Skip to main content
Top
Published in: BMC Health Services Research 1/2019

Open Access 01-12-2019 | Care | Research article

Cardiopulmonary resuscitation practices in the Netherlands: results from a nationwide survey

Authors: Marc Schluep, Geertje Johanna Catharina van Limpt, Robert Jan Stolker, Sanne Elisabeth Hoeks, Henrik Endeman

Published in: BMC Health Services Research | Issue 1/2019

Login to get access

Abstract

Background

Survival rates after in-hospital cardiac arrest are low and vary across hospitals. The ERC guidelines state that more research is needed to explore factors that could influence survival. Research into the role of cardiopulmonary resuscitation (CPR) practices is scarce. The goal of this survey is to gain information about CPR practices among hospitals in the Netherlands.

Methods

A survey was distributed to all Dutch hospital organizations (n = 77). Items investigated were general hospital characteristics, pre-, peri- and post-resuscitation care. Characteristics were stratified by hospital teaching status.

Results

Out of 77 hospital organizations, 71 (92%) responded to the survey, representing 99 locations. Hospitals were divided into three categories: university hospitals (8%), teaching hospitals (64%) and non-teaching hospitals (28%). Of all locations, 96% used the most recent guidelines for Advanced Life Support and 91% reported the availability of a Rapid Response System. Training frequencies varied from twice a year in 41% and once a year in 53% of hospital locations. The role of CPR team leader and airway manager is most often fulfilled by (resident) anaesthetists in university hospitals (63%), by emergency department professionals in teaching hospitals (43%) and by intensive care professionals in non-teaching hospitals (72%). The role of airway manager is most often attributed to (resident) anaesthetists in university hospitals (100%), and to intensive care professionals in teaching (82%) and non-teaching hospitals (79%).

