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The Rate of Successful Cardiopulmonary Resuscitation in COVID-19 Patients: A Retrospective Cohort Study

Behrooz Banivaheb1, Parmida Shahbazi1, Nima Hemmati1

  • 1Minimally Invasive Surgery Research Centre, Iran University of Medical Sciences, Tehran, Iran.

Medical Journal of the Islamic Republic of Iran
|September 21, 2022
PubMed

Insights

Critically ill COVID-19 patients undergoing cardiopulmonary resuscitation (CPR) have significantly lower survival rates compared to non-COVID-19 patients. Being a COVID-19 case, ICU admission, and older age are key risk factors for mortality after CPR.

Area of Science:

  • Critical Care Medicine
  • Infectious Diseases
  • Cardiopulmonary Resuscitation

Background:

  • The COVID-19 pandemic presented unique challenges in managing critically ill patients.
  • Understanding the efficacy of cardiopulmonary resuscitation (CPR) and associated mortality risks in COVID-19 patients is crucial for clinical decision-making.

Purpose of the Study:

  • To determine the success rate of CPR in critically ill COVID-19 patients.
  • To identify probable risk factors contributing to mortality in COVID-19 patients following CPR.

Main Methods:

  • Historical cohort study involving 737 critically ill patients (341 COVID-19 cases) from February to April 2020.
  • Data extracted from a national integrated electronic health record system.
  • Statistical analysis using logistic and Cox regression models to assess CPR success rates and risk factors.

Main Results:

  • COVID-19 patients exhibited a significantly higher mortality rate post-CPR (99.1% vs. 74%) compared to non-COVID-19 patients.
  • Independent risk factors for mortality included being a COVID-19 case (OR: 29.0), Intensive Care Unit (ICU) admission (OR: 2.6), and increased age.
  • The hazard ratio for COVID-19 patients was 1.8, indicating a higher risk of mortality.

Conclusions:

  • Critically ill COVID-19 patients have a substantially lower chance of survival after CPR compared to their non-COVID-19 counterparts.
  • Prompt identification and management of risk factors such as COVID-19 status, ICU admission, and advanced age are vital for improving outcomes.

Keywords:
COVID-19Cardiopulmonary ResuscitationMortalityRisk FactorsSevere Acute Respiratory Syndrome Coronavirus 2

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