Inappropriate Shock Delivery Is Common During Pediatric In-Hospital Cardiac Arrest.

ABSTRACT:

Objectives

To characterize inappropriate shock delivery during pediatric in-hospital cardiac arrest (IHCA).

Design

Retrospective cohort study.

Setting

An international pediatric cardiac arrest quality improvement collaborative Pediatric Resuscitation Quality [pediRES-Q].

Patients

All IHCA events from 2015 to 2020 from the pediRES-Q Collaborative for which shock and electrocardiogram waveform data were available.

Interventions

None.

Measurements and main results

We analyzed 418 shocks delivered during 159 cardiac arrest events, with 381 shocks during 158 events at 28 sites remaining after excluding undecipherable rhythms. We classified shocks as: 1) appropriate (ventricular fibrillation [VF] or wide complex ≥ 150/min); 2) indeterminate (narrow comp

SUBMITTER: Gray JM 

PROVIDER: S-EPMC10440232 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature