Evidence map›Paper›PMID 38261942›Full record

ArticleResuscitation plus2024

CPR Quality Officer role to improve CPR quality: A multi-centred international simulation randomised control trial.

Kacper Sumera, Tomasz Ilczak, Morten Bakkerud, Jon Dearnley Lane, Jeremy Pallas, Sandra Ortega Martorell, Agnieszka Sumera, Carl A Webster, Tom Quinn, John Sandars and 1 more

Abstract read
In one paragraph

Article in Resuscitation plus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

11 authors.

Kacper SumeraEast Midlands Ambulance Service NHS Trust, Education, Nottingham NG11 8NS, UK.
Tomasz IlczakDepartment of Emergency Medicine, Faculty of Health Sciences, University of Bielsko-Biała, Poland.
Morten BakkerudOslo Metropolitan University, Department of Nursing and Health Promotion, Pilestredet 32, 0166 Oslo, Norway.
Jon Dearnley LaneEdge Hill University, Allied Health, Social Work & Wellbeing, Ormskirk L39 4QP, UK.
Jeremy PallasJohn Hunter Hospital, Emergency Department, NSW 2305, Australia.
Sandra Ortega MartorellLiverpool John Moores University, School of Computer Science and Mathematics, Liverpool L3 5UX, UK.
Agnieszka SumeraUniversity of Chester, Faculty of Health, Medicine & Society, Chester CH1 1SL, UK.
Carl A WebsterNottingham Trent University, Institute of Health and Allied Professions, Nottingham NG11 8NS, UK.
Tom QuinnKingston University & St George's, University of London, Centre for Health and Social Care Research, London KT2 7LB, UK.
John SandarsEdge Hill University, Allied Health, Social Work & Wellbeing, Ormskirk L39 4QP, UK.
A Niroshan SiriwardenaUniversity of Lincoln, School of Health and Social Care, Lincoln LN6 7TS, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: An out-of-hospital cardiac arrest requires early recognition, prompt and quality clinical interventions, and coordination between different clinicians to improve outcomes. Clinical team leaders and clinical teams have high levels of cognitive burden. We aimed to investigate the effect of a dedicated Cardio-Pulmonary Resuscitation (CPR) Quality Officer role on team performance. Methods: This multi-centre randomised control trial used simulation in universities from the UK, Poland, and Norway. Student Paramedics participated in out-of-hospital cardiac arrest scenarios before randomisation to either traditional roles or assigning one member as the CPR Quality Officer. The quality of CPR was measured using QCPR® and Advanced Life Support (ALS) elements were evaluated. Results: In total, 36 teams (108 individuals) participated. CPR quality from the first attempt (72.45%, 95% confidence interval [CI] 64.94 to 79.97) significantly increased after addition of the CPR Quality role (81.14%, 95% CI 74.20 to 88.07, p = 0.045). Improvement was not seen in the control group. The time to first defibrillation had no significant difference in the intervention group between the first attempt (53.77, 95% CI 36.57-70.98) and the second attempt (48.68, 95% CI 31.31-66.05, p = 0.84). The time to manage an obstructive airway in the intervention group showed significant difference (p = 0.006) in the first attempt (168.95, 95% CI 110.54-227.37) compared with the second attempt (136.95, 95% CI 87.03-186.88, p = 0.1). Conclusion: A dedicated CPR Quality Officer in simulated scenarios improved the quality of CPR compressions without a negative impact on time to first defibrillation, managing the airway, or adherence to local ALS protocols.

Indexed as

CPR qualityOut-of-hospital cardiac arrestQuality OfficerResuscitation

Identifiers

PMID38261942
PMCPMC10796959

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.