Acute cardiac care & resuscitation
Resuscitation Quality Improvement® (RQI®) HeartCode Complete® program improves chest compression rate in real world out-of hospital cardiac arrest patients
Authors' conclusion
RQI® training was associated with statistically significant improvement in chest compression rate, but not improved chest compression depth or fraction in OHCA.
Study context
- Population
- Adult out-of-hospital cardiac arrest (OHCA) cases from 2021 treated by paramedics
- Participants
- 353 OHCA cases
- Exposure
- Crews with RQI®-trained paramedics vs crews with none
- Outcome
- Cardiopulmonary resuscitation (CPR) quality: chest compression rate, depth and fraction
Main finding
As reported in the abstract
Median of average compression rate
P = 0.0032
Observational data: associations, not effects.
Further findings
Median
| Outcome | 0 RQI®-trained paramedics | 1 RQI®-trained paramedic | 2-3 RQI®-trained paramedics |
|---|---|---|---|
| Median % of compressions at 100 to 120/minute | 10.3% | 19.7% | 20.1% |
| Median compression fraction | 86.4% | 84.6% | 85.5% |
- Median % of compressions at 100 to 120/minute: across three groups p = 0.0010
- Median compression fraction: across three groups p = 0.6371
Median of average compression depth
- 1.7 inches across all three groups
- P = 0.4881
Original publication
Resuscitation Quality Improvement® (RQI®) HeartCode Complete® program improves chest compression rate in real world out-of hospital cardiac arrest patients. Resuscitation. Published 11 May 2023. doi:10.
Summarised from the published abstract; every number is checked against it