Videography in Pediatric Emergency Research: Establishing a Multicenter Collaborative and Resuscitation Registry.

TitleVideography in Pediatric Emergency Research: Establishing a Multicenter Collaborative and Resuscitation Registry.
Publication TypeJournal Article
Year of Publication2020
AuthorsKerrey BT, OʼConnell KJ, Myers SR, Rinderknecht AS, Frey ME, Dyas JR, Boyd S, Mak AL, Cochrane N, Donoghue AJ
JournalPediatr Emerg Care
Volume36
Issue5
Pagination222-228
Date Published2020 May
ISSN1535-1815
Abstract

OBJECTIVES: High-quality clinical research of resuscitations in a pediatric emergency department is challenging because of the limitations of traditional methods of data collection (chart review, self-report) and the low frequency of cases in a single center. To facilitate valid and reliable research for resuscitations in the pediatric emergency department, investigators from 3 pediatric centers, each with experience completing successful single-center, video-based studies, formed the Videography In Pediatric Emergency Research (VIPER) collaborative.

METHODS: Our initial effort was the development of a multicenter, video-based registry and simulation-based testing of the feasibility and reliability of the VIPER registry. Feasibility of data collection was assessed by the frequency of an indeterminate response for all data elements in the registry. Reliability was assessed by the calculation of Cohen κ for dichotomous data elements and intraclass correlation coefficients for continuous data elements.

RESULTS: Video-based data collection was completed for 8 simulated pediatric resuscitations, with at least 2 reviewers per case. Data were labeled as indeterminate by at least 1 reviewer for 18 (3%) of 524 relevant data fields. The Cohen κ for all dichotomous data fields together was 0.81 (95% confidence interval, 0.61-1.0). For all continuous (time-based) variables combined, the intraclass correlation coefficient was 0.88 (95% confidence interval, 0.70-0.96).

CONCLUSIONS: Initial simulation-based testing suggests video-based data collection using the VIPER registry is feasible and reliable. Our next step is to assess feasibility and reliability for actual pediatric resuscitations and to complete several prospective, hypothesis-based studies of specific aspects of resuscitative care, including of cardiopulmonary resuscitation, tracheal intubation, and teamwork and communication.

DOI10.1097/PEC.0000000000001531
Alternate JournalPediatr Emerg Care
PubMed ID32356959