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In-hospital cardiac arrest incidence and outcomes in the era of COVID-19: an observational study in a Singapore hospital.
Lyu, Ting; Khan, Faheem Ahmed; Sajeed, Shanaz Matthew; Kansal, Amit; Kansal, Monika Gulati; Dhanvijay, Shekhar; Tan, Rou An; D'Souza, Jared; Cendana, Ian; Leong, Patricia; Tan, Chee Keat.
  • Lyu T; Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore.
  • Khan FA; Department of Intensive Care Medicine, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
  • Sajeed SM; Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore. Faheem_Ahmed_Khan@nuhs.edu.sg.
  • Kansal A; Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore.
  • Kansal MG; Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore.
  • Dhanvijay S; Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore.
  • Tan RA; Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore.
  • D'Souza J; Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore.
  • Cendana I; Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore.
  • Leong P; Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore.
  • Tan CK; Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore.
Int J Emerg Med ; 14(1): 33, 2021 May 31.
Article in English | MEDLINE | ID: covidwho-1247574
Semantic information from SemMedBD (by NLM)
1. Hospitals LOCATION_OF Observational Study
Subject
Hospitals
Predicate
LOCATION_OF
Object
Observational Study
2. In-Hospital Cardiac Arrest ASSOCIATED_WITH estrogen receptor alph
Subject
In-Hospital Cardiac Arrest
Predicate
ASSOCIATED_WITH
Object
estrogen receptor alph
3. Tertiary care hospital LOCATION_OF Retrospective Studies
Subject
Tertiary care hospital
Predicate
LOCATION_OF
Object
Retrospective Studies
4. Discharg COEXISTS_WITH C5203670
Subject
Discharg
Predicate
COEXISTS_WITH
Object
C5203670
5. Hospitals LOCATION_OF Observational Study
Subject
Hospitals
Predicate
LOCATION_OF
Object
Observational Study
6. In-Hospital Cardiac Arrest ASSOCIATED_WITH estrogen receptor alpha, human
Subject
In-Hospital Cardiac Arrest
Predicate
ASSOCIATED_WITH
Object
estrogen receptor alpha, human
7. Tertiary care hospital LOCATION_OF Retrospective Studies
Subject
Tertiary care hospital
Predicate
LOCATION_OF
Object
Retrospective Studies
8. Discharge, body substance COEXISTS_WITH COVID-19
Subject
Discharge, body substance
Predicate
COEXISTS_WITH
Object
COVID-19
ABSTRACT

BACKGROUND:

COVID-19 pandemic has resulted in significant strain on healthcare resources and this requires diligent resource re-allocation. We aim to describe the incidence and outcomes of in-hospital cardiac arrest (IHCA) during this period as compared to non-pandemic period.

METHODS:

We conducted a retrospective study in a tertiary care hospital in Singapore. The study compared the incidence and outcomes of code blue activations over a 3-month period from March to May 2020 (COVID-19 period) with the same months in 2019 (pre-COVID-19 period). The primary outcome of the study was the rate of survival to hospital discharge for IHCA. The secondary outcomes included incidence of all code blue activation per 1000 hospital admissions, incidence of IHCA per 1000 hospital admissions.

OUTCOMES:

The rate of survival to hospital discharge for IHCA was 5.88% in the COVID-19 period as compared to 10.0% in the pre-COVID-19 period [odds ratio (OR), 0.72; 95% confidence interval (CI), 0.26-1.95]. Compared to pre-COVID-19 period, there were more IHCA incidences per 1000 hospital admissions in the COVID-19 period (1.86 vs 1.03; OR, 1.81; 95% CI, 0.78-4.41).

CONCLUSIONS:

The study observed a trend towards higher incidence of IHCA and lower rate of survival to hospital discharge during COVID-19 pandemic compared to pre-COVID-19 period.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Incidence study / Observational study / Risk factors Language: English Journal: Int J Emerg Med Year: 2021 Document Type: Article Affiliation country: S12245-021-00356-7

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Incidence study / Observational study / Risk factors Language: English Journal: Int J Emerg Med Year: 2021 Document Type: Article Affiliation country: S12245-021-00356-7