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

Journal of Intensive Care

Kam Leung Law¹  Florence H. Y. Yap²  Sau Ki Tong²  Lowell Ling³  Gavin M. Joynt³  Jack Zhenhe Zhang³ 

[1] Accident and Emergency Department, North District Hospital;Department of Anaesthesia and Intensive Care, 4/F Main Clinical Block and Trauma Centre, Prince of Wales Hospital;Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong;

关键词: Cardiopulmonary resuscitation;    2019 Novel Coronavirus disease;    Pandemic;    Outcome;    Indicator;    Return of spontaneous circulation;   

DOI  :  10.1186/s40560-021-00570-8

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown