Pediatric anesthesia & critical care
Sustained Performance of Cardiac Arrest Prevention in Pediatric Cardiac Intensive Care Units
Main finding · Risk-adjusted IHCA incidenceResult — go to the resultOdds ratio 1.03 95% CI 0.89–1.19Authors' conclusion
In this cohort study of all CICU admissions across 17 hospitals, IHCA prevention was feasible and sustainable; the established reduction in risk-adjusted IHCA rate was maintained for at least 2 years after the end of the CAP project.
Study context
- Population
- Admissions to pediatric cardiac intensive care units (CICUs) of 17 PC4 cardiac arrest prevention (CAP)-participating hospitals17 hospitals
- Participants
- 16,284 vs 13,082
- Exposure
- Follow-up era vs CAP era
- Follow-up eran = 16,284
- CAP eran = 13,082reference
- Outcome
- Risk-adjusted IHCA incidence rate across all admissions
Methodological detailsmulticentre, before-after comparison of eras, hospital survey
- Multicentre
- Before-after comparison of eras
- Hospital survey
Main finding
Risk-adjusted IHCA incidence
Odds ratio
1.03
95% CI 0.89–1.19
By group
As reported in the abstract
Observational data: associations, not effects.
Further findings
Risk-adjusted in-hospital cardiac arrest (IHCA) incidence in medical, surgical, high-risk subgroups (subgroup)
- No difference between eras
Hospital quality improvement (QI) sustainability score vs odds of IHCA in follow-up vs CAP era
- Lower score correlated with higher odds of IHCA (correlation coefficient)
- −0.58
- P = .02
Hospitals with ≥1% increase in risk-adjusted IHCA rate in follow-up era
- Hospitals with increase
- 5
- These hospitals had significantly lower QI sustainability scores, less adoption of sustainability elements and less persistent engagement
Original publication
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