Acute cardiac care & resuscitation
Clinician-reported physiologic monitoring of cardiopulmonary resuscitation quality during pediatric in-hospital cardiac arrest: A propensity-weighted cohort study
Authors' conclusion
Neither clinician-reported ETCO2 monitoring nor DBP monitoring during pIHCA were associated with ROSC. Monitoring of ETCO2 was associated with 24-hour survival.
Study context
- Population
- Children with index in-hospital cardiac arrest with an invasive airway or arterial line in place, US registry hospitals, 2007–2021
- Participants
- 15,280 cardiopulmonary resuscitation (CPR) events
- Exposure
- Clinician-reported end-tidal CO2 (ETCO2) or diastolic blood pressure (DBP) monitoring of CPR quality vs no such monitoring
- ETCO2n = 1,335
- DBPn = 1,041
- Outcome
- Return of spontaneous circulation (ROSC)
Methodological detailspropensity-weighted, registry-based (Get With The Guidelines-Resuscitation)
- Propensity-weighted
- Registry-based (Get With The Guidelines-Resuscitation)
Main finding
As reported in the abstract
ROSC
- Neither ETCO2 nor DBP monitoring was associated with return of spontaneous circulation (ROSC)
- 6829 airway and 2886 arterial line events analysed
Observational data: associations, not effects.
Further findings
| Outcome | aOR (CI) | P value | |
|---|---|---|---|
| 24-hour survival · 24 hoursETCO2 vs No ETCO2 | 1.17 (1.02–1.35) | P = 0.03 | |
| 0.512Adjusted odds ratio (log scale) |
Original publication
Clinician-reported physiologic monitoring of cardiopulmonary resuscitation quality during pediatric in-hospital cardiac arrest: A propensity-weighted cohort study. Resuscitation. Published 23 April 2023. doi:10.
Summarised from the published abstract; every number is checked against it