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Resuscitation practices in hospitals caring for children: Insights from get with the guidelines-resuscitation
BACKGROUND: Resuscitation practices in pediatric hospitals have not been compared, and whether practices differ between freestanding pediatric only hospitals and combined hospitals (which care for adults and children) is unknown. METHODS: We surveyed hospitals that submit data on pediatric in-hospit...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9076952/ https://www.ncbi.nlm.nih.gov/pubmed/35535342 http://dx.doi.org/10.1016/j.resplu.2021.100199 |
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author | Chan, Jesse L. Nallamothu, Brahmajee K. Tang, Yuanyuan Roberts, Joan S. Kennedy, Mary Trumpower, Brad Chan, Paul S. |
author_facet | Chan, Jesse L. Nallamothu, Brahmajee K. Tang, Yuanyuan Roberts, Joan S. Kennedy, Mary Trumpower, Brad Chan, Paul S. |
author_sort | Chan, Jesse L. |
collection | PubMed |
description | BACKGROUND: Resuscitation practices in pediatric hospitals have not been compared, and whether practices differ between freestanding pediatric only hospitals and combined hospitals (which care for adults and children) is unknown. METHODS: We surveyed hospitals that submit data on pediatric in-hospital cardiac arrest (IHCA) to Get-With-The Guidelines®-Resuscitation, to elicit information on resuscitation practices. Hospitals were categorized as pediatric only and combined hospitals, and rates of resuscitation practices were compared. RESULTS: Thirty-three hospitals with ≥5 IHCA events between 2017–2019 completed the survey, of which 9 (27.3%) were pediatric only and 24 (72.7%) were combined hospitals. Overall, 18 (54.5%) hospitals used a device to measure chest compression quality, 16 (48.5%) had a staff member monitor chest compression quality, 10 (30.3%) used lanyards or hats to designate code leaders during a resuscitation, 16 (48.5%) routinely conducted code debriefings immediately after a resuscitation, and 7 (21.2%) conducted mock codes at least quarterly with 17 (51.5%) reporting no set schedule. Pediatric only hospitals were more likely to employ a device to measure chest compressions (88.9% vs. 41.7%; P = 0.02), conduct code debriefings always or frequently after resuscitations (77.8% vs. 37.5%, P = 0.04), use lanyards or a hat to designate the code team leader during resuscitations (66.7% vs. 16.7%, P = 0.006), and allow nurses to defibrillate using an AED (77.8% vs. 29.2%, P = 0.01). There were no differences in simulation frequency or other resuscitation practices between the two hospital groups. CONCLUSIONS: Across hospitals caring for children, substantial variation exists in resuscitation practices, with notable differences between pediatric only and combined hospitals. |
format | Online Article Text |
id | pubmed-9076952 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-90769522022-05-08 Resuscitation practices in hospitals caring for children: Insights from get with the guidelines-resuscitation Chan, Jesse L. Nallamothu, Brahmajee K. Tang, Yuanyuan Roberts, Joan S. Kennedy, Mary Trumpower, Brad Chan, Paul S. Resusc Plus Clinical Paper BACKGROUND: Resuscitation practices in pediatric hospitals have not been compared, and whether practices differ between freestanding pediatric only hospitals and combined hospitals (which care for adults and children) is unknown. METHODS: We surveyed hospitals that submit data on pediatric in-hospital cardiac arrest (IHCA) to Get-With-The Guidelines®-Resuscitation, to elicit information on resuscitation practices. Hospitals were categorized as pediatric only and combined hospitals, and rates of resuscitation practices were compared. RESULTS: Thirty-three hospitals with ≥5 IHCA events between 2017–2019 completed the survey, of which 9 (27.3%) were pediatric only and 24 (72.7%) were combined hospitals. Overall, 18 (54.5%) hospitals used a device to measure chest compression quality, 16 (48.5%) had a staff member monitor chest compression quality, 10 (30.3%) used lanyards or hats to designate code leaders during a resuscitation, 16 (48.5%) routinely conducted code debriefings immediately after a resuscitation, and 7 (21.2%) conducted mock codes at least quarterly with 17 (51.5%) reporting no set schedule. Pediatric only hospitals were more likely to employ a device to measure chest compressions (88.9% vs. 41.7%; P = 0.02), conduct code debriefings always or frequently after resuscitations (77.8% vs. 37.5%, P = 0.04), use lanyards or a hat to designate the code team leader during resuscitations (66.7% vs. 16.7%, P = 0.006), and allow nurses to defibrillate using an AED (77.8% vs. 29.2%, P = 0.01). There were no differences in simulation frequency or other resuscitation practices between the two hospital groups. CONCLUSIONS: Across hospitals caring for children, substantial variation exists in resuscitation practices, with notable differences between pediatric only and combined hospitals. Elsevier 2022-03-17 /pmc/articles/PMC9076952/ /pubmed/35535342 http://dx.doi.org/10.1016/j.resplu.2021.100199 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 | Clinical Paper Chan, Jesse L. Nallamothu, Brahmajee K. Tang, Yuanyuan Roberts, Joan S. Kennedy, Mary Trumpower, Brad Chan, Paul S. Resuscitation practices in hospitals caring for children: Insights from get with the guidelines-resuscitation |
title | Resuscitation practices in hospitals caring for children: Insights from get with the guidelines-resuscitation |
title_full | Resuscitation practices in hospitals caring for children: Insights from get with the guidelines-resuscitation |
title_fullStr | Resuscitation practices in hospitals caring for children: Insights from get with the guidelines-resuscitation |
title_full_unstemmed | Resuscitation practices in hospitals caring for children: Insights from get with the guidelines-resuscitation |
title_short | Resuscitation practices in hospitals caring for children: Insights from get with the guidelines-resuscitation |
title_sort | resuscitation practices in hospitals caring for children: insights from get with the guidelines-resuscitation |
topic | Clinical Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9076952/ https://www.ncbi.nlm.nih.gov/pubmed/35535342 http://dx.doi.org/10.1016/j.resplu.2021.100199 |
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