In-hospital cardiac arrest characteristics, CPR quality, and outcomes in children with COVID-19

Lauridsen, Kasper Glerup; Morgan, Ryan W.; Dewan, Maya; Gawronski, Orsola; Sen, Anita; Investigators, PediRES-Q

doi:10.1016/j.resuscitation.2021.10.013

Cited by 5 publications

(3 citation statements)

References 8 publications

(15 reference statements)

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“…Utilizing the PediRES-Q database, Lauridsen et al evaluated 28 pediatric patients with confirmed or suspected COVID-19 who suffered IHCA between March 1, 2020 and April 1, 2021. 14 In their COVID-19 cohort, rates of ROSC and survival to discharge were 50% and 25%, respectively, which are comparatively lower than the rates in our cohort (67% and 39%). In contrast to our study, patients with COVID-19 in that study was associated with lower rates of ROSC although rates of survival to discharge were not significantly different.…”

Section: Discussioncontrasting

confidence: 70%

Outcomes of pediatric patients with COVID-19 and in-hospital cardiopulmonary resuscitation

El‐Zein

Chan

et al. 2022

Resuscitation

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Section: Discussioncontrasting

confidence: 70%

Outcomes of pediatric patients with COVID-19 and in-hospital cardiopulmonary resuscitation

El‐Zein

Chan

et al. 2022

Resuscitation

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“…Poorer cardiac arrest outcomes in adults have frequently been reported during the pandemic compared with the pre-pandemic period, with particularly poor arrest outcomes being observed in patients with COVID-19 [3]. However, data concerning cardiac arrest outcomes in children with the disease are limited [9]. Despite our low patient number, we nevertheless think that this study is particularly valuable as an evaluation of CBC outcomes during the pandemic in pediatric patients.…”

Section: Discussionmentioning

confidence: 87%

A comparison of code blue calls in a tertiary pediatric hospital in the pre-pandemic and pandemic periods

Akdeniz,

Kusderci,

Adiguzel

2023

Med-Science

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This study compares the code blue calls (CBCs) used in our hospital before and during the COVID-19 pandemic. CBCs made between 31.03.2018 and 31.03.2022 in the Samsun Maternity and Child Health Training and Research Hospital were examined retrospectively. The study period was subdivided into two sections, one from March 31, 2018, to March 30, 2020 (Group 1, the pre-pandemic period) and the other from March 31, 2020, to March 31, 2022 (Group 2, the pandemic period). Patients' demographic data, the reason for the CBC and where it was issued, the time elapsed before the team arrived on the scene, and the outcomes were then compared between the groups. Seventy-nine CBCs, 34 (43.1%) of which were ‘false,’ were included in the study. Forty-six calls were made in the pre-pandemic period, 26 (56.5%) of which were true calls, while 33 calls were made during the pandemic, of which 19 (57.6%) were true calls. Twenty-seven (60%) of the 45 true CBCs were for boys and 18 (40%) for girls. The children’s mean age was 73.06±66.85 months, and 57.7% of the CBCs were issued during the pre-pandemic period. No significant difference was observed between groups 1 and 2 in terms of code blue team arrival times (114.03±59.14 vs. 138.1±95.96 sec, respectively (P=.305). The total mortality rate at the end of 30 days was 13.3% (P=.679). No difference was observed in CBC results between the pre-pandemic and pandemic periods in this study. We think that some blue code parameters, such as false calls and blue code team arrival times, can be improved through effective training against potential future pandemics.

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“…In children with COVID-19, in-hospital cardiac arrest (IHCA) presents both clinical challenges and a public health problem ( 8 – 10 ). Limited pediatric data suggest that children with COVID-19 and IHCA are less likely to achieve return of spontaneous circulation than those without COVID-19 ( 11 ). Furthermore, the COVID-19 pandemic has created the impetus for adaptations to resuscitation systems of care.…”

mentioning

confidence: 99%

The Temporal Association of the COVID-19 Pandemic and Pediatric Cardiopulmonary Resuscitation Quality and Outcomes*

Morgan

Wolfe

Reeder³

et al. 2022

Pediatric Critical Care Medicine

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Objectives: The COVID-19 pandemic resulted in adaptations to pediatric resuscitation systems of care. The objective of this study was to determine the temporal association between the pandemic and pediatric in-hospital cardiac arrest (IHCA) process of care metrics, cardiopulmonary resuscitation (cardiopulmonary resuscitation) quality, and patient outcomes. Design: Multicenter retrospective analysis of a dataset comprising observations of IHCA outcomes pre pandemic (March 1, 2019 to February 29, 2020) versus pandemic (March 1, 2020 to February 28, 2021). Setting: Data source was the ICU-RESUScitation Project (“ICU-RESUS;” NCT028374497), a prospective, multicenter, cluster randomized interventional trial. Patients: Children (≤ 18 yr) who received cardiopulmonary resuscitation while admitted to the ICU and were enrolled in ICU-RESUS. Interventions: None. Measurements and Main Results: Among 429 IHCAs meeting inclusion criteria, occurrence during the pandemic period was associated with higher frequency of hypotension as the immediate cause of arrest. Cardiac arrest physiology, cardiopulmonary resuscitation quality metrics, and postarrest physiologic and quality of care metrics were similar between the two periods. Survival with favorable neurologic outcome (Pediatric Cerebral Performance Category score 1–3 or unchanged from baseline) occurred in 102 of 195 subjects (52%) during the pandemic compared with 140 of 234 (60%) pre pandemic ( p = 0.12). Among survivors, occurrence of IHCA during the pandemic period was associated with a greater increase in Functional Status Scale (FSS) (i.e., worsening) from baseline (1 [0–3] vs 0 [0–2]; p = 0.01). After adjustment for confounders, IHCA survival during the pandemic period was associated with a greater increase in FSS from baseline (+1.19 [95% CI, 0.35–2.04] FSS points; p = 0.006) and higher odds of a new FSS-defined morbidity (adjusted odds ratio, 1.88 [95% CI, 1.03–3.46]; p = 0.04). Conclusions: Using the ICU-RESUS dataset, we found that relative to the year prior, pediatric IHCA during the first year of the COVID-19 pandemic was associated with greater worsening of functional status and higher odds of new functional morbidity among survivors.

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In-hospital cardiac arrest characteristics, CPR quality, and outcomes in children with COVID-19

Cited by 5 publications

References 8 publications

Outcomes of pediatric patients with COVID-19 and in-hospital cardiopulmonary resuscitation

Outcomes of pediatric patients with COVID-19 and in-hospital cardiopulmonary resuscitation

A comparison of code blue calls in a tertiary pediatric hospital in the pre-pandemic and pandemic periods

The Temporal Association of the COVID-19 Pandemic and Pediatric Cardiopulmonary Resuscitation Quality and Outcomes*

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