Tong Sau Ki, Ling Lowell, Zhang Jack Zhenhe, Yap Florence H Y, Law Kam Leung, Joynt Gavin M
Department of Anaesthesia and Intensive Care, 4/F Main Clinical Block and Trauma Centre, Prince of Wales Hospital, Shatin, Hong Kong SAR, China.
Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong SAR, China.
J Intensive Care. 2021 Sep 10;9(1):55. doi: 10.1186/s40560-021-00570-8.
The effect of changes to cardiopulmonary resuscitation (CPR) procedures in response to Coronavirus disease 2019 (COVID-19) on in-hospital cardiac arrest (IHCA) management and outcomes are unreported. In this multicenter retrospective study, we showed that median time to arrival of resuscitation team has increased and proportion of patients receiving first-responder CPR has lowered during this pandemic. IHCA during the pandemic was independently associated with lower return of spontaneous circulation OR 0.63 (95% CI 0.43-0.91), despite adjustment for lowered patient comorbidity and increased time to resuscitation team arrival. Changes to resuscitation practice in this pandemic had effects on IHCA outcomes, even in patients without COVID-19.
针对2019冠状病毒病（COVID-19）对心肺复苏（CPR）程序进行的更改，对院内心脏骤停（IHCA）管理及预后的影响尚无报道。在这项多中心回顾性研究中，我们发现，在此次大流行期间，复苏团队到达的中位时间增加，接受现场急救CPR的患者比例降低。尽管对患者合并症减少和复苏团队到达时间增加进行了调整，但大流行期间的院内心脏骤停与自主循环恢复率较低独立相关，比值比为0.63（95%可信区间0.43-0.91）。此次大流行期间复苏实践的改变对院内心脏骤停的预后产生了影响，即使是在没有COVID-19的患者中。
