Scientists have found that cardiac arrest is prevalent among severely ill COVID-19 patients and is linked to lower survival, particularly among those 80 years of age or older, an advance that can help steer end-of-life care considerations in individuals significantly affected by coronavirus infection. The occurrence, adverse outcomes, and risks associated with in-hospital cardiac arrest in critically ill patients with COVID-19 were measured by scientists, including those from the University of Michigan in the US.
Their results, published in the journal The BMJ, are based on data for 5,019 hospitalized patients with COVID-19 admitted to intensive care units ( ICUs) at 68 hospitals across the United States, aged 18 years or over.
According to the report, within 14 days of admission to the intensive care unit, 701 (14 percent) of the patients had in-hospital cardiac arrest, of which only 400 (57 percent) received cardiopulmonary resuscitation or CPR, an emergency life-saving treatment performed when the breathing or pulse of anyone has stopped.
In-hospital heart arrest patients were older, had more chronic health problems, and were more likely to be referred to a hospital with fewer beds in the intensive care unit.
The scientists, however, said that hospital finances, personnel, experience, pressure, or other variables not captured in this study may have had a significant effect.
They reported that patients who received CPR were younger than those who did not survive hospital discharge with only 12 percent of those who underwent emergency operations, and only 7 percent did so with normal or slightly compromised cognitive condition.
According to the report, only a short course of CPR was prescribed for most patients who survived a hospital discharge.
Sustainability also ranged by age, with more than one-fifth of patients younger than 45 years of age surviving, compared with 3 % of patients older than 80.
Citing the study’s limitations, the scientists said they were unable to determine the consistency and promptness of CPR, and restricted data to the first 14 days after admission to the intensive care unit.