OPTIMAL PREHOSPITAL CARE OF CHILDHOOD CARDIAC ARREST

Summary

Principal Investigator: I G Stiell
Abstract: DESCRIPTION (provided by the applicant): The overall goal of the research group is to improve the survival and morbidity of children who suffer cardiac arrest outside of a hospital. The purpose of this clinical trial planning grant proposal is to allow the research team to plan a definitive multicenter clinical trial that would evaluate the best timing, intensity, and duration of prehospital life support interventions for such patients. The PIs believe there is a strong need to design and conduct a large, methodologically robust study in order to optimize prehospital treatment of pediatric cardiac arrest and achieve the best possible survival, neurological, and rehabilitation outcomes. They have four specific aims (1) review and interpret the current evidence; (2) identify partners and determine feasibility; (3) specify the details of the methodological approach; and (4) plan the study organization. With the current proposal, the PIs intend to undertake a planning process and the collection of convincing preliminary data that will allow them to subsequently submit a proposal for a definitive multicenter clinical trial. In particular, they intend to resolve key feasibility and methodological issues that have traditionally prevented successful clinical research in an area where studies are very difficult to conduct. The largest barriers, to date, are inadequate sample size, poor quality data, obtaining research ethics approval, and determining the most important interventions. The PIs propose to conduct a large feasibility review in five urban areas and to conduct four study planning workshops.
Funding Period: 2003-09-11 - 2005-06-30
more information: NIH RePORT

Top Publications

  1. ncbi Epidemiology of out-of hospital pediatric cardiac arrest due to trauma
    Valerie J De Maio
    WakeMed Health and Hospitals, Clinical Research Unit, Emergency Services Institute, Raleigh, North Carolina 27610, USA
    Prehosp Emerg Care 16:230-6. 2012
  2. ncbi Out-of-hospital pediatric cardiac arrest: an epidemiologic review and assessment of current knowledge
    Aaron J Donoghue
    Division of Critical Care Medicine, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Ann Emerg Med 46:512-22. 2005
  3. ncbi Impact of the privacy rule on the study of out-of-hospital pediatric cardiac arrest
    Marilyn C Morris
    Department of Pediatrics, Division of Pediatric Critical Care, The Children s Hospital of New York Presbyterian, Columbia University, New York, New York 10032, USA
    Prehosp Emerg Care 11:272-7. 2007

Scientific Experts

Detail Information

Publications3

  1. ncbi Epidemiology of out-of hospital pediatric cardiac arrest due to trauma
    Valerie J De Maio
    WakeMed Health and Hospitals, Clinical Research Unit, Emergency Services Institute, Raleigh, North Carolina 27610, USA
    Prehosp Emerg Care 16:230-6. 2012
    ..To determine the epidemiology and survival of pediatric out-of-hospital cardiac arrest (OHCA) secondary to trauma...
  2. ncbi Out-of-hospital pediatric cardiac arrest: an epidemiologic review and assessment of current knowledge
    Aaron J Donoghue
    Division of Critical Care Medicine, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Ann Emerg Med 46:512-22. 2005
    ..We systematically summarize pediatric out-of-hospital cardiac arrest epidemiology and assess knowledge of effects of specific out-of-hospital interventions...
  3. ncbi Impact of the privacy rule on the study of out-of-hospital pediatric cardiac arrest
    Marilyn C Morris
    Department of Pediatrics, Division of Pediatric Critical Care, The Children s Hospital of New York Presbyterian, Columbia University, New York, New York 10032, USA
    Prehosp Emerg Care 11:272-7. 2007
    ..Compliance with the Privacy Rule is particularly challenging for prehospital research, because investigators often seek data from multiple emergency medical services (EMS) and receiving hospitals...