The association of recent simulation training and clinical experience of team leaders with cardiopulmonary resuscitation quality during in-hospital cardiac arrest

Johannes Wittig; Bo Løfgren; Rasmus P Nielsen; Rikke Højbjerg; Kristian Krogh; Hans Kirkegaard; Robert A Berg; Vinay M Nadkarni; Kasper Glerup Lauridsen

doi:10.1016/j.resuscitation.2024.110217

The association of recent simulation training and clinical experience of team leaders with cardiopulmonary resuscitation quality during in-hospital cardiac arrest

Johannes Wittig, Bo Løfgren, Rasmus P Nielsen, Rikke Højbjerg, Kristian Krogh, Hans Kirkegaard, Robert A Berg, Vinay M Nadkarni, Kasper Glerup Lauridsen^*

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

OBJECTIVE: We aimed to investigate the association of recent team leader simulation training (<6 months) and years of clinical experience (≥4 years) with chest compression quality during in-hospital cardiac arrest (IHCA).

METHODS: This cohort study of IHCA in four Danish hospitals included cases with data on chest compression quality and team leader characteristics. We assessed the impact of recent simulation training and experienced team leaders on longest chest compression pause duration (primary outcome), chest compression fraction (CCF), and chest compression rates within guideline recommendations using mixed effects models.

RESULTS: Of 157 included resuscitation attempts, 45% had a team leader who recently participated in simulation training and 66% had an experienced team leader. The median team leader experience was 7 years [Q1; Q3: 4; 11]. The median duration of the longest chest compression pause was 16 seconds [10; 30]. Having a team leader with recent simulation training was associated with significantly shorter longest pause durations (difference: -7.11 seconds (95%-CI: -12.0; -2.2), p=0.004), a higher CCF (difference: 3 % (95%-CI: 2.0; 4.0%), p<0.001) and with less guideline compliant chest compression rates (odds ratio: 0.4 (95%-CI: 0.19; 0.84), p=0.02). Having an experienced team leader was not associated with longest pause duration (difference: -1.57 seconds (95%-CI: -5.34; 2.21), p=0.42), CCF (difference: 0.72 % (95%-CI: -0.3; 1.73), p=0.17) or chest compression rates within guideline recommendations (odds ratio: 1.55 (95%-CI: 0.91; 2.66), p=0.11).

CONCLUSION: Recent simulation training of team leaders, but not years of team leader experience, was associated with shorter chest compression pauses during IHCA.

Original language	English
Article number	110217
Journal	Resuscitation
Volume	199
Number of pages	8
ISSN	0300-9572
DOIs	https://doi.org/10.1016/j.resuscitation.2024.110217
Publication status	Published - Jun 2024

Keywords

Cardiac arrest teams
Cardiopulmonary resuscitation
Chest compression pauses
Chest compression quality
Experience
In-hospital cardiac arrest
Leadership
Training

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Wittig, J., Løfgren, B., Nielsen, R. P., Højbjerg, R., Krogh, K., Kirkegaard, H., Berg, R. A., Nadkarni, V. M., & Glerup Lauridsen, K. (2024). The association of recent simulation training and clinical experience of team leaders with cardiopulmonary resuscitation quality during in-hospital cardiac arrest. Resuscitation, 199, Article 110217. https://doi.org/10.1016/j.resuscitation.2024.110217

@article{d8ddbe27a0cf4e9b8c15608879cfc4eb,

title = "The association of recent simulation training and clinical experience of team leaders with cardiopulmonary resuscitation quality during in-hospital cardiac arrest",

abstract = "OBJECTIVE: We aimed to investigate the association of recent team leader simulation training (<6 months) and years of clinical experience (≥4 years) with chest compression quality during in-hospital cardiac arrest (IHCA).METHODS: This cohort study of IHCA in four Danish hospitals included cases with data on chest compression quality and team leader characteristics. We assessed the impact of recent simulation training and experienced team leaders on longest chest compression pause duration (primary outcome), chest compression fraction (CCF), and chest compression rates within guideline recommendations using mixed effects models.RESULTS: Of 157 included resuscitation attempts, 45% had a team leader who recently participated in simulation training and 66% had an experienced team leader. The median team leader experience was 7 years [Q1; Q3: 4; 11]. The median duration of the longest chest compression pause was 16 seconds [10; 30]. Having a team leader with recent simulation training was associated with significantly shorter longest pause durations (difference: -7.11 seconds (95%-CI: -12.0; -2.2), p=0.004), a higher CCF (difference: 3 % (95%-CI: 2.0; 4.0%), p<0.001) and with less guideline compliant chest compression rates (odds ratio: 0.4 (95%-CI: 0.19; 0.84), p=0.02). Having an experienced team leader was not associated with longest pause duration (difference: -1.57 seconds (95%-CI: -5.34; 2.21), p=0.42), CCF (difference: 0.72 % (95%-CI: -0.3; 1.73), p=0.17) or chest compression rates within guideline recommendations (odds ratio: 1.55 (95%-CI: 0.91; 2.66), p=0.11).CONCLUSION: Recent simulation training of team leaders, but not years of team leader experience, was associated with shorter chest compression pauses during IHCA.",

keywords = "Cardiac arrest teams, Cardiopulmonary resuscitation, Chest compression pauses, Chest compression quality, Experience, In-hospital cardiac arrest, Leadership, Training",

author = "Johannes Wittig and Bo L{\o}fgren and Nielsen, {Rasmus P} and Rikke H{\o}jbjerg and Kristian Krogh and Hans Kirkegaard and Berg, {Robert A} and Nadkarni, {Vinay M} and {Glerup Lauridsen}, Kasper",

year = "2024",

month = jun,

doi = "10.1016/j.resuscitation.2024.110217",

language = "English",

volume = "199",

journal = "Resuscitation",

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publisher = "Elsevier Ireland Ltd.",

