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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. CPR in COVID-19 patients has a low survival rate

CPR in COVID-19 patients has a low survival rate

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  • George KG Offline
    George KG Offline
    George K
    wrote on last edited by George K
    #1

    https://www.physiciansweekly.com/cpr-in-covid-19-patients-has-a-low-survival-rate/

    The overall 30-day survival rate for COVID-19 patients receiving CPR was 4 (2.9%) patients, but only 1 (0.7%) had a favorable neurologic outcome at 30 days and just 18 (13.2%) patients achieved return of spontaneous circulation (ROSC). These figures are from a study of 136 COVID-19 patients who received CPR at a hospital in Wuhan, China.

    As is true in most studies of COVID-19, two-thirds of the patients were male, and 105 (77%) were greater than 60 years old. The arrest was due to respiratory issues in 119 patients, cardiac in 10, and other in 7.

    A rapid response team responded to all resuscitations—23 (17%) occurring in intensive care units. In all, 132 had witnessed cardiac arrests. The initial rhythm detected was asystole in 122 patients, ventricular fibrillation/tachycardia in 8, and pulseless electrical activity (PEA) in 6; ROSC occurred in 11 (9%) with asystole, 6 (75%) with V fib/tach, and 1 (16.7%) with PEA...
    For comparison, a 2016 paper about the outcomes of in-hospital cardiac arrest in 12 Beijing hospitals reviewed 2712 patients with about half suffering arrests from primarily cardiac causes. Survival to discharge occurred in 6.1% of those over 60 years old vs. 12.8% for patients 60 and under.

    Of the 1340 (49%) with asystole, 64 (4.8%) survived to discharge compared to 22% survival for the 423 patients with ventricular fibrillation/tachycardia.

    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

    1 Reply Last reply
    • JollyJ Offline
      JollyJ Offline
      Jolly
      wrote on last edited by
      #2

      In other words, don't bother.

      “Cry havoc and let slip the DOGE of war!”

      Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

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      • taiwan_girlT Offline
        taiwan_girlT Offline
        taiwan_girl
        wrote on last edited by
        #3

        George and Jolly,

        If I understand, someone receiving CPR is because they stopped breathing. So that means that they have some serious problems.

        Would the survival rate be much higher for a "normal" sickness or accident where someone gets CPR? It is probably not 3%, but curious if you have any idea how high or how low it would be.

        George KG 1 Reply Last reply
        • taiwan_girlT taiwan_girl

          George and Jolly,

          If I understand, someone receiving CPR is because they stopped breathing. So that means that they have some serious problems.

          Would the survival rate be much higher for a "normal" sickness or accident where someone gets CPR? It is probably not 3%, but curious if you have any idea how high or how low it would be.

          George KG Offline
          George KG Offline
          George K
          wrote on last edited by
          #4

          @taiwan_girl said in CPR in COVID-19 patients has a low survival rate:

          George and Jolly,

          If I understand, someone receiving CPR is because they stopped breathing. So that means that they have some serious problems.

          Would the survival rate be much higher for a "normal" sickness or accident where someone gets CPR? It is probably not 3%, but curious if you have any idea how high or how low it would be.

          https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1497044/

          The data abstracted were compared, and any discrepancies were resolved by consensus discussion. For the subset of studies meeting the strict criteria, the overall rate of immediate survival was 40.7% and the rate of survival to discharge was 13.4%.

          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

          1 Reply Last reply
          • bachophileB Offline
            bachophileB Offline
            bachophile
            wrote on last edited by
            #5

            Gee, on doctor shows they always seem to work splendidly.

            George KG 1 Reply Last reply
            • bachophileB bachophile

              Gee, on doctor shows they always seem to work splendidly.

              George KG Offline
              George KG Offline
              George K
              wrote on last edited by
              #6

              @bachophile said in CPR in COVID-19 patients has a low survival rate:

              Gee, on doctor shows they always seem to work splendidly.

              Frankly, I was surprised that it was as high as 13%.

              "Now look here, you Baltic gas passer... " - Mik, 6/14/08

              The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

              bachophileB 1 Reply Last reply
              • George KG George K

                @bachophile said in CPR in COVID-19 patients has a low survival rate:

                Gee, on doctor shows they always seem to work splendidly.

                Frankly, I was surprised that it was as high as 13%.

                bachophileB Offline
                bachophileB Offline
                bachophile
                wrote on last edited by
                #7

                @George-K

                https://www.nejm.org/doi/full/10.1056/NEJM199606133342406

                1 Reply Last reply
                • jon-nycJ Offline
                  jon-nycJ Offline
                  jon-nyc
                  wrote on last edited by
                  #8

                  Man. That’s all it took back then to get published in NEJM???

                  Person. Woman. Man. Camera. TV.

                  1 Reply Last reply

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