Table 5.
Summary of Simulation Characteristics and Improvement in Survival to Hospital Discharge with Favourable Neurologic Outcome
| Top 3 or Bottom 3 Units (Improvement in Survival with Favourable Neurologic Outcome)1 | ||||
|---|---|---|---|---|
| Overall | Top three | Bottom Three | P-value | |
| Characteristics by simulation | 6920 | 4015 | 2905 | |
| Time since participants last simulation | <.0012 | |||
| This is my first simulation | 20.9% | 17.7% | 25.3% | |
| Earlier this month | 17.2% | 21.3% | 11.4% | |
| Last month | 28.9% | 32.4% | 24.1% | |
| 2 months ago | 12.8% | 11.2% | 15.0% | |
| 3 or more months ago | 20.2% | 17.4% | 24.1% | |
| Primary discipline of participant | <.0012 | |||
| Physician | 12.4% | 9.9% | 16.0% | |
| Nurse | 69.3% | 74.6% | 62.0% | |
| Respiratory therapist | 10.9% | 6.9% | 16.5% | |
| Other | 7.3% | 8.6% | 5.5% | |
| Time of training3 | <.0012 | |||
| Weekday day | 78.3% | 83.4% | 71.1% | |
| Weekday night | 9.1% | 6.8% | 12.2% | |
| Weekend day | 8.2% | 7.4% | 9.2% | |
| Weekend night | 4.5% | 2.3% | 7.5% | |
| Type of manikin | <.0012 | |||
| Infant | 53.8% | 56.9% | 49.4% | |
| Large child | 46.2% | 43.1% | 50.6% | |
| Average rate of 90–130 compressions/minute | 98.9% | 99.0% | 98.7% | 0.1492 |
| Average depth of ≥ 40 mm for infant and ≥ 50 mm for child manikin | 92.0% | 94.3% | 88.8% | <.0012 |
| Percentage of compressions with full release | 98.0 [90.0,100.0] | 98.0 [90.0,100.0] | 98.0 [90.0,100.0] | 0.5514 |
| Chest compression fraction > 80% | 99.6% | 99.8% | 99.3% | 0.0062 |
| Characteristics by month 5 | 140 | 79 | 61 | |
| Number of days on which simulation training was done | 4.0 [3.0,5.0] | 4.0 [3.0,5.0] | 3.0 [2.0,4.0] | <.0014 |
Study units with less than 10 events in the control or intervention period were excluded.
1
Favourable neurologic outcome is Paediatric Cerebral Performance Category of 1, 2, or 3, or no change from baseline.
2
Fisher’s exact test.
3
Day is between 7:00 am to 11:00 pm. Weekday is Monday, starting from 7:00 am until Friday 11:00 pm. Weekend is after Friday 11 pm until Monday at 7:00 am.
4
Wilcoxon rank-sum test.
5
Characteristics by month are the number of months per unit of rolling refreshers.