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10.1016/j.resuscitation.2020.04.005

http://scihub22266oqcxt.onion/10.1016/j.resuscitation.2020.04.005
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suck abstract from ncbi


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pmid32283117      Resuscitation 2020 ; 151 (ä): 18-23
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  • In-hospital cardiac arrest outcomes among patients with COVID-19 pneumonia in Wuhan, China #MMPMID32283117
  • Shao F; Xu S; Ma X; Xu Z; Lyu J; Ng M; Cui H; Yu C; Zhang Q; Sun P; Tang Z
  • Resuscitation 2020[Jun]; 151 (ä): 18-23 PMID32283117show ga
  • 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.
  • |*Betacoronavirus[MESH]
  • |*Hospital Mortality[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19[MESH]
  • |Cardiopulmonary Resuscitation/*methods[MESH]
  • |China[MESH]
  • |Cohort Studies[MESH]
  • |Coronavirus Infections/*complications[MESH]
  • |Female[MESH]
  • |Heart Arrest/etiology/*mortality/therapy[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/complications/etiology/mortality/*therapy[MESH]
  • |Prognosis[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Assessment[MESH]
  • |SARS-CoV-2[MESH]
  • |Survival Analysis[MESH]


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