Conclusion

The majority of Dutch hospitals follow the ERC guidelines but there are differences in the presence of an ALS certified physician, intensity of training and participation of medical specialties in the fulfilment of roles within the CPR-team.
Appendix
Available only for authorised users
Literature
5.
go back to reference Institute of Medicine (U.S.). Committee on the Treatment of Cardiac Arrest: Current Status and Future Directions, Graham R, McCoy MA, Schultz AM, Workshop on the Treatment of Cardiac Arrest: Current Status and Future Directions (1st : 2014 : Washington DC., Workshop on the Treatment of Cardiac Arrest: Current Status and Future Directions (2nd : 2014 : Seattle W., et al. Strategies to improve cardiac arrest survival : a time to act. Institute of Medicine (U.S.). Committee on the Treatment of Cardiac Arrest: Current Status and Future Directions, Graham R, McCoy MA, Schultz AM, Workshop on the Treatment of Cardiac Arrest: Current Status and Future Directions (1st : 2014 : Washington DC., Workshop on the Treatment of Cardiac Arrest: Current Status and Future Directions (2nd : 2014 : Seattle W., et al. Strategies to improve cardiac arrest survival : a time to act.
6.
go back to reference Greif R, Lockey AS, Conaghan P, Lippert A, De Vries W, Monsieurs KG, et al. European resuscitation council guidelines for resuscitation 2015. Section 10. Education and implementation of resuscitation. Resuscitation. 2015;95:288–301.CrossRefPubMed Greif R, Lockey AS, Conaghan P, Lippert A, De Vries W, Monsieurs KG, et al. European resuscitation council guidelines for resuscitation 2015. Section 10. Education and implementation of resuscitation. Resuscitation. 2015;95:288–301.CrossRefPubMed
7.
go back to reference Sinha SS, Chen LM, Nallamothu BK. Survival by the fittest: hospital-level variation in quality of resuscitation care. J Am Heart Assoc. 2014;3:1–3.CrossRef Sinha SS, Chen LM, Nallamothu BK. Survival by the fittest: hospital-level variation in quality of resuscitation care. J Am Heart Assoc. 2014;3:1–3.CrossRef
8.
go back to reference Chan PS. Hospital variation in time to defibrillation after in-hospital cardiac arrest. Arch Intern Med. 2009;169:1265.CrossRefPubMed Chan PS. Hospital variation in time to defibrillation after in-hospital cardiac arrest. Arch Intern Med. 2009;169:1265.CrossRefPubMed
11.
go back to reference Chan PS, Krein SL, Tang F, Iwashyna TJ, Harrod M, Kennedy M, et al. Resuscitation practices associated with survival after in-hospital cardiac arrest: a Nationwide survey. JAMA Cardiol. 2016;1:189–97.CrossRefPubMedPubMedCentral Chan PS, Krein SL, Tang F, Iwashyna TJ, Harrod M, Kennedy M, et al. Resuscitation practices associated with survival after in-hospital cardiac arrest: a Nationwide survey. JAMA Cardiol. 2016;1:189–97.CrossRefPubMedPubMedCentral
13.
go back to reference Merchant RM, Berg RA, Yang L, Becker LB, Groeneveld PW, Chan PS, et al. Hospital variation in survival after in-hospital cardiac arrest. J Am Heart Assoc. 2014;3:1–8. Merchant RM, Berg RA, Yang L, Becker LB, Groeneveld PW, Chan PS, et al. Hospital variation in survival after in-hospital cardiac arrest. J Am Heart Assoc. 2014;3:1–8.
15.
go back to reference Chen LM, Nallamothu BK, Krumholz HM, Spertus JA, Tang F, Chan PS. Association between a hospital’s quality performance for in-hospital cardiac arrest and common medical conditions. Circ Cardiovasc Qual Outcomes. 2013;6:700–7.CrossRefPubMedPubMedCentral Chen LM, Nallamothu BK, Krumholz HM, Spertus JA, Tang F, Chan PS. Association between a hospital’s quality performance for in-hospital cardiac arrest and common medical conditions. Circ Cardiovasc Qual Outcomes. 2013;6:700–7.CrossRefPubMedPubMedCentral
17.
go back to reference Sodhi K, Shrivastava A, Singla M. Impact of advanced cardiac life support training program on the outcome of cardiopulmonary resuscitation in a tertiary care hospital. Indian J Crit Care Med. 2011;15:209.CrossRefPubMedPubMedCentral Sodhi K, Shrivastava A, Singla M. Impact of advanced cardiac life support training program on the outcome of cardiopulmonary resuscitation in a tertiary care hospital. Indian J Crit Care Med. 2011;15:209.CrossRefPubMedPubMedCentral
18.
go back to reference Miguel Antonio Moretti, Antonio Machado Cesar L, Nusbacher A, Kern KB, Timerman S, Antonio Franchini Ramires J. Advanced cardiac life support training improves long-term survival from in-hospital cardiac arrest. Miguel Antonio Moretti, Antonio Machado Cesar L, Nusbacher A, Kern KB, Timerman S, Antonio Franchini Ramires J. Advanced cardiac life support training improves long-term survival from in-hospital cardiac arrest.
19.
go back to reference Dane FC, Russell-Lindgren KS, Parish DC, Durham MD, Brown TD. In-hospital resuscitation: association between ACLS training and survival to discharge. Resuscitation. 2000;47:83–7.CrossRefPubMed Dane FC, Russell-Lindgren KS, Parish DC, Durham MD, Brown TD. In-hospital resuscitation: association between ACLS training and survival to discharge. Resuscitation. 2000;47:83–7.CrossRefPubMed
20.
go back to reference Edelson DP, Yuen TC, Mancini ME, Davis DP, Hunt EA, Miller JA, et al. Hospital cardiac arrest resuscitation practice in the United States: a nationally representative survey. J Hosp Med. 2014;9:353–7.CrossRefPubMedPubMedCentral Edelson DP, Yuen TC, Mancini ME, Davis DP, Hunt EA, Miller JA, et al. Hospital cardiac arrest resuscitation practice in the United States: a nationally representative survey. J Hosp Med. 2014;9:353–7.CrossRefPubMedPubMedCentral
21.
go back to reference Siebig S, Kues S, Klebl F, Brünnler T, Rockmann F, Schölmerich J, et al. Cardiac arrest: composition of resuscitation teams and training techniques: results of a hospital survey in German-speaking countries. Dtsch Arztebl Int. 2009;106:65–70.PubMedPubMedCentral Siebig S, Kues S, Klebl F, Brünnler T, Rockmann F, Schölmerich J, et al. Cardiac arrest: composition of resuscitation teams and training techniques: results of a hospital survey in German-speaking countries. Dtsch Arztebl Int. 2009;106:65–70.PubMedPubMedCentral
22.
go back to reference Morgan R, Westmoreland C. Survey of junior hospital doctors’ attitudes to cardiopulmonary resuscitation. Morgan R, Westmoreland C. Survey of junior hospital doctors’ attitudes to cardiopulmonary resuscitation.
23.
go back to reference Porter JE, Cooper SJ, Taylor B. Emergency resuscitation team roles: what constitutes a team and who’s looking after the family? J Nurs Educ Pract. 2013;4:124–32. Porter JE, Cooper SJ, Taylor B. Emergency resuscitation team roles: what constitutes a team and who’s looking after the family? J Nurs Educ Pract. 2013;4:124–32.
24.
go back to reference Høyer Bjerre C, Christensen EF, Eika B. Junior physician skill and behaviour in resuscitation: a simulation study. Resuscitation. 2009. Høyer Bjerre C, Christensen EF, Eika B. Junior physician skill and behaviour in resuscitation: a simulation study. Resuscitation. 2009.
Metadata
Title
Cardiopulmonary resuscitation practices in the Netherlands: results from a nationwide survey
Authors
Marc Schluep
Geertje Johanna Catharina van Limpt
Robert Jan Stolker
Sanne Elisabeth Hoeks
Henrik Endeman
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2019
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-019-4166-2

Other articles of this Issue 1/2019

BMC Health Services Research 1/2019 Go to the issue