Cardiac arrest & resuscitation
Multi-phase implementation of automated external defibrillator use by nurses during in-hospital cardiac arrest and its impact on survival
Authors' conclusion
The implementation of a medical directive allowing for AED use by nurses successfully improved key outcomes for IHCA victims, particularly following the theory-based education video and among the VF/VT group.
Study context
- Population
- Consecutive in-hospital cardiac arrests with attempted resuscitationIn-hospital cardiac arrest (IHCA)
- Participants
- 753 arrests
- Exposure
- AED use by nurses vs before implementation
- Beforen = 195reference
- Phase 1n = 372
- Phase 2n = 186
- Outcome
- Survival
Methodological detailspragmatic multi-phase, health record review
- Pragmatic multi-phase
- Health record review
Main finding
As reported in the abstract
- Survival across Before, Phase 1 and 2
- P = 0.37
- No survival benefit overall
- 1.2%; p = 0.37
Observational data: associations, not effects.
Further findings
AED used
ROSC
Time to 1st analysis
Time to 1st shock
- Time to 1st analysis — Across phases
- p < 0.0001
- Time to 1st shock — Across phases
- p = 0.32
- Return of spontaneous circulation (ROSC) — Across phases
- p = 0.77
VF/VT subgroup (n = 165)
- Time to 1st analysis decreased by 5 min
- P = 0.01
- Time to 1st shock decreased by 6 min
- P = 0.23
- ROSC increased by 3.0%
- P = 0.80
- Survival increased by 15.6%
- P = 0.31
Survival, noncardiac-monitored areas
- No survival benefit
- −7.2%; p = 0.24
Original publication
Multi-phase implementation of automated external defibrillator use by nurses during in-hospital cardiac arrest and its impact on survival. Resuscitation. Published 19 February 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →