessions and adherence to compression rate guidelines during real patient events. Fewer than 30% of providers performed CPR on a patient during the study period. Multicenter studies over longer time periods should be undertaken to overcome the limitation of these rare events. Elsevier 2021-04-10 /pmc/articles/PMC8244246/ /pubmed/34223376 http://dx.doi.org/10.1016/j.resplu.2021.100117 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Training and Education
Donoghue, Aaron
Heard, Debra
Griffin, Russell
Abbadessa, Mary Kate
Gaines, Shannon
Je, Sangmo
Hanna, Richard
Erbayri, John
Myers, Sage
Niles, Dana
Nadkarni, Vinay
Longitudinal effect of high frequency training on CPR performance during simulated and actual pediatric cardiac arrest
title Longitudinal effect of high frequency training on CPR performance during simulated and actual pediatric cardiac arrest
title_full Longitudinal effect of high frequency training on CPR performance during simulated and actual pediatric cardiac arrest
title_fullStr Longitudinal effect of high frequency training on CPR performance during simulated and actual pediatric cardiac arrest
title_full_unstemmed Longitudinal effect of high frequency training on CPR performance during simulated and actual pediatric cardiac arrest
title_short Longitudinal effect of high frequency training on CPR performance during simulated and actual pediatric cardiac arrest
title_sort longitudinal effect of high frequency training on cpr performance during simulated and actual pediatric cardiac arrest
topic Training and Education
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244246/
https://www.ncbi.nlm.nih.gov/pubmed/34223376
http://dx.doi.org/10.1016/j.resplu.2021.100117
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