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In-hospital cardiac arrest outcomes among patients with COVID-19 pneumonia in Wuhan, China.
Shao, Fei; Xu, Shuang; Ma, Xuedi; Xu, Zhouming; Lyu, Jiayou; Ng, Michael; Cui, Hao; Yu, Changxiao; Zhang, Qing; Sun, Peng; Tang, Ziren.
  • Shao F; Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing Chaoyang Hospital, Beijing, China; Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
  • Xu S; Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Ma X; AI Research Division, A.I. Phoenix Technology Co., Ltd, Hong Kong, China.
  • Xu Z; AI Research Division, A.I. Phoenix Technology Co., Ltd, Hong Kong, China.
  • Lyu J; AI Research Division, A.I. Phoenix Technology Co., Ltd, Hong Kong, China.
  • Ng M; Research Division for Mathematical and Statistical Science, University of Hong Kong, Hong Kong, China.
  • Cui H; Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
  • Yu C; Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
  • Zhang Q; Departments of Anaesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Sun P; Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: simple1111@hust.edu.cn.
  • Tang Z; Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing Chaoyang Hospital, Beijing, China; Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. Electronic address: tangziren1970@163.com.
Resuscitation ; 151: 18-23, 2020 06.
Article in English | MEDLINE | ID: covidwho-46293
ABSTRACT

OBJECTIVE:

To describe the characteristics and outcomes of patients with severe COVID-19 and in-hospital cardiac arrest (IHCA) in Wuhan, China.

METHODS:

The outcomes of patients with severe COVID-19 pneumonia after IHCA over a 40-day period were retrospectively evaluated. Between January 15 and February 25, 2020, data for all cardiopulmonary resuscitation (CPR) attempts for IHCA that occurred in a tertiary teaching hospital in Wuhan, China were collected according to the Utstein style. The primary outcome was restoration of spontaneous circulation (ROSC), and the secondary outcomes were 30-day survival, and neurological outcome.

RESULTS:

Data from 136 patients showed 119 (87.5%) patients had a respiratory cause for their cardiac arrest, and 113 (83.1%) were resuscitated in a general ward. The initial rhythm was asystole in 89.7%, pulseless electrical activity (PEA) in 4.4%, and shockable in 5.9%. Most patients with IHCA were monitored (93.4%) and in most resuscitation (89%) was initiated <1 min. The average length of hospital stay was 7 days and the time from illness onset to hospital admission was 10 days. The most frequent comorbidity was hypertension (30.2%), and the most frequent symptom was shortness of breath (75%). Of the patients receiving CPR, ROSC was achieved in 18 (13.2%) patients, 4 (2.9%) patients survived for at least 30 days, and one patient achieved a favourable neurological outcome at 30 days. Cardiac arrest location and initial rhythm were associated with better outcomes.

CONCLUSION:

Survival of patients with severe COVID-19 pneumonia who had an in-hospital cardiac arrest was poor in Wuhan.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Hospital Mortality / Cardiopulmonary Resuscitation / Coronavirus Infections / Betacoronavirus / Heart Arrest Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Resuscitation Year: 2020 Document Type: Article Affiliation country: J.resuscitation.2020.04.005

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Hospital Mortality / Cardiopulmonary Resuscitation / Coronavirus Infections / Betacoronavirus / Heart Arrest Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Resuscitation Year: 2020 Document Type: Article Affiliation country: J.resuscitation.2020.04.005