Shao (2020)
In-hospital cardiac arrest outcomes among patients with COVID-19 pneumonia in Wuhan, China
https://doi.org/10.1016/j.resuscitation.2020.04.005
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151543/
Complications
Initial ECG rhythm (Asystole vs. VF/VT)
COVID-19 (survival)
Odds ratio: 0.010 (0.000-0.160) Adjusted model

China

Retrospective observational study

Medical records

136

Patients who had in-hospital cardiac arrest (IHCA) between January 15 and February 25, 2020 in the west campus of Union Hospital in Wuhan.

A total of 136 patients were resuscitated and documented using the Utstein template. Of these patients, 110 (80.9%) were aged over 60 years and 46 (33.8%) were women. The most frequent comorbidity was hypertension (30.2%), followed by diabetes (19.9%) and coronary heart disease (11.0%). Of 136 patients who were resuscitated, most patients had a respiratory aetiology (119 cases), whereas the remaining had cardiac aetiology (10 cases) and other causes (7 cases). The initial cardiac arrest rhythm was VF or pulseless VT in 8 (5.9%) cases, PEA in 6 (4.4%), and asystole in 122 (89.7%).

Total

40 Day


COVID-19 (survival)

4

30-day survival


Complications

Initial ECG rhythm

Aetiology of the IHCA, which was categorised as cardiac, respiratory, and other

VF/VT

Asystole


Odds ratio

0.010 (0.000-0.160)

Yes

No

Yes

Age, Gender, locations where IHCA occurred, witness and monitor status, Aetiology of the IHCA, which was categorised as cardiac, respiratory, and other, Initial ECG rhythm such as shockable rhythm (ventricular fibrillation [VF], and pulseless VT) or non-shockable rhythm (PEA and asystole).


none

Average

Yes