Cardiopulmonary resuscitation (CPR) coach presence is associated with increased cardiopulmonary resuscitation guideline adherence in pediatric in-hospital cardiac arrest: a retrospective cohort study
Authors' conclusion
Implementation of a CPR coach was associated with improved rate of ROSC compared to pre-coach implementation. Significant improvement was seen in compliance with target depth, but not with rate or chest compression fraction.
Study context
- Population
- Patients <18 years with cardiac arrest in the pediatric intensive care unit (PICU) of a quaternary free-standing children's hospital, August 2017 to October 2022
- Participants
- 93 in-hospital cardiac arrest (IHCA) events
- Exposure
- After vs before trained CPR coach implementation
- Pre-CPR coachn = 29reference
- Post-implementationn = 52
- Outcome
- Chest compression quality (CPR guideline adherence)
Methodological detailssingle-centre, before-after
- Single-centre
- Before-after
Main finding
As reported in the abstract
CPR depth compliance
- CPR depth compliance improved from 0% to 31%
- p < 0.001
Observational data: associations, not effects.
Further findings
- Return of spontaneous circulation (ROSC) — ROSC increased from 38% to 69% following implementation of CPR coaching · ROSC increased from 38% to 69%
- P = 0.006 · P = 0.006
Original publication
CPR coach presence is associated with increased cardiopulmonary resuscitation guideline adherence in pediatric in-hospital cardiac arrest: a retrospective cohort study. Resuscitation. Published 4 June 2025. doi:10.
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