Observational studyJournal of the American Heart Association2018
Improved Cardiopulmonary Resuscitation Performance With CODE ACES
Observational study in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Part 4: Systems of Care: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.Circulation · 2025Guideline
- Trial
- Association of CPR simulation program characteristics with simulated and actual performance during paediatric in-hospital cardiac arrest.Resuscitation · 2023Trial
- Pediatric Chest Compression Improvement Via Augmented Reality Cardiopulmonary Resuscitation Feedback in Community General Emergency Departments: A Mixed-Methods Simulation-Based Pilot Study.The Journal of emergency medicine · 2023Trial
- Effect of in situ coaching on cardiopulmonary resuscitation quality: a multicenter randomized simulation study.Resuscitation plus · 2026Article
- Unravelling technical domain barriers and non-technical skill barriers among interprofessional teams during in-hospital cardiac arrest: a questionnaire-based survey.International journal of emergency medicine · 2026Article
- Is End-Tidal Carbon Dioxide Indicative of Chest Compression Quality in Pediatric Out-of-Hospital Cardiac Arrest? A Video Review Study.Journal of the American College of Emergency Physicians open · 2026Article
- Assessing Pediatric CPR Practices in the Prehospital Setting: EMS Clinician Experience, Perceptions, and Resource Utilization.Pediatric emergency care · 2026Article
- Article
- Association of diastolic blood pressure with coronary perfusion pressure during resuscitation in pediatric swine.Pediatric research · 2025Article
- Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review.Resuscitation plus · 2025Review
- Outcomes of Cardiopulmonary Resuscitation in the Pediatric Intensive Care of a Tertiary Center.Journal of pediatric intensive care · 2023Article
- Discrepancies between Retrospective Review of "Real-Time" Electronic Health Record Documentation and Prospective Observer Documentation of In-Hospital Cardiac Arrest Quality Metrics in an Academic Cardiac Intensive Care Unit.Journal of clinical medicine · 2023Article
- A recorder/time coach decreases time errors during neonatal resuscitation: A randomized, simulation-based clinical trial.Resuscitation plus · 2023Article
- Evaluation of hospital management of paediatric out-of-hospital cardiac arrest.Resuscitation plus · 2023Article
- Poor Concordance of One-Third Anterior-Posterior Chest Diameter Measurements With Absolute Age-Specific Chest Compression Depth Targets in Pediatric Cardiac Arrest Patients.Journal of the American Heart Association · 2023Observational
- Data-informed debriefing for cardiopulmonary arrest: A randomized controlled trial.Resuscitation plus · 2023Article
- Who is the real team leader? Comparing leadership performance of the team leader and CPR Coach during simulated cardiac arrest.Resuscitation plus · 2023Article
- Data-driven resuscitation training using pose estimation.Advances in simulation (London, England) · 2023Article
- Near-peer mentoring and virtual reality for adult basic life support education in high school students.Resuscitation plus · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Over 6000 children have an in-hospital cardiac arrest in the United States annually. Most will not survive to discharge, with significant variability in survival across hospitals suggesting improvement in resuscitation performance can save lives. Methods and Results A prospective observational study of quality of chest compressions ( CC ) during pediatric in-hospital cardiac arrest associated with development and implementation of a resuscitation quality bundle. Objectives were to: 1) implement a debriefing program, 2) identify impediments to delivering high quality CC , 3) develop a resuscitation quality bundle, and 4) measure the impact of the resuscitation quality bundle on compliance with American Heart Association ( AHA ) Pediatric Advanced Life Support CC guidelines over time. Logistic regression was used to assess the relationship between compliance and year of event, adjusting for age and weight. Over 3 years, 317 consecutive cardiac arrests were debriefed, 38% (119/317) had CC data captured via defibrillator-based accelerometer pads, data capture increasing over time: (2013:13% [12/92] versus 2014:43% [44/102] versus 2015:51% [63/123], P<0.001). There were 2135 1-minute cardiopulmonary resuscitation (CPR) epoch data available for analysis, (2013:152 versus 2014:922 versus 2015:1061, P<0.001). Performance mitigating themes were identified and evolved into the resuscitation quality bundle entitled CPR Coaching, Objective-Data Evaluation, Action-linked-phrases, Choreography, Ergonomics, Structured debriefing and Simulation (CODE ACES
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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.