Publications by authors named "Tanya Lane Truitt"
Background: Data suggest that the overall quality of inhospital resuscitation is suboptimal and contributes to poor patient outcomes. In 2000 the American Heart Association created the National Registry of Cardiopulmonary Resuscitation (NRCPR) as an evidence-based hospital safety program. Participating hospitals voluntarily join the registry and pay an annual fee that includes data support and report generation.
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- Cardiac arrests in adults often involve ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT), leading to better survival rates compared to asystole or pulseless electrical activity (PEA), while in children, cardiac arrests are usually asystole or PEA.
- A study of over 36,000 adults and 880 children across 253 hospitals found that children had a higher survival rate to hospital discharge (27%) compared to adults (18%) following pulseless cardiac arrest.
- Children had lower rates of VF or pulseless VT (14% vs. 23% in adults), and higher rates of asystole (40% vs. 35% in adults);
Unlabelled: The purpose of this study is to examine the commonly held assumption that time is measured and documented accurately during resuscitation from cardiac arrest in the hospital.
Methods: A two-pronged approach was used to evaluate the accuracy of time documentation and measurement. First, two existing databases-the National Registry of Cardiopulmonary Resuscitation (NRCPR) and a 240-bed hospital's repository of cardiac arrest records-were evaluated for completeness and accuracy of documentation on resuscitation records of times required for calculating the Utstein gold-standard process intervals-recognition of pulselessness to starting cardiopulmonary resuscitation (CPR), delivery of first defibrillation shock, successful intubation, and epinephrine (adrenaline) administration.