Cardiac arrest & resuscitation
Association between barriers of resuscitation and chest compression quality metrics during in-hospital cardiac arrest resuscitation attempts
Authors' conclusion
Barriers were frequently reported during IHCA and were associated with a significantly lower odds for a CCF ≥80% but not significantly associated with the longest pause duration and guideline-compliant chest compression rates.
Study context
- Population
- In-hospital cardiac arrest (IHCA) cardiopulmonary resuscitation (CPR) attempts with complete defibrillator and survey data, four hospitals, 2017–2022
- Participants
- 313 IHCAs
- Exposure
- IHCAs with vs without barriers reported by cardiac arrest team members
- Barriers reportedn = 133
- Outcome
- Key chest compression quality metrics measured from defibrillators (CCF ≥80%, longest pause duration, guideline-compliant compression rate)
Methodological detailsmixed-methods, multicentre (four hospitals)
- Mixed-methods
- Multicentre (four hospitals)
Main finding
As reported in the abstract
Chest compression quality metrics
Barriers vs No barriersOdds ratio (95% CI)
CCF ≥80%
0.55(0.35–0.89)
Guideline-compliant compression rate
1.02(0.64–1.62)
- Longest pause duration
- increase in longest pause duration 3.21 s (95% CI −1.91 to 8.38)
- Events with barriers reported
- 133 (42.5%)
Observational data: associations, not effects.
Further findings
Guideline-compliant compression rate, by barrier category (subgroup)
| OR (95% CI) | ||
|---|---|---|
| Communication barriers | 0.53 (0.29–0.95) | |
| 0.20.5125Odds ratio (log scale) |
- Teamwork and CPR quality barriers not associated
Original publication
Association between barriers of resuscitation and chest compression quality metrics during in-hospital cardiac arrest resuscitation attempts. Resuscitation. Published 25 February 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →