This is a prospective, observational, multi-center cohort study of pediatric cardiac arrests. The purpose of the study is to determine the association between chest compression mechanics (rate, depth, flow fraction, compression release) and patient outcomes. In addition, the investigators will determine the association of post cardiac arrest care with patient outcomes.
Cardiac arrests in children are a major public health problem. Thousands of children each year in the USA are treated with cardiopulmonary resuscitation (CPR) and managed after their cardiac arrest. Neurological outcomes following these in-hospital CPR events are often abnormal. As children with neurological deficits following CPR are a major burden for families and society, improving neurological outcomes through superior chest compression delivery during CPR and optimal care and management after cardiac arrest is an important clinical goal. Therefore, the objective of this investigation is to obtain evidentiary support to associate the relationship of quantitative CPR quality data (depth, rate, chest compressions (CC) fraction, compression release) during CPR, post-cardiac arrest care (PCAC) and patient survival in those children who suffer an arrest within the study (RES-Q) Network.
Study Type
OBSERVATIONAL
Enrollment
7,000
Aggregate score composed of American Heart Association (AHA) recommended depth, rate, and chest compression fraction during CPR
Primary outcome: "Guideline-compliant CPR" which will be determined by an aggregate score comprised of the following three components: depth, rate, and chest compression fraction. The three components will be analyzed in 30 and 60 second epochs. "Guideline-compliant CPR" requires that each component meet the following criteria: 1) Age-determined American Heart Association (AHA) guideline recommended depth; 2) rate ≥ 90 and ≤ 120 CC/min; and 3) CC Fraction ≥ 0.80. Depth, rate, and CC Fraction will be calculated for each epoch and an aggregate score will be assigned. The primary analysis will be performed on that total score.
Time frame: 10 Years
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Kaiser Permanente
Los Angeles, California, United States
RECRUITINGCedars-Sinai Medical Center
Los Angeles, California, United States
RECRUITINGValley Children's Hospital
Madera, California, United States
RECRUITINGChldren's Hospital of Orange County
Orange, California, United States
RECRUITINGStanford University
Palo Alto, California, United States
RECRUITINGRady Children's Hospital
San Diego, California, United States
RECRUITINGChildren's Colorado
Aurora, Colorado, United States
RECRUITINGNemours Children's Hospital
Wilmington, Delaware, United States
RECRUITINGAll Children's Hospital
St. Petersburg, Florida, United States
NOT_YET_RECRUITINGChildren's Healthcare of Atlanta (CHOA)
Atlanta, Georgia, United States
RECRUITING...and 51 more locations