Trial Outcomes & Findings for Hemodynamic Effects of Standard Cardiopulmonary Resuscitation (CPR), Active Compression Decompression CPR With an Inspiratory Impedance Device, and Standard CPR With an Intrathoracic Pressure Regulator During Out-of-hospital Cardiac Arrest (NCT NCT01325870)

NCT ID: NCT01325870

Last Updated: 2016-08-12

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

48 participants

Primary outcome timeframe

during CPR (day 1)

Results posted on

2016-08-12

Participant Flow

Participant milestones

Participant milestones
Measure
ACD-CPR +ITD
ACD-CPR+ITD: includes combined treatment with the ResQPRO active compression decompression device and the ResQPOD ITD 16.0 impedance threshold device
S-CPR + ITPR
S-CPR + ITPR: standard CPR with use of the CirQlator intrathoracic pressure regulator (ITPR)
S-CPR
S-CPR: standard manual CPR
Overall Study
STARTED
18
16
14
Overall Study
COMPLETED
7
3
6
Overall Study
NOT COMPLETED
11
13
8

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Hemodynamic Effects of Standard Cardiopulmonary Resuscitation (CPR), Active Compression Decompression CPR With an Inspiratory Impedance Device, and Standard CPR With an Intrathoracic Pressure Regulator During Out-of-hospital Cardiac Arrest

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ACD-CPR +ITD
n=18 Participants
ACD-CPR+ITD: includes combined treatment with the ResQPRO active compression decompression device and the ResQPOD ITD 16.0 impedance threshold device
S-CPR + ITPR
n=16 Participants
S-CPR + ITPR: standard CPR with use of the CirQlator intrathoracic pressure regulator (ITPR)
S-CPR
n=14 Participants
S-CPR: standard manual CPR
Total
n=48 Participants
Total of all reporting groups
Age, Continuous
63.1 years
STANDARD_DEVIATION 14.6 • n=5 Participants
66.8 years
STANDARD_DEVIATION 18.9 • n=7 Participants
64.7 years
STANDARD_DEVIATION 14.0 • n=5 Participants
64.8 years
STANDARD_DEVIATION 15.8 • n=4 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
22 Participants
n=4 Participants
Age, Categorical
>=65 years
8 Participants
n=5 Participants
11 Participants
n=7 Participants
7 Participants
n=5 Participants
26 Participants
n=4 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
7 Participants
n=7 Participants
5 Participants
n=5 Participants
22 Participants
n=4 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
9 Participants
n=7 Participants
9 Participants
n=5 Participants
26 Participants
n=4 Participants
Region of Enrollment
United States
18 participants
n=5 Participants
16 participants
n=7 Participants
14 participants
n=5 Participants
48 participants
n=4 Participants

PRIMARY outcome

Timeframe: during CPR (day 1)

Outcome measures

Outcome measures
Measure
ACD-CPR +ITD
n=7 Participants
ACD-CPR+ITD: includes combined treatment with the ResQPRO active compression decompression device and the ResQPOD ITD 16.0 impedance threshold device
S-CPR + ITPR
n=3 Participants
S-CPR + ITPR: standard CPR with use of the CirQlator intrathoracic pressure regulator (ITPR)
S-CPR
n=6 Participants
S-CPR: standard manual CPR
Mean Systolic and Diastolic Blood Pressures
Systolic
80.38 mmHg
Standard Deviation 20.71
121.21 mmHg
Standard Deviation 22.13
61.37 mmHg
Standard Deviation 26.23
Mean Systolic and Diastolic Blood Pressures
Diastolic
15.52 mmHg
Standard Deviation 14.10
33.04 mmHg
Standard Deviation 24.69
19.29 mmHg
Standard Deviation 17.31

PRIMARY outcome

Timeframe: during the index CPR procedure (day 1), at hospital discharge, at 30 days, at three months, and at six months of follow-up

Serious adverse events include: death, internal thoracic and abdominal injuries, device malfunction preventing use during CPR

Outcome measures

Outcome measures
Measure
ACD-CPR +ITD
n=18 Participants
ACD-CPR+ITD: includes combined treatment with the ResQPRO active compression decompression device and the ResQPOD ITD 16.0 impedance threshold device
S-CPR + ITPR
n=16 Participants
S-CPR + ITPR: standard CPR with use of the CirQlator intrathoracic pressure regulator (ITPR)
S-CPR
n=14 Participants
S-CPR: standard manual CPR
Serious Adverse Events
11 events
9 events
8 events

SECONDARY outcome

Timeframe: during CPR (day 1)

Intrathoracic pressures are reported relative to atmospheric pressure

Outcome measures

Outcome measures
Measure
ACD-CPR +ITD
n=7 Participants
ACD-CPR+ITD: includes combined treatment with the ResQPRO active compression decompression device and the ResQPOD ITD 16.0 impedance threshold device
S-CPR + ITPR
n=3 Participants
S-CPR + ITPR: standard CPR with use of the CirQlator intrathoracic pressure regulator (ITPR)
S-CPR
n=6 Participants
S-CPR: standard manual CPR
Mean Intrathoracic Pressure (Airway Pressure)
-1.05 mmHg
Standard Deviation 2.40
-4.40 mmHg
Standard Deviation 3.25
1.21 mmHg
Standard Deviation 2.57

Adverse Events

ACD-CPR +ITD

Serious events: 10 serious events
Other events: 1 other events
Deaths: 0 deaths

S-CPR + ITPR

Serious events: 8 serious events
Other events: 0 other events
Deaths: 0 deaths

S-CPR

Serious events: 6 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ACD-CPR +ITD
n=18 participants at risk
ACD-CPR+ITD: includes combined treatment with the ResQPRO active compression decompression device and the ResQPOD ITD 16.0 impedance threshold device
S-CPR + ITPR
n=16 participants at risk
S-CPR + ITPR: standard CPR with use of the CirQlator intrathoracic pressure regulator (ITPR)
S-CPR
n=14 participants at risk
S-CPR: standard manual CPR
Nervous system disorders
Death
55.6%
10/18
50.0%
8/16
42.9%
6/14
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
5.6%
1/18
6.2%
1/16
7.1%
1/14
Investigations
Device failure
5.6%
1/18
12.5%
2/16
0.00%
0/14
Respiratory, thoracic and mediastinal disorders
Blood in advanced airway
5.6%
1/18
6.2%
1/16
7.1%
1/14
Cardiac disorders
Re-arrest
11.1%
2/18
18.8%
3/16
0.00%
0/14
Gastrointestinal disorders
Vomiting
0.00%
0/18
6.2%
1/16
0.00%
0/14

Other adverse events

Other adverse events
Measure
ACD-CPR +ITD
n=18 participants at risk
ACD-CPR+ITD: includes combined treatment with the ResQPRO active compression decompression device and the ResQPOD ITD 16.0 impedance threshold device
S-CPR + ITPR
n=16 participants at risk
S-CPR + ITPR: standard CPR with use of the CirQlator intrathoracic pressure regulator (ITPR)
S-CPR
n=14 participants at risk
S-CPR: standard manual CPR
Respiratory, thoracic and mediastinal disorders
Blood in advanced airway
5.6%
1/18
0.00%
0/16
7.1%
1/14

Additional Information

Clinical Research Associate

Advanced Circulatory

Phone: 651-403-5606

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60