N/A
Completed N=1,001
Code Blue Outcomes & Process Improvement Through Leadership Optimization Using Teleintensivists-Simulation
Source: ClinicalTrials.gov NCT03000829 ↗Enrolled (actual)
1,001
Serious AEs
0.0%
Results posted
May 2024
Primary outcomePrimary: Fraction of Pulseless Time With no Chest Compressions — 0.22; 0.19 Fraction analysis time CPR not delivered — p=0.41
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.
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 | — |
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
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. Informational only — not medical advice.