Pediatric anesthesia & critical care

Association of cardiopulmonary resuscitation (CPR) simulation program characteristics with simulated and actual performance during paediatric in-hospital cardiac arrest

ResuscitationPublished Secondary analysis of the ICU-RESUScitation Project cluster randomised trial

Authors' conclusion

Point-of-care simulation characteristics were associated with both simulated and actual CPR performance.

Study context

Population
Multidisciplinary intensive care unit (ICU) staff in point-of-care CPR simulations; children 37 weeks post-conceptual age to 18 years receiving chest compressions in the ICU, October 2016–March 2021
Participants
18,912 point-of-care simulations
Comparison
Characteristics of point-of-care CPR simulation training
Methodological detailspre-specified, prospective, multicentre, cluster randomized, 18 ICUs
  • Pre-specified
  • Prospective
  • Multicentre
  • Cluster randomized
  • 18 ICUs

Primary result

As reported in the abstract

  • Site, participant discipline and timing of simulation training associated with both simulated and actual CPR performance
  • Simulation characteristics not associated with survival with favourable neurologic outcome

Further findings

Top 3 vs bottom 3 sites for improvement in survival with favourable neurologic outcome

Top 3 sites' participants more likely to have had a simulation in the past month, on a weekday day, to be nurses, and to achieve targeted compression depth and chest compression fraction goals in simulations

Original publication

Association of CPR simulation program characteristics with simulated and actual performance during paediatric in-hospital cardiac arrest. Resuscitation. Published 23 August 2023. doi:10.1016/j.resuscitation.2023.109939

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