Evidence map›Paper›PMID 33543564›Full record

SynthesisCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2022

Outcomes of in-hospital cardiac arrest in COVID-19 patients: A proportional prevalence meta-analysis.

Tanveer Mir, Yasar Sattar, Javeed Ahmad, Waqas Ullah, Layla Shanah, M Chadi Alraies, Waqas T Qureshi

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. 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
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  10. Coding the COVID patient: Is it futile?Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

Tanveer MirDepartment of Internal Medicine, Wayne State University, Detroit Medical Center, Detroit, Michigan, USA.
Yasar SattarInternal Medicine, Icahn School of Medicine at Mount Sinai Elmhurst Hospital, Queens, New York, New York, USA.
Javeed AhmadNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Waqas UllahAbington Jefferson Health, Abington, Pennsylvania, USA.ORCID 0000-0002-4850-0309
Layla ShanahDepartment of Internal Medicine, Wayne State University, Detroit Medical Center, Detroit, Michigan, USA.
M Chadi AlraiesCardiovascular Institute, Detroit Medical Center, Detroit, Michigan, USA.ORCID 0000-0002-7874-4566
Waqas T QureshiUniversity of Massachusetts School of Medicine, Worcester, Massachusetts, USA.ORCID 0000-0002-5189-4417
Wayne State University · USDetroit Medical Center · USElmhurst Hospital Center · USNational Institutes of Health · USThomas Jefferson University Hospital · USUniversity of Massachusetts Chan Medical School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited epidemiological data are available on the outcomes of in-hospital cardiac arrest (CA) in COVID-19 patients.

methodsWe performed literature search of PubMed, EMBASE, Cochrane, and Ovid to identify research articles that studied outcomes of in-hospital cardiac arrest in COVID-19 patients. The primary outcome was survival at discharge. Secondary outcomes included return of spontaneous circulation (ROSC) and types of cardiac arrest. Pooled percentages with a 95% confidence interval (CI) were calculated for the prevalence of outcomes.

resultsA total of 7,891 COVID patients were included in the study. There were 621 (pooled prevalence 8%, 95% CI 4-13%) cardiac arrest patients. There were 52 (pooled prevalence 3.0%; 95% CI 0.0-10.0%) patients that survived at the time of discharge. ROSC was achieved in 202 (pooled prevalence 39%;95% CI 21.0-59.0%) patients. Mean time to ROSC was 7.74 (95% CI 7.51-7.98) min. The commonest rhythm at the time of cardiac arrest was pulseless electrical activity (pooled prevalence 46%; 95% 13-80%), followed by asystole (pooled prevalence 40%; 95% CI 6-80%). Unstable ventricular arrhythmia occurred in a minority of patients (pooled prevalence 8%; 95% CI 4-13%).

conclusionThis pooled analysis of studies showed that the survival post in-hospital cardiac arrest in COVID patients is dismal despite adequate ROSC obtained at the time of resuscitation. Nonshockable rhythm cardiac arrest is commoner suggesting a non-cardiac cause while cardiac related etiology is uncommon. Future studies are needed to improve the survival in these patients.

Indexed as

Cardiopulmonary ResuscitationCOVID-19Heart ArrestHospitalsHumansPrevalenceSARS-CoV-2Treatment OutcomeCOVID-19in-hospital cardiac arrestmortalitypulseless electrical activity

Identifiers

PMID33543564
PMCPMC8014883
OpenAlexW3126191094

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.