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10.1002/ccd.29525

http://scihub22266oqcxt.onion/10.1002/ccd.29525
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33543564!8014883!33543564
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suck abstract from ncbi

pmid33543564      Catheter+Cardiovasc+Interv 2022 ; 99 (1): 1-8
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  • Outcomes of in-hospital cardiac arrest in COVID-19 patients: A proportional prevalence meta-analysis #MMPMID33543564
  • Mir T; Sattar Y; Ahmad J; Ullah W; Shanah L; Alraies MC; Qureshi WT
  • Catheter Cardiovasc Interv 2022[Jan]; 99 (1): 1-8 PMID33543564show ga
  • BACKGROUND: Limited epidemiological data are available on the outcomes of in-hospital cardiac arrest (CA) in COVID-19 patients. METHODS: We performed literature search of PubMed, EMBASE, Cochrane, and Ovid to identify research articles that studied outcomes of in-hospital cardiac arrest in COVID-19 patients. The primary outcome was survival at discharge. Secondary outcomes included return of spontaneous circulation (ROSC) and types of cardiac arrest. Pooled percentages with a 95% confidence interval (CI) were calculated for the prevalence of outcomes. RESULTS: A total of 7,891 COVID patients were included in the study. There were 621 (pooled prevalence 8%, 95% CI 4-13%) cardiac arrest patients. There were 52 (pooled prevalence 3.0%; 95% CI 0.0-10.0%) patients that survived at the time of discharge. ROSC was achieved in 202 (pooled prevalence 39%;95% CI 21.0-59.0%) patients. Mean time to ROSC was 7.74 (95% CI 7.51-7.98) min. The commonest rhythm at the time of cardiac arrest was pulseless electrical activity (pooled prevalence 46%; 95% 13-80%), followed by asystole (pooled prevalence 40%; 95% CI 6-80%). Unstable ventricular arrhythmia occurred in a minority of patients (pooled prevalence 8%; 95% CI 4-13%). CONCLUSION: This pooled analysis of studies showed that the survival post in-hospital cardiac arrest in COVID patients is dismal despite adequate ROSC obtained at the time of resuscitation. Nonshockable rhythm cardiac arrest is commoner suggesting a non-cardiac cause while cardiac related etiology is uncommon. Future studies are needed to improve the survival in these patients.
  • |*COVID-19[MESH]
  • |*Cardiopulmonary Resuscitation[MESH]
  • |*Heart Arrest/diagnosis/epidemiology[MESH]
  • |Hospitals[MESH]
  • |Humans[MESH]
  • |Prevalence[MESH]
  • |SARS-CoV-2[MESH]


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