The association of recent simulation training and clinical experience of team leaders with cardiopulmonary resuscitation quality during in-hospital cardiac arrest.

Autor: Wittig J; Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Denmark; Department of Medicine, Randers Regional Hospital, Randers, Denmark., Løfgren B; Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Department of Medicine, Randers Regional Hospital, Randers, Denmark., Nielsen RP; Department of Anaesthesiology and Intensive Care, Gødstrup Hospital, Herning, Denmark., Højbjerg R; Emergency Department, Aarhus University Hospital, Aarhus, Denmark., Krogh K; Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark., Kirkegaard H; Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Denmark., Berg RA; Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA., Nadkarni VM; Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA., Lauridsen KG; Research Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Denmark; Department of Medicine, Randers Regional Hospital, Randers, Denmark; Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA; Department of Anaesthesiology and Intensive Care, Randers Regional Hospital, Randers, Denmark. Electronic address: kglerup@clin.au.dk.
Jazyk: angličtina
Zdroj: Resuscitation [Resuscitation] 2024 Jun; Vol. 199, pp. 110217. Date of Electronic Publication: 2024 Apr 20.
DOI: 10.1016/j.resuscitation.2024.110217
Abstrakt: Objective: We aimed to investigate the association of recent team leader simulation training (<6 months) and years of clinical experience (≥4 years) with chest compression quality during in-hospital cardiac arrest (IHCA).
Methods: This cohort study of IHCA in four Danish hospitals included cases with data on chest compression quality and team leader characteristics. We assessed the impact of recent simulation training and experienced team leaders on longest chest compression pause duration (primary outcome), chest compression fraction (CCF), and chest compression rates within guideline recommendations using mixed effects models.
Results: Of 157 included resuscitation attempts, 45% had a team leader who recently participated in simulation training and 66% had an experienced team leader. The median team leader experience was 7 years [Q1; Q3: 4; 11]. The median duration of the longest chest compression pause was 16 s [10; 30]. Having a team leader with recent simulation training was associated with significantly shorter longest pause durations (difference: -7.11 s (95%-CI: -12.0; -2.2), p = 0.004), a higher CCF (difference: 3% (95%-CI: 2.0; 4.0%), p < 0.001) and with less guideline compliant chest compression rates (odds ratio: 0.4 (95%-CI: 0.19; 0.84), p = 0.02). Having an experienced team leader was not associated with longest pause duration (difference: -1.57 s (95%-CI: -5.34; 2.21), p = 0.42), CCF (difference: 0.7% (95%-CI: -0.3; 1.7), p = 0.17) or chest compression rates within guideline recommendations (odds ratio: 1.55 (95%-CI: 0.91; 2.66), p = 0.11).
Conclusion: Recent simulation training of team leaders, but not years of team leader experience, was associated with shorter chest compression pauses during IHCA.
Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: JW serves as the Chair of the Young European Resuscitation Council (ERC). VMN is an executive committee member of ILCOR. He serves on the executive committee of the Society of Critical Care Medicine (SCCM), but the views expressed in this manuscript are his, and are not intended to represent the opinion of the SCCM. VMN & RAB serves as editorial board members of Resuscitation. KGL is a member of the ILCOR Education, Implementation and Teams Task Force, serves as the Young ERC Resuscitation Plus Editor, and is an ERC Advanced Life Support Science and Education Committee member. BL, RPN, RH, KK, HK, and RAB declared no competing interest for this work.
(Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: