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2020 ; 4
(ä): 100054
Nephropedia Template TP
gab.com Text
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Clinical characteristics and outcomes of in-hospital cardiac arrest among
patients with and without COVID-19
#MMPMID33403368
Yuriditsky E
; Mitchell OJL
; Brosnahan SB
; Smilowitz NR
; Drus KW
; Gonzales AM
; Xia Y
; Parnia S
; Horowitz JM
Resusc Plus
2020[Dec]; 4
(ä): 100054
PMID33403368
show ga
AIMS: To define outcomes of patients with COVID-19 compared to patients without
COVID-19 suffering in-hospital cardiac arrest (IHCA). MATERIALS AND METHODS: We
performed a single-center retrospective study of IHCA cases. Patients with
COVID-19 were compared to consecutive patients without COVID-19 from the prior
year. Return of spontaneous circulation (ROSC), 30-day survival, and cerebral
performance category (CPC) at 30-days were assessed. RESULTS: Fifty-five patients
with COVID-19 suffering IHCA were identified and compared to 55 consecutive IHCA
patients in 2019. The COVID-19 cohort was more likely to require vasoactive
agents (67.3% v 32.7%, p = 0.001), invasive mechanical ventilation (76.4% v
23.6%, p < 0.001), renal replacement therapy (18.2% v 3.6%, p = 0.029) and
intensive care unit care (83.6% v 50.9%, p = 0.001) prior to IHCA. Patients with
COVID-19 had shorter CPR duration (10 min v 22 min, p = 0.002). ROSC (38.2% v
49.1%, p = 0.336) and 30-day survival (20% v 32.7%, p = 0.194) did not differ. A
30-day cerebral performance category of 1 or 2 was more common among non-COVID
patients (27.3% v 9.1%, p = 0.048). CONCLUSIONS: Return of spontaneous
circulation and 30-day survival were similar between IHCA patients with and
without COVID-19. Compared to previously published data, we report greater ROSC
and 30-day survival after IHCA in COVID-19.