Quality of Pediatric Resuscitation in a Multicenter Collaborative
pediRES-Q
1 other identifier
observational
7,000
15 countries
61
Brief Summary
This is a prospective, observational, multi-center cohort study of pediatric cardiac arrests. The purpose of the study is to determine the association between chest compression mechanics (rate, depth, flow fraction, compression release) and patient outcomes. In addition, the investigators will determine the association of post cardiac arrest care with patient outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started May 2016
Longer than P75 for all trials
61 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 28, 2016
CompletedFirst Posted
Study publicly available on registry
March 15, 2016
CompletedStudy Start
First participant enrolled
May 2, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 1, 2030
October 2, 2025
September 1, 2025
13.7 years
January 28, 2016
September 29, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Aggregate score composed of American Heart Association (AHA) recommended depth, rate, and chest compression fraction during CPR
Primary outcome: "Guideline-compliant CPR" which will be determined by an aggregate score comprised of the following three components: depth, rate, and chest compression fraction. The three components will be analyzed in 30 and 60 second epochs. "Guideline-compliant CPR" requires that each component meet the following criteria: 1) Age-determined American Heart Association (AHA) guideline recommended depth; 2) rate ≥ 90 and ≤ 120 CC/min; and 3) CC Fraction ≥ 0.80. Depth, rate, and CC Fraction will be calculated for each epoch and an aggregate score will be assigned. The primary analysis will be performed on that total score.
10 Years
Study Arms (1)
Pediatric Cardiac Arrests
Pediatric cardiac arrests requiring chest compressions for at least 1 minute managed at clinical centers identified as part of standard clinical operations.
Eligibility Criteria
Data will be collected from pediatric cardiac arrest events as part of standard clinical operations.
You may qualify if:
- Patient received chest compressions for at least 1 minute
- Patient between gestational age ≥37 weeks and 18 years of age
You may not qualify if:
- Patient on veno-arterial extracorporeal membrane oxygenation (ECMO) therapy at beginning of CPR event
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Children's Hospital of Philadelphialead
- Zoll Medical Corporationcollaborator
Study Sites (61)
Kaiser Permanente
Los Angeles, California, 90027, United States
Cedars-Sinai Medical Center
Los Angeles, California, 90048, United States
Valley Children's Hospital
Madera, California, 93636, United States
Chldren's Hospital of Orange County
Orange, California, 92868, United States
Stanford University
Palo Alto, California, 94304, United States
Rady Children's Hospital
San Diego, California, 92123, United States
Children's Colorado
Aurora, Colorado, 80045, United States
Nemours Children's Hospital
Wilmington, Delaware, 19803, United States
All Children's Hospital
St. Petersburg, Florida, 33701, United States
Children's Healthcare of Atlanta (CHOA)
Atlanta, Georgia, 30322, United States
Lurie Children's (Children's Hospital of Chicago)
Chicago, Illinois, 60611, United States
University of Chicago, Comer Children's Hospital
Chicago, Illinois, 60637, United States
Riley Hospital for Children
Indianapolis, Indiana, 46202, United States
University of Iowa Stead Family Children's Hospital
Iowa City, Iowa, 52242, United States
Kentucky Children's Hospital
Lexington, Kentucky, 40536, United States
The Johns Hopkins Hospital
Baltimore, Maryland, 21287, United States
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Boston Children's
Boston, Massachusetts, 02115, United States
St. Louis Children's Hospital
St Louis, Missouri, 63110, United States
Nebraska Medical Center
Omaha, Nebraska, United States
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756, United States
Albany Medical Center
Albany, New York, 12208, United States
Mount Sinai Kravis Children's Hospital
New York, New York, 10029, United States
Morgan Stanley Children's Hospital
New York, New York, 10032, United States
Cohen Children's Medical Center
Queens, New York, 11040, United States
Stony Brook University Hospital
Stony Brook, New York, 11794, United States
Upstate Golisano Children's Hospital
Syracuse, New York, 13210, United States
University of North Carolina
Chapel Hill, North Carolina, 27514, United States
Akron Children's
Akron, Ohio, 44308, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
Medical University of South Carolina
Charleston, South Carolina, United States
Dell Children's Medical Center
Austin, Texas, 78723, United States
Medical City Children's Hospital
Dallas, Texas, 75230, United States
University of Texas Southwestern
Dallas, Texas, 75390, United States
The Children's Hospital of San Antonio
San Antonio, Texas, 78207, United States
Children's Hospital of Richmond at VCU
Richmond, Virginia, 23219, United States
Seattle Children's Hospital
Seattle, Washington, 98105, United States
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
The Children's Hospital at Westmead
Westmead, New South Wales, 2145, Australia
Perth Children's Hospital
Nedlands, 6009, Australia
Queensland Children's Hospital
South Brisbane, 4101, Australia
Sabara Hospital Infantil
São Paulo, 01227-200, Brazil
Stollery Children's Hospital
Edmonton, Alberta, T6G 2B7, Canada
BC Children's
Vancouver, British Columbia, V6H 3N1, Canada
Alberta Children's
Calgary, AB T3B, Canada
Instituto Roosevelt
Bogotá, Colombia
IRCCS Ospedale Pediatrico Bambino Gesù
Roma, 486686, Italy
Aichi Children's Health and Medical Center
Aichi, 474-8710, Japan
Kobe Children's Hospital (Hyogo Prefectural)
Kobe, 650-0047, Japan
Tokyo Metropolitan Children's Medical Center
Tokyo, 183-8561, Japan
Erasmus MC - Sophia Children's
Rotterdam, 3015, Netherlands
Starship Children's Hospital
Auckland, 1023, New Zealand
National University Hospital
Singapore, 119074, Singapore
KK Women's & Children's Hospital
Singapore, 229899, Singapore
Seoul National University Bundang Hospital
Seongnam, 13620, South Korea
Gregorio Marañón General University Hospital
Madrid, 46 28007, Spain
National Taiwan University Hospital
Taipei, 100229, Taiwan
King Chulalongkorn University
Bangkok, 10330, Thailand
Great Ormond Street Hospital
London, WC1N 3JH, United Kingdom
Related Publications (9)
Niles DE, Duval-Arnould J, Skellett S, Knight L, Su F, Raymond TT, Sweberg T, Sen AI, Atkins DL, Friess SH, de Caen AR, Kurosawa H, Sutton RM, Wolfe H, Berg RA, Silver A, Hunt EA, Nadkarni VM; pediatric Resuscitation Quality (pediRES-Q) Collaborative Investigators. Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative. Pediatr Crit Care Med. 2018 May;19(5):421-432. doi: 10.1097/PCC.0000000000001520.
