Association of prehospital post-resuscitation peripheral oxygen saturation with survival following out-of-hospital cardiac arrest

Smida, Tanner; Menegazzi, James J.; Crowe, Remle P.; Bardes, James M.; Scheidler, James; Salcido, David D

doi:10.1016/j.resuscitation.2022.10.011

Cited by 10 publications

(1 citation statement)

References 27 publications

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“…One of the primary factors associated with undertaking resuscitation and its effectiveness is the presence of potentially reversible causes, among them hypoxia [17,54,55]. In many patients with COVID-19, extreme hypoxia led to sudden cardiac arrest.…”

Section: Discussionmentioning

confidence: 99%

Uncovering the effects of COVID-19 on in-hospital cardiac arrest – a living systematic review and meta-analysis

Bielski¹,

Pruc²,

Rafique³

et al. 2023

Ann Agric Environ Med.

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Introduction and Objective.Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused a global pandemic and had a negative impact on the entire health care system. To understand the effect of COVID-19 on outcomes of in-hospital cardiac arrest (IHCA), a systematic review and meta-analysis of studies was designed to compare the pre-and intra-pandemic periods of adult patients who suffered cardiac arrest, and additionally by performing a sub-analysis related to COVID-19 positive vs. negative patients in the same group of patients. Materials and method. To evaluate the impact of COVID-19 on IHCA outcomes a systematic review and meta-analysis was performed. Pubmed (MEDLINE), Scopus, Embase, Web of Science, and Cochrane database were searched for articles published from 1 January 2020 -8 April 2023. Results. Return of spontaneous circulation events among IHCA patients in pre-COVID-19 and COVID-19 pandemic periods varied and amounted to 64.0% vs. 60.0%, respectively (OR=1.23; 95%CI: 1.19 to 1.26; p<0.001). Re-arrest occurrence was 4.5% vs. 4.9%, respectively (OR=1.24; 95%CI: 1.00 to 1.53; p=0.05). Survival to hospital discharge (SHD) was 25.1% compared to 20.9% for COVID-19 period (OR = 1.17; 95%CI: 0.96 to 1.41; p=0.12). During the COVID-19 period, SHD in COVID-19 positive patients was 14.0% compared to 25.9% for patients without 95%CI: 0.28 to 1.86; p=0.50). 30-day survival rate among COVID-19 positive vs. negative patients was 62.6% vs. 58.3%, respectively (OR =0.99; 95%CI: 0.23 to 4.24; p=0.99). Conclusions. Patients with SARS-CoV-2 infection had reduced rates of ROSC and SDH, as well as poorer neurologic outcomes and increased in hospital re-arrests during the COVID-19 period. However, the 30-day survival rate was similar in SARS-CoV-2 positive and negative patients.

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Section: Discussionmentioning

confidence: 99%

Uncovering the effects of COVID-19 on in-hospital cardiac arrest – a living systematic review and meta-analysis

Bielski¹,

Pruc²,

Rafique³

et al. 2023

Ann Agric Environ Med.

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Rationale and development of a prehospital goal‐directed bundle of care to prevent rearrest after return of spontaneous circulation

Dillon,

Montoy,

Bosson

et al. 2024

JACEP Open

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In patients with out‐of‐hospital cardiac arrest (OHCA) who attain return of spontaneous circulation (ROSC), rearrest while in the prehospital setting represents a significant barrier to survival. To date, there are limited data to guide prehospital emergency medical services (EMS) management immediately following successful resuscitation resulting in ROSC and prior to handoff in the emergency department. Post‐ROSC care encompasses a multifaceted approach including hemodynamic optimization, airway management, oxygenation, and ventilation. We sought to develop an evidenced‐based, goal‐directed bundle of care targeting specified vital parameters in the immediate post‐ROSC period, with the goal of decreasing the incidence of rearrest and improving survival outcomes. Here, we describe the rationale and development of this goal‐directed bundle of care, which will be adopted by several EMS agencies within California. We convened a group of EMS experts, including EMS Medical Directors, quality improvement officers, data managers, educators, EMS clinicians, emergency medicine clinicians, and resuscitation researchers to develop a goal‐directed bundle of care to be applied in the field during the period immediately following ROSC. This care bundle includes guidance for prehospital personnel on recognition of impending rearrest, hemodynamic optimization, ventilatory strategies, airway management, and diagnosis of underlying causes prior to the initiation of transport.

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Präklinische Post-Cardiac-Arrest-Sedierung und -Behandlung in der Bundesrepublik Deutschland – eine webbasierte Umfrage unter notärztlichem Personal

Jansen,

Latka,

Deicke

et al. 2023

Med Klin Intensivmed Notfmed

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Association of prehospital post-resuscitation peripheral oxygen saturation with survival following out-of-hospital cardiac arrest

Cited by 10 publications

References 27 publications

Uncovering the effects of COVID-19 on in-hospital cardiac arrest – a living systematic review and meta-analysis

Uncovering the effects of COVID-19 on in-hospital cardiac arrest – a living systematic review and meta-analysis

Rationale and development of a prehospital goal‐directed bundle of care to prevent rearrest after return of spontaneous circulation

Präklinische Post-Cardiac-Arrest-Sedierung und -Behandlung in der Bundesrepublik Deutschland – eine webbasierte Umfrage unter notärztlichem Personal

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