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). 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. 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 s [10; 30]. Having a team leader with recent simulation training was associated with significantly shorter longest pause durations (difference: −7.11 s (95%-CI: −12.0; −2.2), = 0.004), a higher CCF (difference: 3% (95%-CI: 2.0; 4.0%), < 0.001) and with less guideline compliant chest compression rates (odds ratio: 0.4 (95%-CI: 0.19; 0.84), = 0.02). Having an experienced team leader was not associated with longest pause duration (difference: −1.57 s (95%-CI: −5.34; 2.21), = 0.42), CCF (difference: 0.7% (95%-CI: −0.3; 1.7), = 0.17) or chest compression rates within guideline recommendations (odds ratio: 1.55 (95%-CI: 0.91; 2.66), = 0.11). Recent simulation training of team leaders, but not years of team leader experience, was associated with shorter chest compression pauses during IHCA.

中文翻译：

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队长近期模拟训练及临床经验与院内心脏骤停心肺复苏质量的关系


我们的目的是调查近期团队领导模拟培训（<6 个月）和多年临床经验（≥4 年）与院内心脏骤停 (IHCA) 期间胸外按压质量的关联。这项在丹麦四家医院进行的 IHCA 队列研究包括具有胸外按压质量和团队领导特征数据的病例。我们使用混合效应模型评估了最近的模拟训练和经验丰富的团队领导对最长胸外按压暂停持续时间（主要结果）、胸外按压分数 (CCF) 和指南建议内胸外按压率的影响。在 157 次尝试复苏的项目中，45% 的团队领导最近参加过模拟培训，66% 的团队领导经验丰富。团队领导经验中位数为 7 年 [第一季度； Q3：4； 11]。最长胸外按压暂停的中位持续时间为 16 秒 [10； 30]。团队领导者近期接受过模拟训练与最长停顿持续时间显着缩短（差异：−7.11 s (95%-CI: −12.0; −2.2), = 0.004）、较高的 CCF（差异：3% (95% -CI：2.0；4.0%），< 0.001），胸外按压率符合指南要求较低（比值比：0.4（95%-CI：0.19；0.84），= 0.02）。拥有经验丰富的团队领导者与最长暂停时间无关（差异：−1.57 秒（95%-CI：-5.34；2.21），= 0.42），CCF（差异：0.7%（95%-CI：-0.3；1.7） ), = 0.17) 或指南建议范围内的胸外按压率（比值比：1.55 (95%-CI: 0.91; 2.66), = 0.11）。最近对团队领导者进行的模拟培训（但与多年的团队领导经验无关）与 IHCA 期间较短的胸部按压暂停有关。