Evidence map›Paper›PMID 37421276›Full record

Observational studyJournal of the American Heart Association2023

Poor Concordance of One-Third Anterior-Posterior Chest Diameter Measurements With Absolute Age-Specific Chest Compression Depth Targets in Pediatric Cardiac Arrest Patients.

Gene Y Ong, Zhao Jin Chen, Dana E Niles, Vijay Srinivasan, Anita I Sen, Sophie Skellett, Takanari Ikeyama, Jimena Del Castillo, Robert A Berg, Vinay M Nadkarni

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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

10 authors.

Gene Y OngKK Women's and Children's Hospital Singapore.ORCID 0000-0002-9879-0594
Zhao Jin ChenYong Loo Lin School of Medicine National University of Singapore Singapore.
Dana E NilesDepartment of Anesthesiology, Critical Care, and Pediatrics, Children's Hospital of Philadelphia University of Pennsylvania School of Medicine Philadelphia PA USA.
Vijay SrinivasanDepartment of Anesthesiology, Critical Care, and Pediatrics, Children's Hospital of Philadelphia University of Pennsylvania School of Medicine Philadelphia PA USA.ORCID 0000-0001-8259-3337
Anita I SenNew York-Presbyterian Morgan Stanley Children's Hospital New York NY USA.ORCID 0000-0001-7312-5056
Sophie SkellettDepartment of Paediatric Intensive Care Great Ormond Street Hospital for Children NHS Foundation Trust London United Kingdom.ORCID 0000-0001-8488-6109
Takanari IkeyamaCenter for Pediatric Emergency and Critical Care Medicine Aichi Children's Health and Medical Center Obu Aichi Japan.ORCID 0000-0003-2439-5388
Jimena Del CastilloHospital Maternoinfantil Gregorio Marañón Madrid Spain.ORCID 0000-0002-0702-1520
Robert A BergDepartment of Anesthesiology, Critical Care, and Pediatrics, Children's Hospital of Philadelphia University of Pennsylvania School of Medicine Philadelphia PA USA.ORCID 0000-0001-5529-9431
Vinay M NadkarniDepartment of Anesthesiology, Critical Care, and Pediatrics, Children's Hospital of Philadelphia University of Pennsylvania School of Medicine Philadelphia PA USA.ORCID 0000-0002-3794-5599

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Current pediatric cardiac arrest guidelines recommend depressing the chest by one-third anterior-posterior diameter (APD), which is presumed to equate to absolute age-specific chest compression depth targets (4 cm for infants and 5 cm for children). However, no clinical studies during pediatric cardiac arrest have validated this presumption. We aimed to study the concordance of measured one-third APD with absolute age-specific chest compression depth targets in a cohort of pediatric patients with cardiac arrest. Methods and Results This was a retrospective observational study from a multicenter, pediatric resuscitation quality collaborative (pediRES-Q [Pediatric Resuscitation Quality Collaborative]) from October 2015 to March 2022. In-hospital patients with cardiac arrest ≤12 years old with APD measurements recorded were included for analysis. One hundred eighty-two patients (118 infants >28 days old to <1 year old, and 64 children 1 to 12 years old) were analyzed. The mean one-third APD of infants was 3.2 cm (SD, 0.7 cm), which was significantly smaller than the 4 cm target depth (

Indexed as

Cardiopulmonary ResuscitationHeart ArrestAge FactorsChildChild, PreschoolHumansInfantInfant, NewbornInpatientsPressurecardiac arrestcardiopulmonary resuscitationchest compressionspediatrics

Identifiers

PMID37421276
PMCPMC10382104

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Registered trials

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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.