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?:abstract
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Background: Patients hospitalized for severe COVID-19 infection are at risk for in-hospital cardiac arrest (IHCA) It is unknown whether certain characteristics of cardiac arrest care and outcomes of IHCAs during the COVID-19 pandemic differed compared to a pre-COVID-19 period Methods: All patients who experienced an IHCA at our hospital from March 1st through May 15th 2020, during the peak of the COVID-19 pandemic, and those who had an IHCA from January 1st 2019 to December 31st 2019 were identified All patient data was extracted from our hospital\'s Get With The Guidelines-Resuscitation (GWTG-R) registry, a prospective hospital-based archive of IHCA data Baseline characteristics of patients, interventions and overall outcomes of IHCAs during the COVID-19 pandemic were compared to IHCAs in 2019, prior to the COVID-19 pandemic Results: There were 125 IHCAs during a 2 5-month period at our hospital during the peak of the COVID-19 pandemic compared to 117 IHCAs in all of 2019 IHCAs during the COVID-19 pandemic occurred more often on general medicine wards than in intensive care units (46% vs 33%;19% vs 60% in 2019, p<0 001), were overall shorter in duration (median time of 11 min (8 5-26 5) vs 15 min (7 0-20 0), p=0 001), led to fewer endotracheal intubations (52% vs 85%, p<0 001) and had overall worse survival rates (3% vs 13%, p=0 007) compared to IHCAs prior to the COVID-19 pandemic Conclusions: Patients who experienced an IHCA during the COVID-19 pandemic had overall worse survival compared to those who had an IHCA prior to the COVID-19 pandemic Our findings highlight important differences between these two time periods Further study is needed on cardiac arrest care in patients with COVID-19
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