Your browser doesn't support javascript.
loading
Out-of-hospital cardiac arrest and in-hospital mortality among COVID-19 patients: A population-based retrospective cohort study.
Chan, Shang-Yih; Tsai, Yi-Fan; Yen, Muh-Yong; Yu, Wen-Ruey; Hung, Chia-Chun; Kuo, Tzu-Ling; Chen, Chu-Chieh; Yen, Yung-Feng; Huang, Shih-Horng; Huang, Tsun-Cheng; Huang, Sheng-Jean.
Afiliación
  • Chan SY; Department of Internal Medicine, Taipei City Hospital, Yangming Branch, Taipei, Taiwan; Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan; University of Taipei, Taipei, Taiwan.
  • Tsai YF; Department of Nursing, Taipei City Hospital, Yangming Branch, Taipei, Taiwan; School of Nursing, Taipei Medical University, Taipei, Taiwan; Department of Allied Health Education and Digital Learning, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
  • Yen MY; Division of Infectious Diseases, Cheng Hsin General Hospital, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
  • Yu WR; Department of Family Medicine, Taipei City Hospital, Yangming Branch, Taipei, Taiwan.
  • Hung CC; Department of Education and Research, Taipei City Hospital, Taiwan.
  • Kuo TL; Department of Education and Research, Taipei City Hospital, Taiwan.
  • Chen CC; Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
  • Yen YF; Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan; University of Taipei, Taipei, Taiwan; Department of Education and Research, Taipei City Hospital, Taiwan; Section of Infectious Diseases, Taipei City Hospital, Yangming Branch, Taipei, Ta
  • Huang SH; Department of Surgery, Taipei City Hospital, Yangming Branch, Taipei, Taiwan.
  • Huang TC; Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan; Taipei City Hospital, Taipei, Taiwan; Chung Yuan Christian University, Taipei, Taiwan; National Chengchi University, Taipei, Taiwan; National Taiwan University of Science and Technology,
  • Huang SJ; Taipei City Hospital, Taipei, Taiwan; Department of Surgery, College of Medicine, National Taiwan University, Taipei, Taiwan.
J Microbiol Immunol Infect ; 55(6 Pt 1): 1044-1051, 2022 Dec.
Article en En | MEDLINE | ID: mdl-35995669
BACKGROUND/PURPOSE: Predictors for out-of-hospital cardiac arrest (OHCA) in COVID-19 patients remain unclear. We identified the predictors for OHCA and in-hospital mortality among such patients in community isolation centers. METHODS: From May 15 to June 20, 2021, this cohort study recruited 2555 laboratory-confirmed COVID-19 patients admitted to isolation centers in Taiwan. All patients were followed up until death, discharge from the isolation center or hospital, or July 16, 2021. OHCA was defined as cardiac arrest confirmed by the absence of circulation signs and occurring outside the hospital. Multinomial logistic regressions were used to determine factors associated with OHCA and in-hospital mortality. RESULTS: Of the 37 deceased patients, 7 (18.9%) had OHCA and 30 (81.1%) showed in-hospital mortality. The mean (SD) time to OHCA was 6.6 (3.3) days from the symptom onset. After adjusting for demographics and comorbidities, independent predictors for OHCA included age ≥65 years (adjusted odds ratio [AOR]: 13.24, 95% confidence interval [CI]: 1.85-94.82), fever on admission to the isolation center (AOR: 12.53, 95% CI: 1.68-93.34), and hypoxemia (an oxygen saturation level below 95% on room air) (AOR: 26.54, 95% CI: 3.18-221.73). Predictors for in-hospital mortality included age ≥65 years (AOR: 10.28, 95% CI: 2.95-35.90), fever on admission to the isolation centers (AOR: 7.27, 95% CI: 1.90-27.83), and hypoxemia (AOR: 29.87, 95% CI: 10.17-87.76). CONCLUSIONS: Time to OHCA occurrence is rapid in COVID-19 patients. Close monitoring of patients' vital signs and disease severity during isolation is important, particularly for those with older age, fever, and hypoxemia.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reanimación Cardiopulmonar / Paro Cardíaco Extrahospitalario / COVID-19 Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Humans Idioma: En Revista: J Microbiol Immunol Infect Asunto de la revista: ALERGIA E IMUNOLOGIA / MICROBIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reanimación Cardiopulmonar / Paro Cardíaco Extrahospitalario / COVID-19 Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Humans Idioma: En Revista: J Microbiol Immunol Infect Asunto de la revista: ALERGIA E IMUNOLOGIA / MICROBIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Reino Unido