N/A N=1,001 Randomized Health Services Research

Code Blue Outcomes & Process Improvement Through Leadership Optimization Using Teleintensivists-Simulation

Cardiac Arrest

Bottom Line

View on ClinicalTrials.gov: NCT03000829 ↗

Enrolled (actual)

1,001

Serious AEs

0.0%

Results posted

May 2024

Primary outcome: Primary: Fraction of Pulseless Time With no Chest Compressions — 0.22; 0.19 Fraction analysis time CPR not delivered — p=0.41

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Tele-intensivist consultation (Other); Simulated "observation" by ICU physician (Other)
Age: Adult, Older Adult · 18+ yrs
Sex: All
Sponsor: Intermountain Health Care, Inc.
Primary completion: Dec 2018

Outcome Measures

Outcome	Result	p-value
PRIMARY Fraction of Pulseless Time With no Chest Compressions	0.22; 0.19	0.41
SECONDARY Time From Onset of Shockable Rhythm to Defibrillation	37; 36	0.86
SECONDARY Fraction of Chest Compressions With Complete Release	0.89; 0.89	0.97
SECONDARY Fraction of Chest Compressions at Target Rate	0.59; 0.58	0.87
SECONDARY Time to First Dose of Epinephrine	329; 344	0.63
SECONDARY Overall ACLS Protocol Adherence (Using Checklist Adapted From McEvoy ACLS Assessment Tool)	0.77; 0.78	0.62
SECONDARY ACLS Protocol Errors (Using Checklist Adapted From McEvoy ACLS Assessment Tool)	2.8; 2.9	0.84
SECONDARY Team Emergency Assessment Measure Score	3.2; 3.3	0.40
SECONDARY Types of Input by Telemedical Intensivist Copilot	27; 24; 26; 19; 10	—
SECONDARY Opinions of Study Subjects About Experience Participating in Simulated Cardiac Arrest, Using a Locally-developed and Validated Survey Instrument	174; 176	—
SECONDARY Short-form State-Trait Anxiety Inventory Score	12.9; 12.9	0.92
SECONDARY Presence of Telemedicine Audiovisual Connection Problems for Intervention Group Simulation Event	14	—

Summary

This multicenter randomized trial will employ in-situ cardiac arrest simulations ("mock codes") to test whether using telemedicine technology to add an intensive care physician as the "copilot" for cardiac arrest resuscitation teams influences chest compression quality, resuscitation protocol adherence, team function, and provider experience.

Eligibility Criteria

Inclusion criteria (on-site cardiac arrest team):

Are 18 years of age or older

Inclusion criteria (teleintensivist cardiac arrest team copilot):

Are 18 years of age or older
Are a board-certified or board-eligible critical care physician
Provide clinical care through the Intermountain Healthcare Telecritical Care program

Exclusion criteria (both groups):

Are under 18 years of age
Are a member of the study research team

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03000829). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.