Chest compression rates and pediatric in-hospital cardiac arrest survival outcomes

Resuscitation
Robert M SuttonEunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear

Abstract

The primary aim of this study was to evaluate the association between chest compression rates and 1) arterial blood pressure and 2) survival outcomes during pediatric in-hospital cardiopulmonary resuscitation (CPR). Prospective observational study of children ≥37 weeks gestation and <19 years old who received CPR in an intensive care unit (ICU) as part of the Pediatric Intensive Care Unit Quality of CPR Study (PICqCPR) of the Collaborative Pediatric Critical Care Research Network (CPCCRN). Arterial blood pressure and compression rate were determined from manually extracted arterial line waveform data during the first 10 min of CPR. The primary outcome was survival to hospital discharge. Modified Poisson regression models assessed the association between rate categories (80-<100, 100-120 [Guidelines], >120-140, >140) and outcomes. Compression rate data were available for 164 patients. More than half (98/164; 60%) were <1 year old. Return of circulation was achieved in 148/164 (90%); survival to hospital discharge in 77/164 (47%). Percentage of events with average rate within Guidelines was 32.9%. Compared to Guidelines, higher rate categories were associated with lower systolic blood pressures (>120-140, p = 0.010; >140, p = 0.0...Continue Reading

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Citations

Apr 30, 2019·Current Opinion in Pediatrics·Sage R Myers, Aaron J Donoghue
Aug 2, 2019·Critical Care Medicine·Robert M SuttonUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
Aug 28, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Andrew R YatesUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
Apr 30, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Dailys Garcia-JordaElaine Gilfoyle
Apr 18, 2020·Critical Care Medicine·Ryan W MorganUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development/Collaborative Pediatric Critical Care Resear
Jun 25, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Lindsey TroyUNKNOWN Revive Initiative at Stanford Children’s Health
Jun 28, 2019·Frontiers in Veterinary Science·Íde GillespieManuel Boller
May 16, 2019·Current Opinion in Pediatrics·Sage R Myers, Aaron J Donoghue
Oct 9, 2020·Cold Spring Harbor Molecular Case Studies·Erica SanfordMatthew N Bainbridge
Aug 23, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jakob MühlbacherKarl Schebesta
Jan 7, 2021·Circulation. Arrhythmia and Electrophysiology·Jeffrey A RobinsonRichard J Czosek
Mar 29, 2021·Resuscitation·Patrick Van de VoordeIan Maconochie
Mar 29, 2021·Resuscitation·Theresa M OlasveengenGavin D Perkins
Jun 8, 2021·Notfall & Rettungsmedizin·Theresa M OlasveengenGavin D Perkins
Jun 8, 2021·Notfall & Rettungsmedizin·Patrick Van de VoordeIan Maconochie
May 20, 2021·Pediatric Emergency Care·Michael PetersAlexandre Ghuysen

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