COVID -19 infection negatively impacts survival of resuscitated cardiac arrest patients: JAMA.
There have been discussions about universal do-not-resuscitate (DNR) orders for patients with COVID-19 as the survival in this class of patients has been dismal. Poor survival rates as low as <3% have been reported previously. In a recent cohort study by Girotra et al COVID-19 infection has been found to be associated with a one-third lower rate of overall survival and is accompanied by a 30% increased rate of delayed defibrillation in shockable in-hospital cardiac arrest (IHCA). These findings were recently published in JAMA Cardiology.
Whether the poor IHCA survival rate reported in earlier studies is broadly representative of patients with COVID-19 in US hospitals remains unknown. The current study examined the association of COVID-19 infection with survival outcomes of US adults after IHCA.
This study included 24 915 patients with IHCA from 286 hospitals who had a mean age of 64.7 years. A suspected or confirmed COVID-19 infection was present in 23.7% of patients. The comparison between COVID-19 infected and non-infected patients generated the following findings:
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