Evidence map›Paper›PMID 39512526›Full record

ArticleResuscitation plus2024

Are chest compression quality metrics different in children with and without congenital heart disease? A report from the pediatric resuscitation quality collaborative.

Priscilla Yu, Javier J Lasa, Xuemei Zhang, Heather Griffis, Todd Sweberg, Ivie Esangbedo, Abhay Ranganathan, Vinay Nadkarni, Tia Raymond, pedi-RESQ Investigators

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Priscilla YuUT Southwestern Medical Center, Department of Pediatrics, Divisions of Cardiology and Critical Care Medicine, 5323 Harry Hines Blvd, Dallas, TX 75390 United States.
Javier J LasaUT Southwestern Medical Center, Department of Pediatrics, Divisions of Cardiology and Critical Care Medicine, 5323 Harry Hines Blvd, Dallas, TX 75390 United States.
Xuemei ZhangThe Children's Hospital of Philadelphia, Department of Biomedical and Health Informatics, 3615 Civic Center Blvd, Philadelphia, PA 19104, United States.
Heather GriffisThe Children's Hospital of Philadelphia, Department of Biomedical and Health Informatics, 3615 Civic Center Blvd, Philadelphia, PA 19104, United States.
Todd SwebergCohen Children's Medical Center of New York, Northwell Health, 269-01 76th Ave, New Hyde Park, New York 11040, United States.
Ivie EsangbedoDivision of Cardiac Critical Care Medicine, Department of Pediatrics, University of Washington Seattle, 1410 NE Campus Parkway, Seattle, WA 98195, United States.
Abhay RanganathanThe Children's Hospital of Philadelphia, Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, 3615 Civic Center Blvd, Philadelphia, PA 19104, United States.
Vinay NadkarniThe Children's Hospital of Philadelphia, Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, 3615 Civic Center Blvd, Philadelphia, PA 19104, United States.
Tia RaymondMedical City Dallas Hospital, Department of Pediatrics, Cardiac Intensive Care, 7777 Forest Ln, Dallas, TX 75230, United States.
pedi-RESQ Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the association of CPR quality metrics with survival outcomes in children with and without congenital heart disease experiencing in-hospital cardiac arrest. Design: Retrospective cohort study of data from the Pediatric Resuscitation Quality (pediRES-Q) Collaborative. Setting: 28 participating sites. Patients: Patients who were < 18 years of age at time of arrest, ≥ 37 weeks gestational age, with ≥ 1 min of monitor-defibrillator chest compression quality metric data recorded. Interventions: None. Measurements and Main Results: There were a total of 742 index in-hospital cardiac arrest events in 675 unique patients analyzed between July 2015 and August 2021. Amongst these events, 205 (27.6%) occurred in patients with congenital heart disease and 537 (72.4%) in patients without congenital heart disease. After adjusting for age and use of extracorporeal CPR during arrest, children with congenital heart disease were less likely to have chest compression depth that met compliance with American Heart Association guidelines than children without congenital heart disease. Despite differences in CC depth, the presence of congenital heart disease was not associated with return of spontaneous circulation, survival to hospital discharge, or SHD with favorable neurologic outcome on multivariable logistic mixed effects modeling. Conclusions: In a large multi-center international pediatric resuscitation collaborative, patients with congenital heart disease compared to those without were less likely to have guideline-compliant CC depth yet no differences in return of spontaneous circulation, survival to hospital discharge or survival to discharge with favorable neurologic outcome were observed on multivariable analysis.

Indexed as

Cardiopulmonary resuscitationCongenital heart diseaseIn-hospital cardiac arrestPediatricSurvival

Identifiers

PMID39512526
PMCPMC11541669

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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.