Effect of the COVID-19 pandemic on cardiac arrest resuscitation practices and outcomes in non-COVID-19 patients.
Sau Ki TongLowell LingJack Zhenhe ZhangFlorence H Y YapKam Leung LawGavin M JoyntPublished in: Journal of intensive care (2021)
The effect of changes to cardiopulmonary resuscitation (CPR) procedures in response to Coronavirus disease 2019 (COVID-19) on in-hospital cardiac arrest (IHCA) management and outcomes are unreported. In this multicenter retrospective study, we showed that median time to arrival of resuscitation team has increased and proportion of patients receiving first-responder CPR has lowered during this pandemic. IHCA during the pandemic was independently associated with lower return of spontaneous circulation OR 0.63 (95% CI 0.43-0.91), despite adjustment for lowered patient comorbidity and increased time to resuscitation team arrival. Changes to resuscitation practice in this pandemic had effects on IHCA outcomes, even in patients without COVID-19.
Keyphrases
- cardiac arrest
- coronavirus disease
- cardiopulmonary resuscitation
- sars cov
- healthcare
- respiratory syndrome coronavirus
- primary care
- palliative care
- end stage renal disease
- newly diagnosed
- quality improvement
- ejection fraction
- emergency department
- cross sectional
- metabolic syndrome
- prognostic factors
- case report
- clinical trial
- type diabetes
- adipose tissue
- electronic health record