Abstract
Introduction
Paediatric cardiac arrest (PCA), despite its low incidence, has a
high mortality. Its management is complex and deviations from guideline
recommendations occur frequently. We developed a new interactive tablet
app, named PediAppRREST, to support the management of PCA. The app
received a good usability evaluation in a previous pilot trial. The aim
of the study is to evaluate the effectiveness of the PediAppRREST app in
reducing deviations from guideline recommendations in PCA
management.
Methods and analysis
This is a multicentre, simulation-based, randomised controlled,
three-parallel-arm study. Participants are residents in Paediatric,
Emergency Medicine, and Anaesthesiology programmes in Italy. All 105
teams (315 participants) manage the same scenario of in-hospital PCA.
Teams are randomised by the study statistician into one of three study
arms for the management of the PCA scenario: (1) an intervention group
using the PediAppRREST app or (2) a control group Paediatric Advanced
Life Support (CtrlPALS+) using the PALS pocket reference card; or (3) a
control group (CtrlPALS-) not allowed to use any PALS-related cognitive
aid. The primary outcome of the study is the number of deviations
(delays and errors) in PCA management from PALS guideline
recommendations, according to a novel checklist, named c-DEV15plus. The
c-DEV15plus scores will be compared between groups with a one-way
analysis of variance model, followed by the Tukey-Kramer multiple
comparisons adjustment procedure in case of statistical
significance.
Ethics and dissemination
The Ethics Committee of the University Hospital of Padova,
coordinating centre of the trial, deemed the project to be a negligible
risk study and approved it through an expedited review process. The
results of the study will be disseminated in peer-reviewed journals, and
at national and international scientific conferences. Based on the study
results, the PediAppRREST app will be further refined and will be
available for download by institutions/healthcare
professionals.
Trial registration number
NCT04619498; Pre-results.
Funder
Università
degli Studi di Padova
Cited by
2 articles.
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