In-hospital cardiac arrest incidence and outcomes in the era of COVID-19: an observational study in a Singapore hospital

Autor: Ting Lyu, Faheem Ahmed Khan, Shanaz Matthew Sajeed, Amit Kansal, Monika Gulati Kansal, Shekhar Dhanvijay, Rou An Tan, Jared D’Souza, Ian Cendana, Patricia Leong, Chee Keat Tan
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Emergency Medicine, Vol 14, Iss 1, Pp 1-9 (2021)
Druh dokumentu: article
ISSN: 1865-1372
1865-1380
DOI: 10.1186/s12245-021-00356-7
Popis: Abstract Background COVID-19 pandemic has resulted in significant strain on healthcare resources and this requires diligent resource re-allocation. We aim to describe the incidence and outcomes of in-hospital cardiac arrest (IHCA) during this period as compared to non-pandemic period. Methods We conducted a retrospective study in a tertiary care hospital in Singapore. The study compared the incidence and outcomes of code blue activations over a 3-month period from March to May 2020 (COVID-19 period) with the same months in 2019 (pre-COVID-19 period). The primary outcome of the study was the rate of survival to hospital discharge for IHCA. The secondary outcomes included incidence of all code blue activation per 1000 hospital admissions, incidence of IHCA per 1000 hospital admissions. Outcomes The rate of survival to hospital discharge for IHCA was 5.88% in the COVID-19 period as compared to 10.0% in the pre-COVID-19 period [odds ratio (OR), 0.72; 95% confidence interval (CI), 0.26-1.95]. Compared to pre-COVID-19 period, there were more IHCA incidences per 1000 hospital admissions in the COVID-19 period (1.86 vs 1.03; OR, 1.81; 95% CI, 0.78-4.41). Conclusions The study observed a trend towards higher incidence of IHCA and lower rate of survival to hospital discharge during COVID-19 pandemic compared to pre-COVID-19 period.
Databáze: Directory of Open Access Journals
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