PMID: 29533355BACKGROUNDSweberg T, Sen AI, Mullan PC, Cheng A, Knight L, Del Castillo J, Ikeyama T, Seshadri R, Hazinski MF, Raymond T, Niles DE, Nadkarni V, Wolfe H; pediatric resuscitation quality (pediRES-Q) collaborative investigators. Description of hot debriefings after in-hospital cardiac arrests in an international pediatric quality improvement collaborative. Resuscitation. 2018 Jul;128:181-187. doi: 10.1016/j.resuscitation.2018.05.015. Epub 2018 May 26.
PMID: 29768181BACKGROUNDPfeiffer S, Lauridsen KG, Wenger J, Hunt EA, Haskell S, Atkins DL, Duval-Arnould JM, Knight LJ, Cheng A, Gilfoyle E, Su F, Balikai S, Skellett S, Hui MY, Niles DE, Roberts JS, Nadkarni VM, Tegtmeyer K, Dewan M; Pediatric Resuscitation Quality Collaborative Investigators. Code Team Structure and Training in the Pediatric Resuscitation Quality International Collaborative. Pediatr Emerg Care. 2021 Aug 1;37(8):e431-e435. doi: 10.1097/PEC.0000000000001748.
PMID: 31045955BACKGROUNDEsangbedo I, Yu P, Raymond T, Niles DE, Hanna R, Zhang X, Wolfe H, Griffis H, Nadkarni V; Pediatric Resuscitation Quality (pediRES-Q) Collaborative Investigators. Pediatric in-hospital CPR quality at night and on weekends. Resuscitation. 2020 Jan 1;146:56-63. doi: 10.1016/j.resuscitation.2019.10.039. Epub 2019 Nov 14.
PMID: 31734222BACKGROUNDWolfe HA, Wenger J, Sutton R, Seshadri R, Niles DE, Nadkarni V, Duval-Arnould J, Sen AI, Cheng A. Cold Debriefings after In-hospital Cardiac Arrest in an International Pediatric Resuscitation Quality Improvement Collaborative. Pediatr Qual Saf. 2020 Jul 8;5(4):e319. doi: 10.1097/pq9.0000000000000319. eCollection 2020 Jul-Aug.
PMID: 32766493BACKGROUNDRaymond TT, Esangbedo ID, Rajapreyar P, Je S, Zhang X, Griffis HM, Wakeham MK, Petersen TL, Kirschen MP, Topjian AA, Lasa JJ, Francoeur CI, Nadkarni VM; pediatric Resuscitation Quality (pediRES-Q) Collaborative Investigators. Cerebral Oximetry During Pediatric In-Hospital Cardiac Arrest: A Multicenter Study of Survival and Neurologic Outcome. Crit Care Med. 2024 May 1;52(5):775-785. doi: 10.1097/CCM.0000000000006186. Epub 2024 Jan 5.
PMID: 38180092DERIVEDOng GY, Chen ZJ, Niles DE, Srinivasan V, Sen AI, Skellett S, Ikeyama T, Del Castillo J, Berg RA, Nadkarni VM. Poor Concordance of One-Third Anterior-Posterior Chest Diameter Measurements With Absolute Age-Specific Chest Compression Depth Targets in Pediatric Cardiac Arrest Patients. J Am Heart Assoc. 2023 Jul 18;12(14):e028418. doi: 10.1161/JAHA.122.028418. Epub 2023 Jul 8.
PMID: 37421276DERIVEDGray JM, Raymond TT, Atkins DL, Tegtmeyer K, Niles DE, Nadkarni VM, Pandit SV, Dewan M; pediRES-Q Investigators. Inappropriate Shock Delivery Is Common During Pediatric In-Hospital Cardiac Arrest. Pediatr Crit Care Med. 2023 Aug 1;24(8):e390-e396. doi: 10.1097/PCC.0000000000003241. Epub 2023 Apr 28.
PMID: 37115167DERIVEDRaymond TT, Pandit SV, Griffis H, Zhang X, Hanna R, Niles DE, Silver A, Lasa JJ, Haskell SE, Atkins DL, Nadkarni VM; Pediatric Resuscitation Quality Collaborative (pediRES-Q) Investigators. Effect of Amplitude Spectral Area on Termination of Fibrillation and Outcomes in Pediatric Cardiac Arrest. J Am Heart Assoc. 2021 Jun 15;10(12):e020353. doi: 10.1161/JAHA.120.020353. Epub 2021 Jun 5.
PMID: 34096341DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Vinay Nadkarni, MD, MS
Children's Hospital of Philadelphia
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 28, 2016
First Posted
March 15, 2016
Study Start
May 2, 2016
Primary Completion (Estimated)
January 1, 2030
Study Completion (Estimated)
January 1, 2030
Last Updated
October 2, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will not share