Background and objective
The survival rates of in-hospital cardiopulmonary resuscitation (CPR) are low and vary across hospitals. The ERC guidelines state that more research is needed in the field of survival and contributing factors. In this regard the role of CPR practices has not been broadly researched. The goal of this survey is to gain information about CPR practices among hospitals in the Netherlands.
A web-based survey was distributed to all Dutch hospital organizations (n=77) offering inpatient care. Characteristics were stratified by hospital teaching status.
71 out of 77 hospital organizations (92%) responded the survey, representing 99 locations. 96% of the hospitals locations follow the most current European guidelines for advanced life support and 91% reported the availability of a Rapid Response System. Training frequencies varied with 41% of the hospital locations training twice a year and 53% training once a year. The role of CPR team leader and airway manager is most often fulfilled by (resident) anaesthesiologists in academic 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) anaesthesiologists in academic hospitals (100%), to Intensive Care professionals in teaching and non-teaching hospitals (82% and 79% respectively).
The majority of Dutch hospitals adhere to the ERC guidelines but there are differences in the presence of an ALS certified physician, intensity of training and the participation of different medical specialties in the fulfilment of roles within the CPR-team.