Visual Feedback of CPR: Does Point of View Matter?
Providing Visual Feedback of Quality of CPR During Pediatric Cardiac Arrest: Does Point of View Matter?
調査の概要
詳細な説明
Pediatric cardiac arrest leads to significant productive years lost, and has a huge emotional impact on families and caregivers. High quality CPR is the most important predictor for outcome in cardiac arrest. Human visual observation is commonly used and important to evaluate CPR quality. Interestingly, the accuracy of healthcare providers' visual assessment of CPR quality is unknown.
Primary Objective: To determine the accuracy of visual CPR assessment. Secondary Objective: 1) To identify the optimal position relative to the patient for accurate CPR assessment. 2) To determine health care practitioners' accuracy in identifying CPR errors.
Methods: We will videotape both good quality CPR and poor quality CPR in a simulated resuscitation. We will record 4 videos, one depicting high quality CPR, and 3 depicting the most common mistakes made when performing chest compressions, and these will be videotaped from the foot, head and side of the patient. Pediatric acute care professionals will be recruited to watch a randomized set of all 12 video clips, and fill out a brief and simple questionnaire on their assessment of the quality of the CPR being performed.
To assess the accuracy of the CPR quality, quantitative data on the quality of the CPR being performed during each of the 4 videotaped events will be captured and confirmed using a Laerdal CPRcard© (depth and rate) and the paediatric simulator SimJr© (recoil).
Operative definitions:
- Chest compression depth: defined as the maximum posterior deflection of the sternum prior to chest recoil. In order to be accurate a non-compressible surface must be beneath the patient. It is considered shallow is it is less than 50 mm and deep is greater than 60mm. Adequate chest compression depth is defined as being between 50-60 mm.
- Chest compression rate: defined as the frequency of chest compressions per minute. It is considered slow if less than 100 chest compressions are performed per minute, and too fast if greater than 120 compressions are performed per minute. This rate will be calculated during 60 seconds intervals while chest compressions are provided. Adequate chest compression rate is defined as being between 100 and 120 compressions per minute.
- Incomplete release of compressions/Recoil: defined as "leaning" phenomenon in which force is not completely removed during compressions. This is best reported by a simple binary measure: complete or incomplete (>2500g residual leaning force). Adequate recoil will be complete chest wall recoil.
Primary Outcome Measures: Proportion of healthcare providers who are accurate in their visual assessment of CPR quality.
Secondary Outcome Measures:
- Proportion of healthcare practitioners who accurately report CPR quality from position in relation to the patient (head, side and foot of bed).
- Proportion of healthcare practitioners accurately identifying CPR errors (rate, depth, recoil).
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
Alberta
-
Calgary、Alberta、カナダ、T3B6A8
- KidSim-Aspire Simulation Research Lab, Alberta Children's Hospital
-
-
参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Pediatric acute care healthcare providers: such as nurses, nurse practitioners, respiratory therapists, physicians, residents, fellows
- Those who work in ER or ICU setting regularly or rotate through this setting
- Basic Life Support (BLS), Pediatric Advanced Life Support (PALS) or Advanced Cardiac Life Support (ACLS) certification within the past two years
Exclusion Criteria:
- Anyone who has participated previously in the study
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:独身
武器と介入
参加者グループ / アーム |
介入・治療 |
---|---|
実験的:Pediatric Acute Care Professionals
Individuals must work in ER or ICU setting regularly or rotate through this setting with up to date BLS/PALS/ACLS certification.
The participants will be required to rate the CPR based on accuracy for each video shown.
The type of CPR error(s) shown to the individuals will be randomized.
|
Participants will be randomly assigned 12 videos to watch and rate the CPR quality of each.
Investigators will be blind to the identity of the participants.
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
時間枠 |
---|---|
Proportion of healthcare providers who are accurate in their visual assessment of CPR quality.
時間枠:Data is anticipated to be presented 4 months after it is collected.
|
Data is anticipated to be presented 4 months after it is collected.
|
二次結果の測定
結果測定 |
時間枠 |
---|---|
Proportion of healthcare practitioners who accurately report CPR quality from position in relation to the patient (head, side and foot of bed).
時間枠:Data is anticipated to be presented 4 months after data is collected.
|
Data is anticipated to be presented 4 months after data is collected.
|
Proportion of healthcare practitioners accurately identifying CPR errors (rate, depth, recoil).
時間枠:Data is anticipated to be presented about 4 months after it is collected.
|
Data is anticipated to be presented about 4 months after it is collected.
|
協力者と研究者
スポンサー
捜査官
- 主任研究者:Adam Cheng, MD, FRCPC、University of Calgary
出版物と役立つリンク
一般刊行物
- Atkins DL, Everson-Stewart S, Sears GK, Daya M, Osmond MH, Warden CR, Berg RA; Resuscitation Outcomes Consortium Investigators. Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest. Circulation. 2009 Mar 24;119(11):1484-91. doi: 10.1161/CIRCULATIONAHA.108.802678. Epub 2009 Mar 9.
- Jones A, Lin Y, Nettel-Aguirre A, Gilfoyle E, Cheng A. Visual assessment of CPR quality during pediatric cardiac arrest: does point of view matter? Resuscitation. 2015 May;90:50-5. doi: 10.1016/j.resuscitation.2015.01.036. Epub 2015 Feb 26.
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- CPR Point of View
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
CPR Quality Assessmentの臨床試験
-
Shiraz University of Medical SciencesShiraz education development center完了
-
Ottawa Hospital Research InstituteCanadian Frailty Network; The Ottawa Hospital Academic Medical Association完了
-
Children's Hospital of PhiladelphiaLaerdal Medical完了
-
University of MichiganNational Heart, Lung, and Blood Institute (NHLBI); Food and Drug Administration (FDA); Physio-...完了体外膜酸素化 | 心停止 | 心停止 | 心肺機能蘇生 | 死、突然、心臓 | 突然の心停止 | 心肺停止 | CPR | 体外心肺蘇生法アメリカ