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Effect of the COVID-19 pandemic on cardiac arrest resuscitation practices and outcomes in non-COVID-19 patients.
Tong, Sau Ki; Ling, Lowell; Zhang, Jack Zhenhe; Yap, Florence H Y; Law, Kam Leung; Joynt, Gavin M.
  • 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.
  • Ling L; Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong SAR, China. lowell.ling@cuhk.edu.hk.
  • Zhang JZ; Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • 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.
  • Law KL; Accident and Emergency Department, North District Hospital, Hong Kong SAR, China.
  • Joynt GM; Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong SAR, China.
J Intensive Care ; 9(1): 55, 2021 Sep 10.
Article in English | MEDLINE | ID: covidwho-1403264
ABSTRACT
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.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Language: English Journal: J Intensive Care Year: 2021 Document Type: Article Affiliation country: S40560-021-00570-8

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Language: English Journal: J Intensive Care Year: 2021 Document Type: Article Affiliation country: S40560-021-00570-8