Chest compression quality and patient outcomes with the use of a CPR feedback device: A retrospective study
Abstract Feedback devices were developed to guide resuscitations as targets recommended by various guidelines are difficult to achieve. Yet, there is limited evidence to support their use for in-hospital cardiac arrests (IHCA), and they did not correlate with patient outcomes. Therefore, this study...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-11-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-46862-x |
| _version_ | 1797559584872726528 |
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| author | Wen Zhe Leo Damien Chua Hui Cheng Tan Vui Kian Ho |
| author_facet | Wen Zhe Leo Damien Chua Hui Cheng Tan Vui Kian Ho |
| author_sort | Wen Zhe Leo |
| collection | DOAJ |
| description | Abstract Feedback devices were developed to guide resuscitations as targets recommended by various guidelines are difficult to achieve. Yet, there is limited evidence to support their use for in-hospital cardiac arrests (IHCA), and they did not correlate with patient outcomes. Therefore, this study has investigated the compression quality and patient outcomes in IHCA with the use of a feedback device via a retrospective study of inpatient code blue activations in a Singapore hospital over one year. The primary outcome was compression quality and secondary outcomes were survival, downtime and neurological status. 64 of 110 (58.2%) cases were included. Most resuscitations (71.9%) met the recommended chest compression fraction (CCF, defined as the proportion of time spent on compressions during resuscitation) despite overall quality being suboptimal. Greater survival to discharge and better neurological status in resuscitated patients respectively correlated with higher median CCF (p = 0.040 and 0.026 respectively) and shorter downtime (p < 0.001 and 0.001 respectively); independently, a higher CCF correlated with a shorter downtime (p = 0.014). Overall, this study demonstrated that reducing interruptions is crucial for good outcomes in IHCA. However, compression quality remained suboptimal despite feedback device implementation, possibly requiring further simulation training and coaching. Future multicentre studies incorporating these measures should be explored. |
| first_indexed | 2024-03-10T17:47:29Z |
| format | Article |
| id | doaj.art-f98509283b0d400f97caaf92c55cb1cb |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-10T17:47:29Z |
| publishDate | 2023-11-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-f98509283b0d400f97caaf92c55cb1cb2023-11-20T09:29:14ZengNature PortfolioScientific Reports2045-23222023-11-011311910.1038/s41598-023-46862-xChest compression quality and patient outcomes with the use of a CPR feedback device: A retrospective studyWen Zhe Leo0Damien Chua1Hui Cheng Tan2Vui Kian Ho3Lee Kong Chian School of MedicineLee Kong Chian School of MedicineDepartment of Clinical Governance, Sengkang General HospitalDepartment of Intensive Care Medicine, Sengkang General HospitalAbstract Feedback devices were developed to guide resuscitations as targets recommended by various guidelines are difficult to achieve. Yet, there is limited evidence to support their use for in-hospital cardiac arrests (IHCA), and they did not correlate with patient outcomes. Therefore, this study has investigated the compression quality and patient outcomes in IHCA with the use of a feedback device via a retrospective study of inpatient code blue activations in a Singapore hospital over one year. The primary outcome was compression quality and secondary outcomes were survival, downtime and neurological status. 64 of 110 (58.2%) cases were included. Most resuscitations (71.9%) met the recommended chest compression fraction (CCF, defined as the proportion of time spent on compressions during resuscitation) despite overall quality being suboptimal. Greater survival to discharge and better neurological status in resuscitated patients respectively correlated with higher median CCF (p = 0.040 and 0.026 respectively) and shorter downtime (p < 0.001 and 0.001 respectively); independently, a higher CCF correlated with a shorter downtime (p = 0.014). Overall, this study demonstrated that reducing interruptions is crucial for good outcomes in IHCA. However, compression quality remained suboptimal despite feedback device implementation, possibly requiring further simulation training and coaching. Future multicentre studies incorporating these measures should be explored.https://doi.org/10.1038/s41598-023-46862-x |
| spellingShingle | Wen Zhe Leo Damien Chua Hui Cheng Tan Vui Kian Ho Chest compression quality and patient outcomes with the use of a CPR feedback device: A retrospective study Scientific Reports |
| title | Chest compression quality and patient outcomes with the use of a CPR feedback device: A retrospective study |
| title_full | Chest compression quality and patient outcomes with the use of a CPR feedback device: A retrospective study |
| title_fullStr | Chest compression quality and patient outcomes with the use of a CPR feedback device: A retrospective study |
| title_full_unstemmed | Chest compression quality and patient outcomes with the use of a CPR feedback device: A retrospective study |
| title_short | Chest compression quality and patient outcomes with the use of a CPR feedback device: A retrospective study |
| title_sort | chest compression quality and patient outcomes with the use of a cpr feedback device a retrospective study |
| url | https://doi.org/10.1038/s41598-023-46862-x |
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