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Survival of In-Hospital Cardiac Arrest in COVID-19 Infected Patients

Mohammad Aldabagh1, Sneha Wagle1, Marie Cesa1

  • 1Montefiore Medical Center, New York, NY 10467, USA.

Healthcare (Basel, Switzerland)
|October 23, 2021
PubMed

Insights

Survival rates for in-hospital cardiac arrest (IHCA) were significantly lower in COVID-19 patients compared to non-COVID patients. These outcomes were worse than predicted, highlighting critical disparities in care during the pandemic.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Limited data exists on cardiopulmonary resuscitation (CPR) outcomes for COVID-19 patients.
  • This study examines in-hospital cardiac arrest (IHCA) outcomes during the COVID-19 pandemic peak.
  • Identifies comorbidities associated with poor outcomes in the local community.

Purpose of the Study:

  • To compare IHCA outcomes in COVID-19 patients versus non-COVID patients.
  • To assess survival rates against predictions from the GO-FAR score.
  • To identify risk factors for mortality in COVID-19 patients experiencing IHCA.

Main Methods:

  • Retrospective, observational, multi-site, single-center study.
  • COVID-19 cohort: IHCA patients (March 1 - June 30, 2020).
  • Non-COVID cohort: IHCA patients (2019). Excluded out-of-hospital cardiac arrests (OHCA).

Main Results:

  • 450 COVID-19 cases vs. 334 non-COVID cases.
  • COVID-19 patients had higher BMI, diabetes prevalence, and lower coronary artery disease incidence.
  • Survival to discharge: 1.5% for COVID-19 vs. 7% for non-COVID (p < 0.05).

Conclusions:

  • COVID-19 patients experiencing IHCA have significantly worse survival rates than non-COVID patients.
  • Actual survival was lower than predicted by the GO-FAR score.
  • Findings inform risk factor understanding and code status discussions for COVID-19 patients.
Abstract

Keywords:
COVIDcardiac arrestpandemic

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