Cardiac arrest & resuscitation
In-hospital cardiac arrest rhythm analysis by anesthesiologists: a diagnostic performance study
Authors' conclusion
Anesthesiologist-intensivists were quickly and effectively able to analyze rhythms in this simulation-based study.
Study context
- Population
- Anesthesiologist-intensivists analysing in-hospital cardiac arrest rhythms in simulationof 267 contacted
- Participants
- 179 participants
- Outcome
- Overall diagnostic performance: overall sensitivity (decisions to shock for shockable rhythms) and specificity (decisions not to shock for nonshockable rhythms)
Methodological detailssimulation-based, multicentre, prospective, observational, May 2019 to March 2020
- Simulation-based
- Multicentre
- Prospective
- Observational
- May 2019 to March 2020
Performance
As reported in the abstract
Overall diagnostic performance (overall sensitivity and specificity)
Median [IQR] overall sensitivity
88 [79-95]%
Median overall specificity
86 [77-92]%
Secondary outcomes
Sensitivity by shockable rhythm
- Median [IQR] sensitivity, ventricular tachycardia (VT)
- 100 [100-100]%
- Median [IQR] sensitivity, coarse ventricular fibrillation (VF)
- 100 [100-100]%
- Median [IQR] sensitivity, fine VF
- 60 [20-100]%
Specificity by nonshockable rhythm
- Median [IQR] specificity, asystole
- 93 [86-100]%
- Median [IQR] specificity, pulseless electrical activity
- 83 [72-86]%
Decision-making time
- Median decision times ranged
- 2.0 to 3.5 sec
Original publication
In-hospital cardiac arrest rhythm analysis by anesthesiologists: a diagnostic performance study. Can J Anaesth. Published 26 October 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →