Cardiac arrest & resuscitation
Effectiveness of a Novel Tablet Application in Reducing Guideline Deviations During Pediatric Cardiac Arrest: A Randomized Clinical Trial
Authors' conclusion
In this randomized clinical trial, the use of the PediAppRREST app resulted in fewer deviations from guidelines and a better team clinical performance during the management of pediatric cardiac arrest.
Study context
- Population
- Teams of residents in pediatrics, emergency medicine and anesthesiology managing a standardized simulated nonshockable in-hospital pediatric cardiac arrest, 4 Italian university hospitals100 teams
- Participants
- 300 participants
- Comparison
- PediAppRREST tablet app vs Pediatric Advanced Life Support (PALS) pocket card vs no cognitive aid
- PediAppRRESTn = 32
- PALS controln = 35reference
- Null controln = 33reference
- Primary endpoint
- Number of deviations from guidelines (15-item checklist based on guideline recommendations)
Methodological detailsmulticentre, 3-group, simulation-based, intention-to-treat, Outcomes assessed via video reviews of the scenarios
- Multicentre
- 3-group
- Simulation-based
- Intention-to-treat
- Outcomes assessed via video reviews of the scenarios
Primary result
As reported in the abstract
Number of deviations from guidelines
Mean difference (95% CI)P value
PediAppRREST vs PALS control
−3.0(−4.0 to −1.9)
P < 0.001PediAppRREST vs Null control
−2.6(−3.6 to −1.5)
P < 0.001Secondary outcomes
| Outcome | Mean difference (95% CI) | P value | |
|---|---|---|---|
| Team clinical performance (Clinical Performance Tool score)PediAppRREST vs PALS control | 1.4 (0.4–2.3) | P = 0.002 | |
| Team clinical performance (Clinical Performance Tool score)PediAppRREST vs Null control | 1.1 (0.2–2.1) | P = 0.01 | |
| −10123Difference (linear scale) |
Quality of chest compressions and perceived team leader's workload
- Did not significantly differ among the study groups
Original publication
Effectiveness of a Novel Tablet Application in Reducing Guideline Deviations During Pediatric Cardiac Arrest: A Randomized Clinical Trial. JAMA Netw Open. Published 1 August 2023. doi:10.
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