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Reporting in Pediatric Resuscitation: Get with the Guidelines-Resuscitation Registry

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Pediatric and Congenital Cardiac Care

Abstract

High quality CPR and post-resuscitation care is associated with improved survival and functional outcomes following pediatric cardiac arrest. The evidence suggests that the quality of in-hospital resuscitation often does not achieve current resuscitation guideline targets and poor quality CPR contributes to poor patient outcomes. The Get With the Guidelines- Resuscitation (GWTG-R) database is a national evidence-based hospital quality improvement and patient safety program focused on improving resuscitation following cardiac arrest. Registry participation is voluntary with an annual fee that includes data support and report generation. The primary purpose of GWTG-R is to improve outcomes from in-hospital cardiac arrests through individual hospital cardiac arrest resuscitation process and outcome measurement. A secondary purpose is to generate a large, multi-institutional database of adult and pediatric cardiac arrests that facilitates comparison between the international consensus on resuscitation science and treatment recommendations with the actual implementation of guidelines and resultant outcomes. Limitations of the dataset include the lack of illness severity scores, risk-adjusted classification for congenital heart surgery scoring, and long-term neurologic, behavioural and functional outcome data. Exciting prospects for the future include linkage with other existing large databases such as the Extracorporeal Life Support Organization (ELSO) and Society for Thoracic Surgery (STS) databases.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Critical Care Medicine, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Heather A. Wolfe MD, Robert M. Sutton MD MSCE, Alexis Topjian MD, MSCE, Akira Nishisaki MD, MSCE & Dana E. Niles MS

  2. Department of Anesthesiology and Critical Care Medicine, The Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA

    Peter A. Meaney MD MPH

  3. Department of Critical Care Medicine, The Children’s Hospital of Philadelphia, 3400 Civic Center Boulevard 8th Floor, 8NE8566, Philadelphia, PA, 19104, USA

    Robert A. Berg MD & Vinay M. Nadkarni MD, MS

Authors
  1. Heather A. Wolfe MD
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  2. Robert M. Sutton MD MSCE
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  3. Alexis Topjian MD, MSCE
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  4. Akira Nishisaki MD, MSCE
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  5. Dana E. Niles MS
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  6. Peter A. Meaney MD MPH
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  7. Robert A. Berg MD
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  8. Vinay M. Nadkarni MD, MS
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Corresponding author

Correspondence to Heather A. Wolfe MD .

Editor information

Editors and Affiliations

  1. School of Medicine,, University of Oslo, Oslo, Norway

    Paul R. Barach

  2. Division of Cardiac Surgery, Department of Surgery,, Division of Cardiac Surgery, Department of Surgery, Johns Hopkins All Children’s Heart Institute, All Children’s Hospital and Florida Hospital for Children, Johns Hopkins University, St. Petersburg, Tampa, Orlando, FL, USA, Johns Hopkins University, Baltimore, Maryland, USA

    Jeffery P. Jacobs

  3. School of Medicine, Wayne State University, Detroit, Michigan, USA

    Steven E. Lipshultz

  4. University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada

    Peter C. Laussen

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© 2015 Springer-Verlag London

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Wolfe, H.A. et al. (2015). Reporting in Pediatric Resuscitation: Get with the Guidelines-Resuscitation Registry. In: Barach, P., Jacobs, J., Lipshultz, S., Laussen, P. (eds) Pediatric and Congenital Cardiac Care. Springer, London. https://doi.org/10.1007/978-1-4471-6566-8_10

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  • DOI: https://doi.org/10.1007/978-1-4471-6566-8_10

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6565-1

  • Online ISBN: 978-1-4471-6566-8

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