Ignite Creation Date:
2025-12-24 @ 2:53 PM
Ignite Modification Date:
2025-12-25 @ 11:41 AM
Study NCT ID:
NCT03894059
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-10-29
First Post:
2019-03-19
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
An Educational Program to Improve Cardiac Arrest Diagnostic Accuracy of Ambulance Telecommunicators
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D006323', 'term': 'Heart Arrest'}, {'id': 'D058687', 'term': 'Out-of-Hospital Cardiac Arrest'}, {'id': 'D016757', 'term': 'Death, Sudden, Cardiac'}], 'ancestors': [{'id': 'D006331', 'term': 'Heart Diseases'}, {'id': 'D002318', 'term': 'Cardiovascular Diseases'}, {'id': 'D003645', 'term': 'Death, Sudden'}, {'id': 'D003643', 'term': 'Death'}, {'id': 'D010335', 'term': 'Pathologic Processes'}, {'id': 'D013568', 'term': 'Pathological Conditions, Signs and Symptoms'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D018479', 'term': 'Early Intervention, Educational'}], 'ancestors': [{'id': 'D002662', 'term': 'Child Health Services'}, {'id': 'D003153', 'term': 'Community Health Services'}, {'id': 'D006296', 'term': 'Health Services'}, {'id': 'D005159', 'term': 'Health Care Facilities Workforce and Services'}, {'id': 'D011314', 'term': 'Preventive Health Services'}]}}, 'protocolSection': {'designModule': {'studyType': 'OBSERVATIONAL', 'designInfo': {'timePerspective': 'PROSPECTIVE', 'observationalModel': 'COHORT'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 12224}, 'patientRegistry': False}, 'statusModule': {'overallStatus': 'ACTIVE_NOT_RECRUITING', 'startDateStruct': {'date': '2020-12-14', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2024-10', 'completionDateStruct': {'date': '2025-12-31', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2024-10-28', 'studyFirstSubmitDate': '2019-03-19', 'studyFirstSubmitQcDate': '2019-03-26', 'lastUpdatePostDateStruct': {'date': '2024-10-29', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2019-03-28', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2025-12-31', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Overall Survival', 'timeFrame': 'Change between 12 month period before and after delivery of additional education to ambulance telecommunicators', 'description': "Accessing hospital medical records or coroner's reports, assess survival of cardiac arrest victim as being discharged alive from hospital."}], 'secondaryOutcomes': [{'measure': 'Community Bystander Cardiopulmonary Resuscitation Rate', 'timeFrame': 'Change between 12 month period before and after delivery of additional education to ambulance telecommunicators', 'description': 'The first member of the emergency response team to arrive at the scene will document whether or not chest compressions have been initiated by someone prior to the arrival of the emergency team.'}, {'measure': 'Telecommunication-assisted CPR instructions rate', 'timeFrame': 'Change between 12 month period before and after delivery of additional education to ambulance telecommunicators', 'description': 'By reviewing audio recordings, determine the cases where telecommunicator assistance led to delivery of chest compressions'}, {'measure': 'Presence of agonal breathing', 'timeFrame': 'Change between 12 month period before and after delivery of additional education to ambulance telecommunicators', 'description': 'Document the presence or absence of agonal breathing through review of audio recording.'}, {'measure': 'Cardiac arrest recognition rate', 'timeFrame': 'at time of event'}, {'measure': 'Time intervals', 'timeFrame': 'Change between 12 month period before and after delivery of additional education to ambulance telecommunicators', 'description': 'call receipt to recognition of cardiac arrest, time to CPR instructions initiated'}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['cardiac arrest', 'bystander cardiopulmonary resuscitation CPR', 'dispatch-assisted CPR instructions', 'agonal breathing'], 'conditions': ['Heart Arrest', 'Heart Arrest, Out-Of-Hospital', 'Cardiac Arrest', 'Death, Sudden, Cardiac', 'Cardiac Arrest, Sudden', 'Cardiopulmonary Arrest']}, 'referencesModule': {'references': [{'pmid': '33663395', 'type': 'DERIVED', 'citation': 'Vaillancourt C, Charette M, Naidoo S, Taljaard M, Church M, Hodges S, Leduc S, Christenson J, Cheskes S, Dainty K, Feldman M, Goldstein J, Tallon J, Helmer J, Sibley A, Spidel M, Blanchard I, Garland J, Cyr K, Brehaut J, Dorian P, Lacroix C, Zambon S, Thiruganasambandamoorthy V. Multi-centre implementation of an Educational program to improve the Cardiac Arrest diagnostic accuracy of ambulance Telecommunicators and survival outcomes for sudden cardiac arrest victims: the EduCATe study design and methodology. BMC Emerg Med. 2021 Mar 4;21(1):26. doi: 10.1186/s12873-021-00416-4.'}]}, 'descriptionModule': {'briefSummary': "Cardiac arrest is the number one cause of death in Canada. It is often the first symptom of cardiac disease for the victims. Eighty-five percent of victims collapse in their own home. Fifty percent collapse in the presence of a family member. Bystander cardiopulmonary resuscitation (CPR) can improve the chance to survive a cardiac arrest by three to four times, but needs to be started quickly. In most communities, less than 30% of victims receive CPR before the ambulance arrives. Currently, only 8% of cardiac arrest victims can leave the hospital alive.