OUTCOMES OF ATTEMPTED RESUSCITATION WITH ACLS IN COVID-19 PATIENTS REQUIRING ICU ADMISSION

Background

The SARS-CoV-2 Virus has presented unanticipated challenges to the medical community since its arrival onto the world stage in 2020. Hospitals across the United States noted a significant rise in their census of critically ill patients as the severity of the complications of COVID-19 became apparent. The aim of this study is to assess the survival outcomes of COVID-19 patients who underwent in-hospital CPR and their associated demographic, comorbidity and clinical course data.

Methods

The study population includes patients in calendar year of march 2020- Feb 2021 that presented to Luminis Health Anne Arundel Medical Center with Covid-19 diagnosis. The patient demographic variables and relationship between these variable and 7-day and 30-day survival rate after hospital discharge was reviewed. The data generated and evaluated from CRISP which is the State designated Health Information Exchange (HIE) for Maryland and electronic medical record reports to analyze significant variable that potentially identify areas to intervene prior to patient readmission.

Results

During the study period, over 1500 patients admitted to Luminis Health Anne Arundel Medical Center (AAMC) with covid 19 infection. Out of which, 285 were admitted to ICU for worsening respiratory failure. Out of 285 patients, 38 developed cardiac arrest requiring CPR; 8 achieved ROSC. Out of 8 patients achieved ROSC, 4 still alive after 7 days post CPR and 3 still alive after 30 days post CPR.

Conclusion

There is limited data regarding outcomes after in-hospital cardiac arrest among coronavirus disease 2019 patients. Also, limited number of studies have reported the outcomes of in-hospital cardiac arrest in corona- virus disease 2019 patients in the United States. We describe the characteristics and outcomes of in-hospital cardiac arrest in coronavirus disease 2019 patients in community hospital in Annapolis, Maryland. This assessment may then be used to guide recommendations on how cardiopulmonary resuscitation can be most effectively and ethically employed when caring for hospitalized COVID-19 patients.