Acute cardiac care & resuscitation
The association of recent simulation training and clinical experience of team leaders with cardiopulmonary resuscitation quality during in-hospital cardiac arrest
Authors' conclusion
Recent simulation training of team leaders, but not years of team leader experience, was associated with shorter chest compression pauses during IHCA.
Study context
- Population
- In-hospital cardiac arrest (IHCA) resuscitation attempts with data on chest compression quality and team leader characteristics, four Danish hospitals
- Participants
- 157 resuscitation attempts
- Exposure
- Team leader recent simulation training (<6 months) vs none; experienced team leader (≥4 years) vs less experienced
- Outcome
- Longest chest compression pause duration
Methodological detailsmulticentre, four Danish hospitals, mixed effects models
- Multicentre
- Four Danish hospitals
- Mixed effects models
Main finding
As reported in the abstract
Difference, s (95% CI)P value
Recent simulation training vs No recent simulation training
−7.11(−12.0 to −2.2)
P = 0.004Experienced team leader vs Less experienced team leader
−1.57(−5.34 to 2.21)
P = 0.42- Median longest chest compression pause (all attempts)
- 16 s [10; 30]
Observational data: associations, not effects.
Further findings
| Outcome | Difference (%) (95% CI) | P value | |
|---|---|---|---|
| Chest compression fraction (CCF)Recent simulation training vs No recent simulation training | 3 (2.0–4.0%) | P < 0.001 | |
| Chest compression fraction (CCF)Experienced team leader vs Less experienced team leader | 0.7 (−0.3 to 1.7) | P = 0.17 | |
| −20246Difference, % (linear scale) |
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Chest compression rates within guideline recommendationsRecent simulation training vs No recent simulation training · less guideline compliant | 0.4 (0.19–0.84) | P = 0.02 | |
| Chest compression rates within guideline recommendationsExperienced team leader vs Less experienced team leader | 1.55 (0.91–2.66) | P = 0.11 | |
| 0.20.5125Odds ratio (log scale) |
Original publication
The association of recent simulation training and clinical experience of team leaders with cardiopulmonary resuscitation quality during in-hospital cardiac arrest. Resuscitation. Published 20 April 2024. doi:10.
Summarised from the published abstract; every number is checked against it