학술논문
Association between time of day and CPR quality as measured by CPR hemodynamics during pediatric in-hospital CPR
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article
Author
Wolfe, Heather A; Morgan, Ryan W; Sutton, Robert M; Reeder, Ron W; Meert, Kathleen L; Pollack, Murray M; Yates, Andrew R; Berger, John T; Newth, Christopher J; Carcillo, Joseph A; McQuillen, Patrick S; Harrison, Rick E; Moler, Frank W; Carpenter, Todd C; Notterman, Daniel A; Dean, J Michael; Nadkarni, Vinay M; Berg, Robert A; investigators, for the Eunice Kennedy Shriver National Institute of Child Health Human Development Collaborative Pediatric Critical Care Research Network Pediatric Intensive Care Quality of Cardiopulmonary Resuscitation; Zuppa, Athena F; Graham, Katherine; Twelves, Carolann; Diliberto, Mary Ann; Holubkov, Richard; Telford, Russell; Locandro, Christopher; Coleman, Whitney; Peterson, Alecia; Thelen, Julie; Heidemann, Sabrina; Pawluszka, Ann; Tomanio, Elyse; Bell, Michael J; Hall, Mark W; Steele, Lisa; Kwok, Jeni; Sapru, Anil; Abraham, Alan; Alkhouli, Mustafa F; Shanley, Thomas P; Weber, Monica; Dalton, Heidi J; La Bell, Aimee; Mourani, Peter M; Malone, Kathryn; Doctor, Allan
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Subject
Language
Abstract
IntroductionPatients who suffer in-hospital cardiac arrest (IHCA) are less likely to survive if the arrest occurs during nighttime versus daytime. Diastolic blood pressure (DBP) as a measure of chest compression quality was associated with survival from pediatric IHCA. We hypothesized that DBP during CPR for IHCA is lower during nighttime versus daytime.MethodsThis is a secondary analysis of data collected from the Pediatric Intensive Care Quality of Cardiopulmonary Resuscitation Study. Pediatric or Pediatric Cardiac Intensive Care Unit patients who received chest compressions for ≥1 min and who had invasive arterial BP monitoring were enrolled. Nighttime was defined as 11:00PM to 6:59AM and daytime as 7:00AM until 10:59PM. Primary outcome was attainment of DBP ≥ 25 mmHg in infants