Evidence map›Paper›PMID 35098727›Full record

ArticleCirculation. Cardiovascular quality and outcomes2022

In-Hospital Cardiac Arrest Survival in the United States During and After the Initial Novel Coronavirus Disease 2019 Pandemic Surge.

Paul S Chan, John A Spertus, Kevin Kennedy, Brahmajee K Nallamothu, Monique A Starks, Saket Girotra

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.8field-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

16 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Paul S ChanSaint Luke's Mid America Heart Institute, Kansas City, MO (P.S.C., J.A.S., K.K.).ORCID 0000-0002-5185-3367
John A SpertusSaint Luke's Mid America Heart Institute, Kansas City, MO (P.S.C., J.A.S., K.K.).ORCID 0000-0002-2839-2611
Kevin KennedySaint Luke's Mid America Heart Institute, Kansas City, MO (P.S.C., J.A.S., K.K.).
Brahmajee K NallamothuUniversity of Michigan School of Medicine and Ann Arbor V.A. Medical Center (B.K.N.).ORCID 0000-0003-4331-6649
Monique A StarksDuke University School of Medicine and Duke Clinical Research Institute, Durham, NC (M.A.S.).
Saket GirotraUniversity of Iowa Carver College of Medicine, Iowa City (S.G.).ORCID 0000-0002-4784-4513
Saint Luke's Hospital · USDuke University · USUniversity of Iowa · USUniversity of Michigan · US

Funding

Hospital Enhancement of Resuscitation Outcomes for In-Hospital Cardiac Arrest (HER01HL123980 · NHLBI · SAINT LUKE'S HOSPITAL · PI CHAN, PAUL SHEUNG-YAN, NALLAMOTHU, BRAHMAJEE K · 2014 to 2018
$2.7M
NHLBI NIH HHS R01 HL123980
6 · The paper itself

Abstract

backgroundRecent reports on challenges in resuscitation care at hospitals severely affected by the novel coronavirus disease 2019 (COVID-19) pandemic raise questions about how the pandemic affected outcomes for in-hospital cardiac arrest throughout the United States.

methodsWithin Get With The Guidelines-Resuscitation, we conducted a retrospective cohort study to compare in-hospital cardiac arrest survival during the presurge (January 1-February 29), surge (March 1-May 15) and immediate postsurge (May 16-June 30) periods in 2020 compared to 2015 to 2019. Monthly COVID-19 mortality rates for each hospital's county were categorized, per 1 000 000 residents, as low (0-10), moderate (11-50), high (51-100), or very high (>100). Using hierarchical regression models, we compared rates of survival to discharge in 2020 versus 2015 to 2019 for each period.

resultsOf 61 586 in-hospital cardiac arrests, 21 208 (4309 in 2020), 26 459 (5949 in 2020), and 13 919 (2686 in 2020) occurred in the presurge, surge, and postsurge periods, respectively. During the presurge period, 24.2% survived to discharge in 2020 versus 24.7% in 2015 to 2019 (adjusted odds ratio, 1.12 [95% CI, 1.02-1.22]). In contrast, during the surge period, 19.6% survived to discharge in 2020 versus 26.0% in 2015 to 2019 (adjusted odds ratio, 0.81 [0.75-0.88]). Lower survival was most pronounced in communities with high (28% lower survival) and very high (42% lower survival) monthly COVID-19 mortality rates (interaction

conclusionsEarly during the pandemic, rates of survival to discharge for IHCA decreased, even among patients without COVID-19 infection, highlighting the early impact of the COVID-19 pandemic on in-hospital resuscitation.

Indexed as

Cardiopulmonary ResuscitationCOVID-19Heart ArrestHospitalsHumansPandemicsRegistriesRetrospective StudiesSARS-CoV-2Survival RateUnited StatesCOVID-19hospitalspandemicresuscitationsurvival rate

Identifiers

PMID35098727
PMCPMC8852282
OpenAlexW4210514545

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Registered trials

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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.