Acute cardiac care & resuscitationCohort study
Association between barriers of resuscitation and chest compression quality metrics during in-hospital cardiac arrest resuscitation attempts
- mixed-methods prospective cohort study
- four hospitals
- post-event debriefing surveys
Authors' conclusion
Barriers were frequently reported during IHCA and were associated with a significantly lower odds for a CCF ≥80% but not significantly associated with the longest pause duration and guideline-compliant chest compression rates. The category of communication barriers appeared to be the main driver of associations with chest compression quality metrics.
Study context
- Population
- Cardiac arrest team members and in-hospital cardiac arrest resuscitation attempts across four hospitals from 2017 to 2022In-hospital cardiac arrest (IHCAs) with complete defibrillator and survey data, 133 (42.5%) events had barriers reported
- Participants
- 313 members
- Exposure
- IHCAs with any reported barriers compared to IHCAs without reported barriers
- barriers reportedn = 133
Main finding
CCF ≥80%
Odds ratio
0.55
95% CI 0.35–0.89
barriers reported vs without reported barriers
OR 0.55 (95% CI 0.35–0.89)
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | increase (s) (95% CI) | |
|---|---|---|
| Longest pause duration · increase with barriers reported | 3.21 (−1.91 to 8.38) | |
| −50510Difference, s (linear scale) |
| Outcome | OR (95% CI) | |
|---|---|---|
| Guideline-compliant compression rate | 1.02 (0.64–1.62) | |
| Guideline-compliant chest compression rates, by barrier category · lower odds with communication barriers | 0.53 (0.29–0.95) | |
| 0.20.5125Odds ratio (log scale) |
Guideline-compliant chest compression rates, by barrier category
- Teamwork and cardiopulmonary resuscitation (CPR) quality barriers not associated
Original publication
Association between barriers of resuscitation and chest compression quality metrics during in-hospital cardiac arrest resuscitation attempts. Resuscitation. Published 25 February 2026. doi:10.1016/j.resuscitation.2026.111030
Summarised from the published abstract; every number is checked against it