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Healthcare Provider Characteristics and Cardiopulmonary Resuscitation Quality During Infant Resuscitation: A
Mona Khattab1, Karin Frisell, Ralph MacKinnon
1From the Division of Neonatology (M.K.), Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, TX; Department of Anesthesiology (K.F.), Mälarsjukhuset Hospital; Department of Anesthesiology (K.F.), Mälarsjukhuset/Karolinska Institutet, Eskilstuna, Sweden; Faculty of Biology, Medicine and Health (R.M.), The University of Manchester; Faculty of Health, Psychology, and Social Care (R.M.), Manchester Metropolitan University; Department of Paediatric Anaesthesia (R.M.), Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK; Division of Emergency Medicine (T.C.), Children's Hospital Los Angeles, University of Southern California, Los Angeles, CA; Division of Cardiac Critical Care (T.R.), Department of Pediatrics, Medical City Children's Hospital, Dallas, TX; NHS Harefield Trust (L.L.), Health Education England (HEE), London, UK; Division of Critical Care (N.T.), Children's Hospital Alabama, University of Alabama, Tuscaloosa, AL; Division of Emergency Medicine (K.F., A.S.), Department of Pediatrics, SSM Health Cardinal Glennon Children's Hospital, St Louis University School of Medicine, St Louis, MO; Golden Valley Health Centers (C.G.), Modesto, CA; Department of Pediatrics and Emergency Medicine (C.G., M.A.), Yale University School of Medicine, New Haven, CT; Department of Research and Innovation (D.A.), Manchester University NHS Foundation Trust, Manchester, UK; Abigail Wexner Research Institute (M.M.-C.); and Division of Critical Care Medicine and Biostatistics Resource (M.M.-C.), Nationwide Children's Hospital, Columbus, OH.
Healthcare provider characteristics like age and height impact infant cardiopulmonary resuscitation (CPR) quality. While most providers met median guidelines, individual adherence was low, suggesting a need for provider-specific CPR training.
Area of Science:
- Medical Education
- Emergency Medicine
- Pediatric Resuscitation
Background:
- Adult cardiopulmonary resuscitation (CPR) quality is influenced by healthcare provider anthropometrics.
- The impact of provider characteristics on infant CPR performance remains largely unexamined.
- Understanding these factors is crucial for optimizing resuscitation techniques in vulnerable populations.
Purpose of the Study:
- To investigate the relationship between healthcare provider characteristics and simulated infant CPR performance.
- To identify specific provider attributes affecting CPR quality in an infant model.
- To assess CPR performance degradation over a 2-minute period.
Main Methods:
- 127 healthcare providers from 4 international hospitals performed simulated single-rescuer infant CPR.
- Performance was evaluated against 2015 American Heart Association guidelines using a feedback device.
- Multivariate analyses correlated provider demographics, anthropometrics, and training with CPR metrics.
Main Results:
- While median compression and ventilation parameters met guidelines, individual adherence was low (52% compressions, 20% ventilations).
- Older age correlated with higher ventilation volumes; shorter height correlated with deeper chest compressions.
- Neonatal intensive care unit providers performed shallower compressions; no significant sex or BMI differences were found.
Conclusions:
- Specific healthcare provider characteristics are associated with variations in infant CPR quality.
- Findings suggest a need for CPR guidelines tailored to provider attributes, not solely patient factors.
- Minimal performance degradation was observed over the 2-minute simulation period.
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