Evidence map›Paper›PMID 34773516›Full record

ArticleAnnals of intensive care2021

Incidence, clinical characteristics, and outcome after unexpected cardiac arrest among critically ill adults with COVID-19: insight from the multicenter prospective ACICOVID-19 registry.

Jonathan Chelly, Gaetan Plantefève, Toufik Kamel, Cédric Bruel, Saad Nseir, Christopher Lai, Giulia Cirillo, Elena Skripkina, Sébastien Ehrminger, Fernando-Daniel Berdaguer-Ferrari and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Annals of intensive care, 2021. 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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Jonathan ChellyIntensive Care Unit, Centre Hospitalier Intercommunal Toulon-La Seyne sur Mer, Hôpital Sainte Musse, 54 rue Henri Sainte Claire Deville, 83056, Toulon, France. jonathan.chelly@ch-toulon.fr.ORCID http://orcid.org/0000-0002-8198-1239
Gaetan PlantefèveIntensive Care Unit, Centre Hospitalier Victor Dupouy, Argenteuil, France.
Toufik KamelIntensive Care Unit, Centre Hospitalier Régional d'Orléans, Orléans. Inserm UMR1153, ECSTRRA, Université de Paris, Paris, France.
Cédric BruelIntensive Care Unit, Groupe Hospitalier Paris Saint Joseph, Paris, France.
Saad NseirMédecine Intensive Réanimation, CHU Lille, Inserm U1285, Université de Lille, CNRS, UMR 8576-UGSF, Unité de Glycobiologie Structurale et Fonctionnelle, Lille, France.
Christopher LaiMedical Intensive Care Unit, Hôpital de Bicêtre, Université Paris-Saclay, Assistance Publique Hôpitaux de Paris (AP-HP), Le Kremlin-Bicêtre, France.
Giulia CirilloIntensive Care Department, Groupe Hospitalier Sud Ile de France, Melun, France.
Elena SkripkinaService d'anesthésie-réanimation chirurgicale, DMU CARE, DHU A-TVB, Assistance Publique Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor, Créteil, France.
Sébastien EhrmingerIntensive Care Unit, Grand Hôpital de l'Est Francilien-site de Marne la Vallée, Jossigny, France.
Fernando-Daniel Berdaguer-FerrariIntensive Care Unit, Hôpital Nord Franche-Comté, Trévenans, France.
Julien Le MarecIntensive Care Unit, Département R3S, Pitié-Salpétrière hospital, Assistance Publique Hôpitaux de Paris (AP-HP), Sorbonne Université, Paris, France.
Marine PaulIntensive Care Unit, Centre Hospitalier de Versailles-site André Mignot, Le Chesnay, France.
Aurélie AutretClinical Research Department, Centre Hospitalier Intercommunal Toulon-La Seyne sur Mer, Toulon, France.
Nicolas DeyeMedical and Toxicological Intensive Care Unit, Inserm U942, Assistance Publique Hôpitaux de Paris (AP-HP), Centre Hospitalier Universitaire Lariboisière, Paris, France.
ACICOVID-19 study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInitial reports have described the poor outcome of unexpected cardiac arrest (CA) in intensive care unit (ICU) among COVID-19 patients in China and the USA. However, there are scarce data on characteristics and outcomes of such CA patients in Europe.

methodsProspective registry in 35 French ICUs, including all in-ICU CA in COVID-19 adult patients with cardiopulmonary resuscitation (CPR) attempt. Favorable outcome was defined as modified Rankin scale ranging from 0 to 3 at day 90 after CA.

resultsAmong the 2425 COVID-19 patients admitted to ICU from March to June 2020, 186 (8%) experienced in-ICU CA, of whom 146/186 (78%) received CPR. Among these 146 patients, 117 (80%) had sustained return of spontaneous circulation, 102 (70%) died in the ICU, including 48 dying within the first day after CA occurrence and 21 after withdrawal of life-sustaining therapy. Most of CA were non-shockable rhythm (90%). At CA occurrence, 132 patients (90%) were mechanically ventilated, 83 (57%) received vasopressors and 75 (51%) had almost three organ failures. Thirty patients (21%) had a favorable outcome. Sepsis-related organ failure assessment score > 9 before CA occurrence was the single parameter constantly associated with unfavorable outcome in multivariate analysis.

conclusionsIn-ICU CA incidence remains high among a large multicenter cohort of French critically ill adults with COVID-19. However, 21% of patients with CPR attempt remained alive at 3 months with good functional status. This contrasts with other recent reports showing poor outcome in such patients.

trial registrationThis study was retrospectively registered in ClinicalTrials.gov (NTC04373759) in April 2020 ( https://www.clinicaltrials.gov/ct2/show/NCT04373759?term=acicovid&draw=2&rank=1 ).

Indexed as

COVID-19In-hospital cardiac arrestIntensive care unitSARS-CoV-2

Identifiers

PMID34773516
PMCPMC8590126

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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.