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Arizona Prehospital CPR Quality Improvement Project

This study is currently recruiting participants.
Verified May 2012 by Maricopa Integrated Health System
Sponsor:
Collaborators:
Arizona Department of Health Services
Guardian Medical Transport
Mesa Fire Department
Zoll Medical Corporation
Information provided by (Responsible Party):
Dave Drachman, PhD, Maricopa Integrated Health System
ClinicalTrials.gov Identifier:
NCT01258244
First received: December 9, 2010
Last updated: May 24, 2012
Last verified: May 2012
History of Changes
  Purpose

The quality of cardiopulmonary resuscitation (CPR) provided to patients with out-of-hospital cardiac arrest (OHCA) is often suboptimal. There now exist monitors/defibrillators that allow for the measurement and real time feedback of the quality of chest compressions and ventilations. In addition to giving the prehospital provider the benefit of real time CPR quality feedback via voice and visual cues, the CPR quality data acquired using these devices can be utilized as part of an on-going quality assurance/quality improvement program.

The first objective of the proposed project is to quantify the quality of chest compressions and ventilations provided in the state of Arizona to patients with OHCA and to determine whether the quality of CPR is related to patient outcome from OHCA.

A second objective of this project is to determine whether use of audiovisual feedback improves both CPR quality and patient outcome in the pre-hospital setting.


Condition
Out-of-Hospital Cardiac Arrest

Study Type: Observational
Study Design: Time Perspective: Prospective
Official Title: Arizona Prehospital CPR Quality Improvement Project

Resource links provided by NLM:

MedlinePlus related topics: Cardiac Arrest
U.S. FDA Resources

Further study details as provided by Maricopa Integrated Health System:

Primary Outcome Measures:
  • Quality of chest compressions [ Time Frame: Phase I - 6 months; Phase II - 20 months ] [ Designated as safety issue: No ]
    Depth of chest compressions, rate of chest compressions, and interruptions in chest compressions


Secondary Outcome Measures:
  • Survival to hospital discharge [ Time Frame: Phase I - 6 months; Phase II - 20 months ] [ Designated as safety issue: No ]
    Did the patient survive to hospital discharge? (Yes or no--dichotomous measure)


Estimated Enrollment: 450
Study Start Date: May 2010
Estimated Study Completion Date: December 2012
Estimated Primary Completion Date: December 2012 (Final data collection date for primary outcome measure)
Groups/Cohorts
Audiovisual feedback on CPR
EMS technicians will receive audiovisual feedback from the ZOLL device on depth, frequency, and interruptions to cardiac compressions

Detailed Description:

Phase I: In the first phase of the project, the EMS systems will utilize the E-series units to treat all patients with OHCA. The audiovisual feedback prompts will be inactivated during this phase. The EMS providers will be instructed to follow the standard CCR protocol, as is currently the practice. Aside from the change in monitor/defibrillator equipment, the treatment of OHCA patients during this phase will be identical to the treatment that is currently performed. The quality of CPR will be measured using the accelerometer-based system. The data will be stored in the defibrillator and will be downloaded upon completion of the call. The first phase will be conducted for approximately 6 months from the time each site initiates the use of the E-series monitor/defibrillators.

Phase 2:In the second phase of the project, the EMS providers will undergo training on how to use the audiovisual feedback prompts. The providers will continue to treat patients according to the CCR protocol but will now receive audio and/or visual feedback on the quality of CPR that they are performing. The providers will select the preferred feedback method(s) - audio, visual or both. As in phase I, the CPR data will be stored in the defibrillator and will be downloaded upon completion of the call.

The total number of EMS personnel who will be trained is approximately 450. In Phase I, there were 219 OHCAs (80% from Mesa Fire Dept, and 20% from Guardian Medical Transport). So far in Phase II, there have been about 100 OHCAs.

  Eligibility

Ages Eligible for Study:   24 Years to 55 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Emergency medical services providers in 4 different Arizona cities

Criteria

Inclusion Criteria:

  • Emergency Medical Services personnel at 8 fire departments in AZ who treat patients with out of hospital cardiac arrest (OHCA)

Exclusion Criteria:

-

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01258244

Locations
United States, Arizona
Guardian Medical Transport Recruiting
Flagstaff, Arizona, United States, 86001
Contact: Mark Venuti     928-779-3366     mark.venuti@hahealth.com    
Mesa Fire Department Recruiting
Mesa, Arizona, United States, 85201
Contact: Mary Canelli     480-644-2101     mary.canelli@mesa.gov    
Sponsors and Collaborators
Maricopa Integrated Health System
Arizona Department of Health Services
Guardian Medical Transport
Mesa Fire Department
Zoll Medical Corporation
Investigators
Principal Investigator: Bentley J Bobrow, MD Arizona Department of Health Services, Maricopa Integrated Health System
  More Information

Publications:

Responsible Party: Dave Drachman, PhD, Senior Biostatistician, Maricopa Integrated Health System
ClinicalTrials.gov Identifier: NCT01258244     History of Changes
Other Study ID Numbers: 2010-118
Study First Received: December 9, 2010
Last Updated: May 24, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by Maricopa Integrated Health System:
Out-of-Hospital Cardiac Arrest, OHCA

Additional relevant MeSH terms:
Heart Arrest
Out-of-Hospital Cardiac Arrest
Heart Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on May 16, 2013