Pediatric cardiopulmonary resuscitation quality in crib versus standard hospital bed model at a single center.

Authors

Ava R Wilstead, Ken Tegtmeyer, Kelly Collins, Andrea R Meisman, Kyesha James, Bin Zhang, Rashmi D Sahay, Matthew W Zackoff, Daniel A Loeb, Maya L Dewan

Published in

Resuscitation plus. Volume 30. Pages 101395. Epub Jun 25, 2026.

Abstract

The influence of crib design on the quality of cardiopulmonary resuscitation (CPR) during in-hospital cardiac arrest (IHCA) in pediatric settings remains largely understudied. This study investigates the association between bed type and CPR quality metrics in the pediatric intensive care.
A retrospective, single-center observational cohort study of pediatric patients <3 years of age requiring CPR in the pediatric intensive care unit of a free-standing children's hospital between January 1, 2017 and May 31, 2025. CPR quality metrics including chest compression (CC) rate, depth, and fraction were compared between patients who experienced IHCA in a specialized hospital crib versus other bed types.
Forty-nine IHCA events were analyzed, with 23 events occurring in specialized hospital cribs. There was no difference between CC depth and rate between groups for children <3 years of age, while median CC fraction was higher in the specialized crib group (0.94 [IQR 0.89-0.98]) compared with standard surfaces (0.85 [IQR 0.76-0.95]; p = 0.01). Among patients <1 year of age, median CC rate was at 112/min (IQR 108-114) in the specialized crib group compared with 115/min (IQR 113-119) on standard surfaces (p = 0.04). No significant differences were observed in CC fraction or depth for children less than one year of age.
In this single center study, there was no negative impact of specialized medical crib use on CPR quality metrics. Further studies are necessary to evaluate patient and rescuer specific factors that may be impacted by pediatric bed ergonomics.

PMID:
42434100
Bibliographic data and abstract were imported from PubMed on 11 Jul 2026.

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