Cardiopulmonary Resuscitation Outcomes of Patients with COVID-19; a One-Year Survey

Introduction: Assessing cardiopulmonary resuscitation (CPR) outcomes of patients with COVID-19 and employing effective strategies for their improvement are essential. This study is designed in this regard. Methods: This cross-sectional study was conducted between January 20, 2020 and January 20,...

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Autores principales:	Afshin Goodarzi, Masoud Khodaveisi, Alireza Abdi, Rasoul Salimi, Khodayar Oshvandi
Formato:	article
Lenguaje:	EN
Publicado:	Shahid Beheshti University of Medical Sciences 2021
Materias:	Cardiopulmonary resuscitation Heart Arrest COVID-19 Epinephrine Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/273a1c65957c4766b2eb4aea5993903e
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spelling	oai:doaj.org-article:273a1c65957c4766b2eb4aea5993903e2021-11-04T08:56:23ZCardiopulmonary Resuscitation Outcomes of Patients with COVID-19; a One-Year Survey 10.22037/aaem.v9i1.13812645-4904https://doaj.org/article/273a1c65957c4766b2eb4aea5993903e2021-11-01T00:00:00Zhttps://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1381https://doaj.org/toc/2645-4904 Introduction: Assessing cardiopulmonary resuscitation (CPR) outcomes of patients with COVID-19 and employing effective strategies for their improvement are essential. This study is designed in this regard. Methods: This cross-sectional study was conducted between January 20, 2020 and January 20, 2021 in the emergency departments of two hospitals in Hamadan and Kermanshah, Iran. Participants were 487 patients with confirmed COVID-19 and cardiac arrest (CA) who had undergone CPR during the study period. Data were collected using the available CPR documentation forms developed based on the Utstein Style and analyses were performed using Chi-square, Fisher’s exact, and Mann-Whitney U tests and the logistic regression analysis. Results: Participants’ mean age was 69.31±14.73 years and most of them were male (61.8%) and suffered from at least one underlying disease (58.1%). The rate of total and in-hospital CA was 9.67% and 9.39%, respectively. The most prevalent first documented rhythm was asystole (67.9%) and the highest responsivity to CPR was for shockable rhythms. The rate of the return of spontaneous circulation (ROSC) was 9% and the rate of survival to hospital discharge was 2%. The significant predictors of CPR success were age (p = 0.035), epinephrine administration time interval (p = 0.00), CPR duration (p = 0.00), and First documented rhythm (p = 0.009). Conclusion: The rate of in-hospital CA among studied COVID-19 cases was 9.39% with 9% ROSC and 2% survival to hospital discharge rates after CPR. Primary CPR success among patients with COVID-19 was poor, particularly among those with asystole and bradycardia. It seems that old age and improper doses of epinephrine can reduce CPR success. Afshin GoodarziMasoud KhodaveisiAlireza AbdiRasoul SalimiKhodayar OshvandiShahid Beheshti University of Medical SciencesarticleCardiopulmonary resuscitationHeart ArrestCOVID-19EpinephrineMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENArchives of Academic Emergency Medicine, Vol 9, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cardiopulmonary resuscitation Heart Arrest COVID-19 Epinephrine Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Cardiopulmonary resuscitation Heart Arrest COVID-19 Epinephrine Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Afshin Goodarzi Masoud Khodaveisi Alireza Abdi Rasoul Salimi Khodayar Oshvandi Cardiopulmonary Resuscitation Outcomes of Patients with COVID-19; a One-Year Survey
description	Introduction: Assessing cardiopulmonary resuscitation (CPR) outcomes of patients with COVID-19 and employing effective strategies for their improvement are essential. This study is designed in this regard. Methods: This cross-sectional study was conducted between January 20, 2020 and January 20, 2021 in the emergency departments of two hospitals in Hamadan and Kermanshah, Iran. Participants were 487 patients with confirmed COVID-19 and cardiac arrest (CA) who had undergone CPR during the study period. Data were collected using the available CPR documentation forms developed based on the Utstein Style and analyses were performed using Chi-square, Fisher’s exact, and Mann-Whitney U tests and the logistic regression analysis. Results: Participants’ mean age was 69.31±14.73 years and most of them were male (61.8%) and suffered from at least one underlying disease (58.1%). The rate of total and in-hospital CA was 9.67% and 9.39%, respectively. The most prevalent first documented rhythm was asystole (67.9%) and the highest responsivity to CPR was for shockable rhythms. The rate of the return of spontaneous circulation (ROSC) was 9% and the rate of survival to hospital discharge was 2%. The significant predictors of CPR success were age (p = 0.035), epinephrine administration time interval (p = 0.00), CPR duration (p = 0.00), and First documented rhythm (p = 0.009). Conclusion: The rate of in-hospital CA among studied COVID-19 cases was 9.39% with 9% ROSC and 2% survival to hospital discharge rates after CPR. Primary CPR success among patients with COVID-19 was poor, particularly among those with asystole and bradycardia. It seems that old age and improper doses of epinephrine can reduce CPR success.
format	article
author	Afshin Goodarzi Masoud Khodaveisi Alireza Abdi Rasoul Salimi Khodayar Oshvandi
author_facet	Afshin Goodarzi Masoud Khodaveisi Alireza Abdi Rasoul Salimi Khodayar Oshvandi
author_sort	Afshin Goodarzi
title	Cardiopulmonary Resuscitation Outcomes of Patients with COVID-19; a One-Year Survey
title_short	Cardiopulmonary Resuscitation Outcomes of Patients with COVID-19; a One-Year Survey
title_full	Cardiopulmonary Resuscitation Outcomes of Patients with COVID-19; a One-Year Survey
title_fullStr	Cardiopulmonary Resuscitation Outcomes of Patients with COVID-19; a One-Year Survey
title_full_unstemmed	Cardiopulmonary Resuscitation Outcomes of Patients with COVID-19; a One-Year Survey
title_sort	cardiopulmonary resuscitation outcomes of patients with covid-19; a one-year survey
publisher	Shahid Beheshti University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/273a1c65957c4766b2eb4aea5993903e
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Cardiopulmonary Resuscitation Outcomes of Patients with COVID-19; a One-Year Survey

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