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Impact of COVID-19 in the in-hospital cardiac arrest activations: Retrospective study

Ghali Ballout1, Marta Magaldi Mendaña1, Bartomeu Ramis Bou2

  • 1Servicio de Anestesiología y Reanimación, Hospital Clínic, Barcelona, Spain.

Medicina Intensiva
|February 6, 2025
PubMed

Insights

COVID-19 pandemic CPR protocols did not impact in-hospital cardiorespiratory arrest team response times or survival rates. Neurological outcomes were better pre-pandemic, and COVID-19 positive patients had longer ICU stays.

Area of Science:

  • Cardiology
  • Critical Care Medicine
  • Public Health

Background:

  • The COVID-19 pandemic necessitated changes in cardiopulmonary resuscitation (CPR) protocols.
  • Understanding the impact of these changes on patient outcomes is crucial for emergency medical care.

Purpose of the Study:

  • To compare patient characteristics and outcomes treated by the in-hospital cardiorespiratory arrest (IHCA) team before and during the COVID-19 pandemic.
  • To analyze differences between COVID-19 positive (COVID+) and COVID-19 negative (COVID-) patients.

Main Methods:

  • Retrospective observational study (2018-2021) at a tertiary hospital.
  • Included adult patients requiring IHCA team response.
  • Analyzed demographic data, IHCA activations, CPR details, length of stay, and survival outcomes.

Main Results:

  • 368 patients analyzed; 173 pre-pandemic, 195 pandemic.
  • Neurological outcomes were better in the pre-pandemic group.
  • COVID+ patients had longer ICU stays, but no significant differences in CPR team response time, CPR duration, or survival rates were observed between groups.

Conclusions:

  • Modified CPR protocols during the COVID-19 pandemic did not negatively affect IHCA team response times or survival.
  • While neurological outcomes differed, immediate and discharge survival remained comparable.
Abstract

Keywords:
Advanced life supportCOVID-19Cardiac arrest teamEquipo de atención a la parada cardiorrespiratoriaEstancia hospitalariaHospital stayIn-hospital cardiac arrestNeurological prognosisPandemiaPandemicParada cardiorrespiratoria intrahospitalariaPronóstico neurológicoSoporte vital avanzadoSupervivenciaSurvival

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