The Impact of Integration of Ultrasound on CPR Quality - A Video Review Study

The Impact of Integration of Ultrasound on CPR Quality - A Video Review

High-quality cardiopulmonary resuscitation (CPR) is essential for return of spontaneous circulation (ROSC) in patients with cardiac arrest. However, some factors are known to be related with delays in chest compressions such as bed transfer, setting of CPR device, pulse and rhythm checks. This study aims to evaluate the potential impact of ultrasound on CPR quality by using retrospective video analysis.

All CPR scenarios in our department were recorded and masked for the purpose of video analysis. The investigators will record in-scene resuscitation manpower, the factors to interrupt chest compressions and whether introducing ultrasound into resuscitation process is related with delays in chest compressions. In addition, the investigators collect the patient's sex, age, initial rhythm and prognosis, including ROSC, survival to admission and survival to discharge.

Study Overview

• Status: Completed
• Conditions: Cardiopulmonary Resuscitation
• Intervention / Treatment: Behavioral: ultrasound use during resuscitation

• Study Type: Observational
• Enrollment (Actual): 200

Contacts and Locations

Study Locations

• Taiwan
  • Taipei, Taiwan, 100
    • National Taiwan University Hospital
  • Taipei, Taiwan
    • Department of Emergency Medicine, National Taiwan University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Adult patients (more than 20 years) with non-traumatic cardiac arrest at the emergency department of the National Taiwan University Hospital.

Description

Inclusion Criteria:

adult patients (more than 20 years) non-traumatic cardiac arrest

Exclusion Criteria:

traumatic cardiac arrest age less than 20 years.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
ultrasound use during resuscitation; The group with ultrasound integrated into the resuscitation efforts.	Behavioral: ultrasound use during resuscitation; ultrasound use during resuscitation
no ultrasound use during resuscitation; The group without ultrasound integrated into the resuscitation efforts.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Ultrasound use would not delay in chest compressions during resuscitation.	chest compression fraction (chest compression time/total resuscitation time) between two groups.	60 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Ultrasound use would not influence the rates of return of spontaneous circulation.	rates of return of spontaneous circulation.	60 mintues
Ultrasound use would not influence the rates of survival to admission.	rates of survival to admision between two groups.	7 days.
Ultrasound use would not influence the rates of survival to discharge.	rates of survival to discharge between two groups.	3 months.

Collaborators and Investigators

• Sponsor: National Taiwan University Hospital

Study record dates

Study Major Dates

• Study Start (Actual): April 1, 2018
• Primary Completion (Actual): September 30, 2019
• Study Completion (Actual): September 30, 2019

Study Registration Dates

• First Submitted: September 30, 2018
• First Submitted That Met QC Criteria: October 3, 2018
• First Posted (Actual): October 4, 2018

Study Record Updates

• Last Update Posted (Actual): May 12, 2021
• Last Update Submitted That Met QC Criteria: May 10, 2021
• Last Verified: September 1, 2018

More Information

Terms related to this study

• Other Study ID Numbers: 201807084RINB

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No