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In-Hospital Cardiac Arrest Outcomes During the Early COVID-19 Pandemic in RI: A Qualitative Analysis.
Noureddine, Belal; Mrad, Ali; Sorin, Claudia; Carino, Gerardo.
  • Noureddine B; Department of Internal Medicine, Warren Alpert Medical School, Brown University, Providence, RI.
  • Mrad A; Department of Hospital Medicine, Rhode Island Hospital, Providence, RI.
  • Sorin C; Division of Pulmonary, Critical Care and Sleep Medicine, Warren Alpert Medical School, Brown University, Providence, RI.
  • Carino G; Division of Pulmonary, Critical Care and Sleep Medicine, Warren Alpert Medical School, Brown University, Providence, RI.
R I Med J (2013) ; 105(7): 58-61, 2022 Sep 01.
Article in English | MEDLINE | ID: covidwho-2012170
ABSTRACT
Throughout the COVID-19 pandemic, there has been growing but limited data describing the poor mortality outcomes in COVID-19 patients who experienced In-Hospital Cardiac Arrest (IHCA). This study evaluated the baseline characteristics and outcomes of COVID-19 patients who underwent cardiopulmonary resuscitation (CPR) during hospitalization in the early phases of the pandemic and compared them to that of several national and international centers. A list of all the IHCA events in the Lifespan hospital network from March 2020 to April 2021 was generated, and data, including de-identified patient characteristics, comorbidities, and details of the IHCA event, were examined. The primary outcome of all-cause mortality was then calculated. Forty-three patients with COVID-19 who experienced an IHCA event and underwent CPR were identified. Return of spontaneous circulation (ROSC) was achieved in 23 (53%) patients, and all-cause in-hospital mortality was 97.67%, with only one patient surviving until discharge. During the early pandemic, experiencing an IHCA event while admitted with COVID-19 carried an extremely poor prognosis, even if ROSC was achieved. This outcome likely reflects the lack of clear management guidelines or established therapeutic agents and the prevalence of the Delta strain during this time period.
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Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / COVID-19 / Heart Arrest Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: R I Med J (2013) Year: 2022 Document Type: Article

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Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / COVID-19 / Heart Arrest Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: R I Med J (2013) Year: 2022 Document Type: Article