Evidence map›Paper›PMID 32283117›Full record

Observational studyResuscitation2020

In-hospital cardiac arrest outcomes among patients with COVID-19 pneumonia in Wuhan, China.

Fei Shao, Shuang Xu, Xuedi Ma, Zhouming Xu, Jiayou Lyu, Michael Ng, Hao Cui, Changxiao Yu, Qing Zhang, Peng Sun and 1 more

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Resuscitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04373759 (Cardiac Arrest Incidence and Outcome Among Patient With COVID-19 Pneumonia in French ICUs), which is not on this map. Cited by 168 papers, 22 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
168citing papers in PubMed, 22 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04373759 completednot on this map

Cardiac Arrest Incidence and Outcome Among Patient With COVID-19 Pneumonia in French ICUs

Typeobservational_patient_registrySponsorCentre Hospitalier Intercommunal de Toulon La Seyne sur MerRan2020 to 2020Enrolled186ConditionsSars-CoV2, Covid-19ArmsCardiopulmonary resuscitation, Modified Rankin score
3 · Its place in the literature

Who cites it

168 citing papers in PubMed, 22 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Outcomes of in-hospital cardiac arrest in COVID-19 patients: A proportional prevalence meta-analysis.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
    Pooled it
  4. Guideline
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Pooled it
  14. Cardiovascular Manifestations and Mechanisms in Patients with COVID-19.Trends in endocrinology and metabolism: TEM · 2020
    Pooled it
  15. Guideline
  16. Pooled it
  17. Guideline
  18. Guideline
  19. Pooled it
  20. Pooled it

108 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Fei ShaoBeijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing Chaoyang Hospital, Beijing, China; Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Shuang XuDepartment of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xuedi MaAI Research Division, A.I. Phoenix Technology Co., Ltd, Hong Kong, China.
Zhouming XuAI Research Division, A.I. Phoenix Technology Co., Ltd, Hong Kong, China.
Jiayou LyuAI Research Division, A.I. Phoenix Technology Co., Ltd, Hong Kong, China.
Michael NgResearch Division for Mathematical and Statistical Science, University of Hong Kong, Hong Kong, China.
Hao CuiDepartment of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Changxiao YuDepartment of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Qing ZhangDepartments of Anaesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Peng SunDepartment of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: simple1111@hust.edu.cn.
Ziren TangBeijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing Chaoyang Hospital, Beijing, China; Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. Electronic address: tangziren1970@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the characteristics and outcomes of patients with severe COVID-19 and in-hospital cardiac arrest (IHCA) in Wuhan, China.

methodsThe outcomes of patients with severe COVID-19 pneumonia after IHCA over a 40-day period were retrospectively evaluated. Between January 15 and February 25, 2020, data for all cardiopulmonary resuscitation (CPR) attempts for IHCA that occurred in a tertiary teaching hospital in Wuhan, China were collected according to the Utstein style. The primary outcome was restoration of spontaneous circulation (ROSC), and the secondary outcomes were 30-day survival, and neurological outcome.

resultsData from 136 patients showed 119 (87.5%) patients had a respiratory cause for their cardiac arrest, and 113 (83.1%) were resuscitated in a general ward. The initial rhythm was asystole in 89.7%, pulseless electrical activity (PEA) in 4.4%, and shockable in 5.9%. Most patients with IHCA were monitored (93.4%) and in most resuscitation (89%) was initiated <1 min. The average length of hospital stay was 7 days and the time from illness onset to hospital admission was 10 days. The most frequent comorbidity was hypertension (30.2%), and the most frequent symptom was shortness of breath (75%). Of the patients receiving CPR, ROSC was achieved in 18 (13.2%) patients, 4 (2.9%) patients survived for at least 30 days, and one patient achieved a favourable neurological outcome at 30 days. Cardiac arrest location and initial rhythm were associated with better outcomes.

conclusionSurvival of patients with severe COVID-19 pneumonia who had an in-hospital cardiac arrest was poor in Wuhan.

Indexed as

BetacoronavirusHospital MortalityAdultAgedAged, 80 and overCardiopulmonary ResuscitationChinaCohort StudiesCoronavirus InfectionsCOVID-19FemaleHeart ArrestHumansMaleMiddle AgedPandemicsCardiopulmonary resuscitationCOVID-19In-hospital cardiac arrestROSCSurvival

Identifiers

PMID32283117
PMCPMC7151543

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.