Evidence map›Paper›PMID 25531167›Full record

Trial reportJAMA pediatrics2015

Improving cardiopulmonary resuscitation with a CPR feedback device and refresher simulations (CPR CARES Study): a randomized clinical trial.

Adam Cheng, Linda L Brown, Jonathan P Duff, Jennifer Davidson, Frank Overly, Nancy M Tofil, Dawn T Peterson, Marjorie L White, Farhan Bhanji, Ilana Bank and 17 more

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in JAMA pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 pooled it
18.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02075450 nacompletednot on this map

Assessing and Improving the Quality of Cardiopulmonary Resuscitation (CPR) Delivered During Simulated Pediatric Cardiac Arrest Using a Novel Pediatric CPR Feedback Device

TypeinterventionalSponsorKidSIM Simulation ProgramRan2012 to 2015Enrolled324ConditionsCardiac ArrestArmsCPRcard, Just in Time Video
NCT03204162 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Optimizing Integration of CPR Feedback Technology With CPR Coaching for Cardiac Arrest

TypeinterventionalSponsorKidSIM Simulation ProgramRan2017 to 2019Enrolled180ConditionsCardiopulmonary ResuscitationArmsCPR Coaching
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 216 citations in OpenAlex.

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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 14 institutions in 3 countries.

Adam ChengKidSIM-Assessing Simulation in Pediatrics: Improving Resuscitation Events (ASPIRE) Simulation Research Program, Section of Emergency Medicine, Department of Pediatrics, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Linda L BrownHasbro Children's Hospital, Alpert Medical School of Brown University, Providence, Rhode Island.
Jonathan P DuffStollery Children's Hospital, University of Alberta, Calgary, Alberta, Canada.
Jennifer DavidsonKidSIM-Assessing Simulation in Pediatrics: Improving Resuscitation Events (ASPIRE) Simulation Research Program, Section of Emergency Medicine, Department of Pediatrics, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Frank OverlyHasbro Children's Hospital, Alpert Medical School of Brown University, Providence, Rhode Island.
Nancy M TofilChildren's of Alabama, University of Alabama at Birmingham.
Dawn T PetersonChildren's of Alabama, University of Alabama at Birmingham.
Marjorie L WhiteChildren's of Alabama, University of Alabama at Birmingham.
Farhan BhanjiMontreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
Ilana BankMontreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
Ronald GottesmanMontreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
Mark AdlerAnn & Robert H. Lurie Children's Hospital of Chicago, Northwestern University School of Medicine, Chicago, Illinois.
John ZhongChildren's Medical Center of Dallas, UT Southwestern Medical Center, Dallas, Texas.
Vincent GrantKidSIM-Assessing Simulation in Pediatrics: Improving Resuscitation Events (ASPIRE) Simulation Research Program, Section of Emergency Medicine, Department of Pediatrics, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
David J GrantBristol Royal Hospital for Children, University Hospitals Bristol, Bristol, England.
Stephanie N SudikoffYale New Haven Health, Yale Medical School, New Haven, Connecticut.
Kimberly MarohnBaystate Children's Hospital, Tufts University School of Medicine, Boston, Massachusetts.
Alex CharnovichDepartments of Anesthesiology, Critical Care Medicine, and Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Elizabeth A HuntDepartments of Anesthesiology, Critical Care Medicine, and Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
David O KesslerDivision of Pediatric Emergency Medicine, Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, New York.
Hubert WongUniversity of British Columbia, Vancouver, British Columbia, Canada.
Nicola RobertsonKidSIM-Assessing Simulation in Pediatrics: Improving Resuscitation Events (ASPIRE) Simulation Research Program, Section of Emergency Medicine, Department of Pediatrics, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Yiqun LinKidSIM-Assessing Simulation in Pediatrics: Improving Resuscitation Events (ASPIRE) Simulation Research Program, Section of Emergency Medicine, Department of Pediatrics, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Quynh DoanBritish Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Jordan M Duval-ArnouldDepartments of Anesthesiology, Critical Care Medicine, and Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Vinay M NadkarniCritical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia.
International Network for Simulation-Based Pediatric Innovation, Research, & Education (INSPIRE) CPR Investigators
University of Calgary · CAChildren's of Alabama · USJohns Hopkins University · USMontreal Children's Hospital · CABrown University · USUniversity of British Columbia · CABristol Royal Hospital for Children · GBChildren's Hospital of Philadelphia · USChildren's Medical Center · USColumbia University · USNorthwestern University · USTufts University · USUniversity of Alberta · CAYale New Haven Health System · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
Canadian Institutes of Health ResearchNCATS NIH HHS UL1 TR000040NCRR NIH HHS UL1 RR024156
6 · The paper itself

Abstract

importanceThe quality of cardiopulmonary resuscitation (CPR) affects hemodynamics, survival, and neurological outcomes following pediatric cardiopulmonary arrest (CPA). Most health care professionals fail to perform CPR within established American Heart Association guidelines.

objectiveTo determine whether "just-in-time" (JIT) CPR training with visual feedback (VisF) before CPA or real-time VisF during CPA improves the quality of chest compressions (CCs) during simulated CPA. DESIGN, SETTING, AND

participantsProspective, randomized, 2 × 2 factorial-design trial with explicit methods (July 1, 2012, to April 15, 2014) at 10 International Network for Simulation-Based Pediatric Innovation, Research, & Education (INSPIRE) institutions running a standardized simulated CPA scenario, including 324 CPR-certified health care professionals assigned to 3-person resuscitation teams (108 teams).

interventionsEach team was randomized to 1 of 4 permutations, including JIT training vs no JIT training before CPA and real-time VisF vs no real-time VisF during simulated CPA. MAIN OUTCOMES AND MEASURES: The proportion of CCs with depth exceeding 50 mm, the proportion of CPR time with a CC rate of 100 to 120 per minute, and CC fraction (percentage CPR time) during simulated CPA.

resultsThe quality of CPR was poor in the control group, with 12.7% (95% CI, 5.2%-20.1%) mean depth compliance and 27.1% (95% CI, 14.2%-40.1%) mean rate compliance. JIT training compared with no JIT training improved depth compliance by 19.9% (95% CI, 11.1%-28.7%; P < .001) and rate compliance by 12.0% (95% CI, 0.8%-23.2%; P = .037). Visual feedback compared with no VisF improved depth compliance by 15.4% (95% CI, 6.6%-24.2%; P = .001) and rate compliance by 40.1% (95% CI, 28.8%-51.3%; P < .001). Neither intervention had a statistically significant effect on CC fraction, which was excellent (>89.0%) in all groups. Combining both interventions showed the highest compliance with American Heart Association guidelines but was not significantly better than either intervention in isolation. CONCLUSIONS AND RELEVANCE: The quality of CPR provided by health care professionals is poor. Using novel and practical technology, JIT training before CPA or real-time VisF during CPA, alone or in combination, improves compliance with American Heart Association guidelines for CPR that are associated with better outcomes.

trial registrationclinicaltrials.gov Identifier: NCT02075450.

Indexed as

Feedback, SensoryInservice TrainingVideotape RecordingCardiopulmonary ResuscitationFemaleGuideline AdherenceHeart ArrestHumansMalePractice Guidelines as TopicPractice, PsychologicalProspective Studies

Identifiers

PMID25531167
OpenAlexW2006183456

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.