\n\nMany things have been tried to improve the number of times people do CPR. So far, the only thing that really increased the number of times that someone did CPR is when 9-1-1 attendants started to give CPR instructions to callers over the phone. The only problem is that about 25% of cardiac arrest victims gasp for air in the first few minutes. This can fool the 9-1-1 callers and attendants into thinking that the victim is still alive.\n\nThe investigators have looked at all the studies on how to help 9-1-1 attendants to recognize abnormal breathing over the phone. The investigators have also learned what should be taught after finishing a large survey with 9-1-1 attendants from across Canada. This survey was done with the help of psychologists and other education experts. It measured the impact of attitudes, social pressures, and 9-1-1 attendants' perceived control over their ability to recognize abnormal breathing and cardiac arrest. Then the investigators developed a teaching tool which helped Ottawa 9-1-1 attendants recognize abnormal breathing. When they could do that, they could also recognize more cardiac arrest.\n\nThe main goal of this project is to use the tool developed in Ottawa in more centres to help 9-1-1 attendants save the lives of even more cardiac arrest victims across Canada."}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['CHILD', 'ADULT', 'OLDER_ADULT'], 'minimumAge': '16 Years', 'samplingMethod': 'NON_PROBABILITY_SAMPLE', 'studyPopulation': 'All patients with prehospital cardiac arrest (absence of a detectable pulse, unresponsiveness, and apnea) occurring in the catchment area of any participating site during the active study period.', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\nWe will enroll ALL patients with prehospital cardiac arrest (absence of a detectable pulse, unresponsiveness, and apnea):\n\n* That are of presumed cardiac origin;\n* That occur in the catchment area of our participating sites; and\n* For which resuscitation is attempted by a bystander and/or the emergency responders.\n\nExclusion Criteria:\n\n* Cardiac arrest witnessed by paramedics after their arrival (no opportunity for bystander intervention);\n* Patients younger than 16 years of age (cardiac arrest usually respiratory and rare in this population);\n* Patients who are "obviously dead";\n* Trauma victims, including hanging and burns; or\n* Patients with cardiac arrest clearly of other non-cardiac origin including drug overdose, carbon monoxide poisoning, drowning, exsanguination, electrocution, asphyxia, hypoxia related to respiratory disease, cerebrovascular accident and documented terminal illness.'}, 'identificationModule': {'nctId': 'NCT03894059', 'briefTitle': 'An Educational Program to Improve Cardiac Arrest Diagnostic Accuracy of Ambulance Telecommunicators', 'organization': {'class': 'OTHER', 'fullName': 'Ottawa Hospital Research Institute'}, 'officialTitle': 'Multi-Center Implementation of an Educational Program to Improve the Cardiac Arrest Diagnostic Accuracy of Ambulance Telecommunicators and Survival Outcomes for Sudden Cardiac Arrest Victims', 'orgStudyIdInfo': {'id': 'CRRF 1298'}}, 'armsInterventionsModule': {'armGroups': [{'label': 'Retrospective', 'description': 'Consecutive cases of out-of-hospital cardiac arrest occurring at participating sites, meeting the study eligibility criteria over a 12-month period preceding the implementation of the educational intervention for ambulance telecommunicators.'}, {'label': 'Prospective', 'description': 'Consecutive cases of out-of-hospital cardiac arrest occurring at participating sites, meeting the study eligibility criteria over a 12-month period following the implementation of the educational intervention for ambulance telecommunicators.', 'interventionNames': ['Other: Educational Intervention']}], 'interventions': [{'name': 'Educational Intervention', 'type': 'OTHER', 'description': 'Additional training provided to ambulance telecommunicators in participating sites to help increase recognition of agonal breathing in the presence of out-of-hospital cardiac arrest.', 'armGroupLabels': ['Prospective']}]}, 'contactsLocationsModule': {'locations': [{'zip': 'B3B 2B2', 'city': 'Dartmouth', 'state': 'Nova Scotia', 'country': 'Canada', 'facility': 'Emergency Medical Care Inc.', 'geoPoint': {'lat': 44.67134, 'lon': -63.57719}}], 'overallOfficials': [{'name': 'Christian Vaillancourt, MD, MSc', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Ottawa Hospital Research Institute'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'UNDECIDED'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Ottawa Hospital Research Institute', 'class': 'OTHER'}, 'collaborators': [{'name': 'Ontario Ministry of Health and Long Term Care', 'class': 'OTHER_GOV'}, {'name': 'BC Emergency Health Services', 'class': 'UNKNOWN'}, {'name': 'Medacom Atlantic', 'class': 'UNKNOWN'}, {'name': 'Alberta Health services', 'class': 'OTHER'}, {'name': 'Emergency Health Services Nova Scotia', 'class': 'UNKNOWN'}, {'name': 'Health PEI', 'class': 'UNKNOWN'}, {'name': 'Providence Health Care, British Columbia', 'class': 'UNKNOWN'}], 'responsibleParty': {'type': 'SPONSOR'}}}}