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In-hospital cardiac arrest in patients with coronavirus 2019
- Source :
- Resuscitation
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Background Coronavirus Disease 2019 (COVID-19) has caused over 1 200 000 deaths worldwide as of November 2020. However, little is known about the clinical outcomes among hospitalized patients with active COVID-19 after in-hospital cardiac arrest (IHCA). Aim We aimed to characterize outcomes from IHCA in patients with COVID-19 and to identify patient- and hospital-level variables associated with 30-day survival. Methods We conducted a multicentre retrospective cohort study across 11 academic medical centres in the U.S. Adult patients who received cardiopulmonary resuscitation and/or defibrillation for IHCA between March 1, 2020 and May 31, 2020 who had a documented positive test for Severe Acute Respiratory Syndrome Coronavirus 2 were included. The primary outcome was 30-day survival after IHCA. Results There were 260 IHCAs among COVID-19 patients during the study period. The median age was 69 years (interquartile range 60–77), 71.5% were male, 49.6% were White, 16.9% were Black, and 16.2% were Hispanic. The most common presenting rhythms were pulseless electrical activity (45.0%) and asystole (44.6%). ROSC occurred in 58 patients (22.3%), 31 (11.9%) survived to hospital discharge, and 32 (12.3%) survived to 30 days. Rates of ROSC and 30-day survival in the two hospitals with the highest volume of IHCA over the study period compared to the remaining hospitals were considerably lower (10.8% vs. 64.3% and 5.9% vs. 35.7% respectively, p Conclusions We found rates of ROSC and 30-day survival of 22.3% and 12.3% respectively. There were large variations in centre-level outcomes, which may explain the poor survival in prior studies.
- Subjects :
- Male
medicine.medical_specialty
Defibrillation
medicine.medical_treatment
030204 cardiovascular system & hematology
Emergency Nursing
03 medical and health sciences
0302 clinical medicine
Interquartile range
Internal medicine
medicine
Humans
Cardiopulmonary resuscitation
Asystole
Survival rate
Aged
Retrospective Studies
business.industry
COVID-19
030208 emergency & critical care medicine
Retrospective cohort study
Middle Aged
medicine.disease
United States
Heart Arrest
Hospitalization
Survival Rate
In-hospital cardiac arrest
Emergency
Pulseless electrical activity
Clinical Paper
Emergency Medicine
Female
Cohort study
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 03009572
- Volume :
- 160
- Database :
- OpenAIRE
- Journal :
- Resuscitation
- Accession number :
- edsair.doi.dedup.....2e824626ee8d4d7ffc0c0d9b9763ff51