Effect of the COVID-19 pandemic on cardiac arrest resuscitation practices and outcomes in non-COVID-19 patients.

2019 Novel Coronavirus disease Cardiac arrest Cardiopulmonary resuscitation Indicator Outcome Pandemic Resuscitation team Return of spontaneous circulation Team

Journal

Journal of intensive care
ISSN: 2052-0492
Titre abrégé: J Intensive Care
Pays: England
ID NLM: 101627304

Informations de publication

Date de publication:
10 Sep 2021
Historique:
received: 21 07 2021
accepted: 31 08 2021
entrez: 11 9 2021
pubmed: 12 9 2021
medline: 12 9 2021
Statut: epublish

Résumé

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.

Identifiants

pubmed: 34507622
doi: 10.1186/s40560-021-00570-8
pii: 10.1186/s40560-021-00570-8
pmc: PMC8431260
doi:

Types de publication

Letter

Langues

eng

Pagination

55

Informations de copyright

© 2021. The Author(s).

Références

Circulation. 2020 Jun 23;141(25):e933-e943
pubmed: 32270695
Hong Kong Med J. 2007 Aug;13(4):258-65
pubmed: 17592178
Resuscitation. 2020 Jun;151:18-23
pubmed: 32283117
Circ Cardiovasc Qual Outcomes. 2020 Nov;13(11):e007303
pubmed: 32975134
JAMA Intern Med. 2021 Feb 1;181(2):279-281
pubmed: 32986117

Auteurs

Sau Ki Tong (SK)

Department of Anaesthesia and Intensive Care, 4/F Main Clinical Block and Trauma Centre, Prince of Wales Hospital, Shatin, Hong Kong SAR, China.

Lowell Ling (L)

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong SAR, China. lowell.ling@cuhk.edu.hk.

Jack Zhenhe Zhang (JZ)

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong SAR, China.

Florence H Y Yap (FHY)

Department of Anaesthesia and Intensive Care, 4/F Main Clinical Block and Trauma Centre, Prince of Wales Hospital, Shatin, Hong Kong SAR, China.

Kam Leung Law (KL)

Accident and Emergency Department, North District Hospital, Hong Kong SAR, China.

Gavin M Joynt (GM)

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong SAR, China.

Classifications MeSH