Research Article
Impact of Quality Improvement Bundle on Compliance with Resuscitation Guidelines during In-Hospital Cardiac Arrest in Children
Table 2
Comparative CPR data before and after QI bundle.
| | CPR parameters | Before QI (n = 58) %/median (IQR) | After QI (n = 41) %/median (IQR) | -values |
| | Age | 1.2 years (8 months–5 years) | 1 year (4 months–7 years) | — | | Gender (M: F) | 1.4 : 1 | 1 : 2 | — | | Duration of CPR (minutes) | 5 (2–13) | 3 (1.25–10) | — | | Time for first code dose of Epi (minutes) | 2 (1–2) | 2 (1–5) | — | | Epinephrine every 3–5 min | 26/33 (80%) | 14/18 (80%) | 0.933 | | CC rate 100–120 (minute) | 41 (72%) | 41 (100%) | 0.0009 | | CC interruption associated with intubation | 5/5 (100%) | 2/4 (50%) | 0.016 | | Hyperventilation | 58 (100%) | 26 (63%) | <0.0001 | | EtCO2 monitoring | 33 (58%) | 28 (68%) | 0.250 | | BP monitoring (with cuff ± with A line) | 21 (36%) | 25 (60%) | 0.014 | | Inappropriate use of Ca | 12 (21%) | 10 (24%) | 0.662 | | Inappropriate use of HCO3 | 15 (26%) | 13 (32%) | 0.527 | | Addressed abnormal Hs and Ts | 18 (31%) | 26 (63%) | 0.001 | | ROSC | 49 (84%) | 38 (93%) | 0.218 |
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QI = quality improvement; CC = chest compressions; EtCO2 = end-tidal carbon dioxide; BP = blood pressure; A line = arterial line; Ca = calcium; HCO3 = bicarbonate; Hs: hypoxia, hypovolemia, hydrogen ion (acidosis), hypo/hyperkalemia, hypothermia, and hypoglycemia; Ts: toxins, tamponade (cardiac), tension pneumothorax, thromboembolic event, and trauma; ROSC = return of spontaneous circulation. p-values in bold are statistically significant.
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