Evidence map›Paper›PMID 35151777›Full record

ArticleResuscitation2022

Impact of the COVID-19 pandemic on in-hospital cardiac arrests in the UK.

Julia M Edwards, Jerry P Nolan, Jasmeet Soar, Gary B Smith, Emily Reynolds, Jane Carnall, Kathryn M Rowan, David A Harrison, James C Doidge

Open access · bronzeAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Resuscitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
  4. Review
  5. Review
  6. Article
  7. Article
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

9 authors at 6 institutions in 2 countries.

Julia M EdwardsIntensive Care National Audit & Research Centre (ICNARC), Napier House, 24 High Holborn, London WC1V 6AZ, UK. Electronic address: julia.edwards@icnarc.org.
Jerry P NolanWarwick Clinical Trials Unit, University of Warwick, Coventry CV4 7AL, UK; Royal United Hospital, Bath BA1 3NG, UK.
Jasmeet SoarSouthmead Hospital, North Bristol NHS Trust, Bristol BS10 5NB, UK.
Gary B SmithCentre of Postgraduate Medical Research & Education (CoPMRE), Faculty of Health & Social Sciences, Bournemouth University, Bournemouth, Dorset BH31 3LT, UK.
Emily ReynoldsLiverpool Hospital, Elizabeth Street, Liverpool, NSW 2170, Australia.
Jane CarnallManchester University NHS Foundation Trust, Oxford Road Campus, Oxford Road, Manchester M13 9WL, UK.
Kathryn M RowanIntensive Care National Audit & Research Centre (ICNARC), Napier House, 24 High Holborn, London WC1V 6AZ, UK.
David A HarrisonIntensive Care National Audit & Research Centre (ICNARC), Napier House, 24 High Holborn, London WC1V 6AZ, UK.
James C DoidgeIntensive Care National Audit & Research Centre (ICNARC), Napier House, 24 High Holborn, London WC1V 6AZ, UK.
Intensive Care National Audit & Research Centre · GBBournemouth University · GBLiverpool Hospital · AUManchester University NHS Foundation Trust · GBNorth Bristol NHS Trust · GBRoyal United Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo compare in-hospital cardiac arrest (IHCA) rates and patient outcomes during the first COVID-19 wave in the United Kingdom (UK) in 2020 with the same period in previous years.

methodsA retrospective, multicentre cohort study of 154 UK hospitals that participate in the National Cardiac Arrest Audit and have intensive care units participating in the Case Mix Programme national audit of intensive care. Hospital burden of COVID-19 was defined by the number of patients with confirmed SARS-CoV2 infection admitted to critical care per 10,000 hospital admissions.

results16,474 patients with IHCA where a resuscitation team attended were included. Patients admitted to hospital during 2020 were younger, more often male, and of non-white ethnicity compared with 2016-2019. A decreasing trend in IHCA rates between 2016 and 2019 was reversed in 2020. Hospitals with higher burden of COVID-19 had the greatest difference in IHCA rates (21.8 per 10,000 admissions in April 2020 vs 14.9 per 10,000 in April 2019). The proportions of patients achieving ROSC ≥ 20 min and surviving to hospital discharge were lower in 2020 compared with 2016-19 (46.2% vs 51.2%; and 21.9% vs 22.9%, respectively). Among patients with IHCA, higher hospital burden of COVID-19 was associated with reduced survival to hospital discharge (OR = 0.95; 95% CI 0.93 to 0.98; p < 0.001).

conclusionsIn comparison with 2016-2019, the first COVID-19 wave in 2020 was associated with a higher rate of IHCA and decreased survival among patients attended by resuscitation teams. These changes were greatest in hospitals with the highest COVID-19 burden.

Indexed as

Cardiopulmonary ResuscitationCOVID-19Heart ArrestCohort StudiesHospitalsHumansMalePandemicsRetrospective StudiesRNA, ViralSARS-CoV-2United KingdomRNA, ViralCardiopulmonary resuscitationCOVID-19In hospital cardiac arrestNational clinical audit

Identifiers

PMID35151777
PMCPMC8828439
OpenAlexW4210963791

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.