Evidence map›Paper›PMID 35404331›Full record

ArticleEuropean journal of emergency medicine : official journal of the European Society for Emergency Medicine2022

Adherence to guideline recommendations in the management of pediatric cardiac arrest: a multicentre observational simulation-based study.

Francesco Corazza, Valentina Stritoni, Francesco Martinolli, Marco Daverio, Marco Binotti, Giulia Genoni, Pier Luigi Ingrassia, Marco De Luca, Giordano Palmas, Ilaria Maccora and 3 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06362850 (Tele-Support for Emergency Medical Technicians Dealing with Pediatric Cardiac Arrest), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.8field-weighted citation impact, top 16% 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.

NCT06362850 nacompletednot on this mapstarted 2024, after this paper: background citation

Tele-Support for Emergency Medical Technicians Dealing with Pediatric Cardiac Arrest: a Randomized, Simulation-based Study

TypeinterventionalSponsorMedical University of ViennaRan2024 to 2024Enrolled80ConditionsCardiac ArrestArmsTele-support
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 3 countries.

Francesco CorazzaDepartment of Woman's and Child's Health, Division of Paediatric Emergency Medicine, University of Padua.
Valentina StritoniDepartment of Woman's and Child's Health, Paediatric Intensive Care Unit, University of Padua, Padua.
Francesco MartinolliDepartment of Woman's and Child's Health, Division of Paediatric Emergency Medicine, University of Padua.
Marco DaverioDepartment of Woman's and Child's Health, Paediatric Intensive Care Unit, University of Padua, Padua.
Marco BinottiNeonatal and Paediatric Intensive Care Unit, Maggiore della Carità University Hospital, University of Piemonte Orientale, Novara, Italy.
Giulia GenoniNeonatal and Paediatric Intensive Care Unit, Maggiore della Carità University Hospital, University of Piemonte Orientale, Novara, Italy.
Pier Luigi IngrassiaCentro di Simulazione (CeSi), Centro Professionale Sociosanitario di Lugano, Lugano, Switzerland.
Marco De LucaPaediatric Simulation Centre, Meyer Children's University Hospital.
Giordano PalmasDepartment of Health Sciences, University of Florence and Meyer Children's University Hospital, Florence.
Ilaria MaccoraDepartment of Health Sciences, University of Florence and Meyer Children's University Hospital, Florence.
Anna Chiara FrigoDepartment of Cardiac, Biostatistics, Epidemiology and Public Health Unit, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Liviana Da DaltDepartment of Woman's and Child's Health, Division of Paediatric Emergency Medicine, University of Padua.
Silvia BressanDepartment of Woman's and Child's Health, Division of Paediatric Emergency Medicine, University of Padua.
University of Padua · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity of Florence · ITLiceo Cantonale · CHTemple Street Children's University Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and importancePediatric cardiac arrest is a rare emergency with associated high mortality. Its management is challenging and deviations from guidelines can affect clinical outcomes.

objectivesTo evaluate the adherence to guideline recommendations in the management of a pediatric cardiac arrest scenario by teams of pediatric residents. Secondarily, the association between the use of the Pediatric Advanced Life Support-2015 (PALS-2015) pocket card, and the teams' adherence to international guidelines, were explored. DESIGN, SETTINGS AND

participantsMulticentre observational simulation-based study at three Italian University Hospitals in 2018, including PALS-2015 certified pediatric residents in their 3rd-5th year of residency program, divided in teams of three. INTERVENTION OR EXPOSURE: Each team conducted a standard nonshockable pediatric cardiac arrest scenario and independently decided whether to use the PALS-2015 pocket card. OUTCOME MEASURE AND ANALYSIS: The primary outcome was the overall number and frequency of individual deviations from the PALS-2015 guidelines, measured by the novel c-DEV15plus score (range 0-15). Secondarily, the performance on the validated Clinical Performance Tool for asystole scenarios, the time to perform resuscitation tasks and cardiopulmonary resuscitation (CPR) quality metrics were compared between the teams that used and did not use the PALS-2015 pocket card. MAIN

resultsTwenty-seven teams (81 residents) were included. Overall, the median number of deviations per scenario was 7 out of 15 [interquartile range (IQR), 6-8]. The most frequent deviations were delays in positioning of a CPR board (92.6%), calling for adrenaline (92.6%), calling for help (88.9%) and incorrect/delayed administration of adrenaline (88.9%). The median Clinical Performance Tool score was 9 out of 13 (IQR, 7-10). The comparison between teams that used ( n  = 13) and did not use ( n  = 14) the PALS-2015 pocket card showed only significantly higher Clinical Performance Tool scores in the former group [9 (IQR 9-10) vs. 7 (IQR 6-8); P  = 0.002].

conclusionsDeviations from guidelines, although measured by means of a nonvalidated tool, were frequent in the management of a pediatric cardiac arrest scenario by pediatric residents. The use of the PALS-2015 pocket card was associated with better Clinical Performance Tool scores but was not associated with less deviations or shorter times to resuscitation tasks.

Indexed as

Cardiopulmonary ResuscitationHeart ArrestChildEpinephrineGuideline AdherenceHumansProspective StudiesEpinephrine

Identifiers

PMID35404331
PMCPMC10878464
OpenAlexW4223439598

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.