}

Wittig, J , Løfgren, B , Nielsen, RP, Højbjerg, R, Krogh, K , Kirkegaard, H, Berg, RA, Nadkarni, VM & Glerup Lauridsen, K 2024, 'The association of recent simulation training and clinical experience of team leaders with cardiopulmonary resuscitation quality during in-hospital cardiac arrest', Resuscitation, vol. 199, 110217. https://doi.org/10.1016/j.resuscitation.2024.110217

The association of recent simulation training and clinical experience of team leaders with cardiopulmonary resuscitation quality during in-hospital cardiac arrest. / Wittig, Johannes ; Løfgren, Bo ; Nielsen, Rasmus P et al.
In: Resuscitation, Vol. 199, 110217, 06.2024.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - The association of recent simulation training and clinical experience of team leaders with cardiopulmonary resuscitation quality during in-hospital cardiac arrest

AU - Wittig, Johannes

AU - Løfgren, Bo

AU - Nielsen, Rasmus P

AU - Højbjerg, Rikke

AU - Krogh, Kristian

AU - Kirkegaard, Hans

AU - Berg, Robert A

AU - Nadkarni, Vinay M

AU - Glerup Lauridsen, Kasper

PY - 2024/6

Y1 - 2024/6

N2 - OBJECTIVE: We aimed to investigate the association of recent team leader simulation training (<6 months) and years of clinical experience (≥4 years) with chest compression quality during in-hospital cardiac arrest (IHCA).METHODS: This cohort study of IHCA in four Danish hospitals included cases with data on chest compression quality and team leader characteristics. We assessed the impact of recent simulation training and experienced team leaders on longest chest compression pause duration (primary outcome), chest compression fraction (CCF), and chest compression rates within guideline recommendations using mixed effects models.RESULTS: Of 157 included resuscitation attempts, 45% had a team leader who recently participated in simulation training and 66% had an experienced team leader. The median team leader experience was 7 years [Q1; Q3: 4; 11]. The median duration of the longest chest compression pause was 16 seconds [10; 30]. Having a team leader with recent simulation training was associated with significantly shorter longest pause durations (difference: -7.11 seconds (95%-CI: -12.0; -2.2), p=0.004), a higher CCF (difference: 3 % (95%-CI: 2.0; 4.0%), p<0.001) and with less guideline compliant chest compression rates (odds ratio: 0.4 (95%-CI: 0.19; 0.84), p=0.02). Having an experienced team leader was not associated with longest pause duration (difference: -1.57 seconds (95%-CI: -5.34; 2.21), p=0.42), CCF (difference: 0.72 % (95%-CI: -0.3; 1.73), p=0.17) or chest compression rates within guideline recommendations (odds ratio: 1.55 (95%-CI: 0.91; 2.66), p=0.11).CONCLUSION: Recent simulation training of team leaders, but not years of team leader experience, was associated with shorter chest compression pauses during IHCA.

AB - OBJECTIVE: We aimed to investigate the association of recent team leader simulation training (<6 months) and years of clinical experience (≥4 years) with chest compression quality during in-hospital cardiac arrest (IHCA).METHODS: This cohort study of IHCA in four Danish hospitals included cases with data on chest compression quality and team leader characteristics. We assessed the impact of recent simulation training and experienced team leaders on longest chest compression pause duration (primary outcome), chest compression fraction (CCF), and chest compression rates within guideline recommendations using mixed effects models.RESULTS: Of 157 included resuscitation attempts, 45% had a team leader who recently participated in simulation training and 66% had an experienced team leader. The median team leader experience was 7 years [Q1; Q3: 4; 11]. The median duration of the longest chest compression pause was 16 seconds [10; 30]. Having a team leader with recent simulation training was associated with significantly shorter longest pause durations (difference: -7.11 seconds (95%-CI: -12.0; -2.2), p=0.004), a higher CCF (difference: 3 % (95%-CI: 2.0; 4.0%), p<0.001) and with less guideline compliant chest compression rates (odds ratio: 0.4 (95%-CI: 0.19; 0.84), p=0.02). Having an experienced team leader was not associated with longest pause duration (difference: -1.57 seconds (95%-CI: -5.34; 2.21), p=0.42), CCF (difference: 0.72 % (95%-CI: -0.3; 1.73), p=0.17) or chest compression rates within guideline recommendations (odds ratio: 1.55 (95%-CI: 0.91; 2.66), p=0.11).CONCLUSION: Recent simulation training of team leaders, but not years of team leader experience, was associated with shorter chest compression pauses during IHCA.

KW - Cardiac arrest teams

KW - Cardiopulmonary resuscitation

KW - Chest compression pauses

KW - Chest compression quality

KW - Experience

KW - In-hospital cardiac arrest

KW - Leadership

KW - Training

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U2 - 10.1016/j.resuscitation.2024.110217

DO - 10.1016/j.resuscitation.2024.110217

M3 - Journal article

C2 - 38649086

SN - 0300-9572

VL - 199

JO - Resuscitation

JF - Resuscitation

M1 - 110217

ER -

The association of recent simulation training and clinical experience of team leaders with cardiopulmonary resuscitation quality during in-hospital cardiac arrest

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Keywords

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