Ghali Ballout , Marta Magaldi Mendaña , Bartomeu Ramis Bou , Cristian Torres Quevedo , Adriana Capdevila Freixas , Silvia Moreno-Jurico , Enrique Jesús Carrero Cardenal , Jaime Fontanals Dotras , Comisión a la Atención a la Parada Cardiorrespiratoria del Hospital Clínic de Barcelona
{"title":"2019冠状病毒病对医院内心肺停止设备激活的影响:一项回顾性研究","authors":"Ghali Ballout , Marta Magaldi Mendaña , Bartomeu Ramis Bou , Cristian Torres Quevedo , Adriana Capdevila Freixas , Silvia Moreno-Jurico , Enrique Jesús Carrero Cardenal , Jaime Fontanals Dotras , Comisión a la Atención a la Parada Cardiorrespiratoria del Hospital Clínic de Barcelona","doi":"10.1016/j.medin.2024.502137","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To analyze whether the characteristics of the patients treated by the in-hospital cardiorespiratory arrest team, IHCA and cardiopulmonary resuscitation (CPR) were different in the period before the COVID-19 compared to the pandemic period; also analyzing the differences between COVID+ and COVID− patients.</div></div><div><h3>Design</h3><div>Observational and retrospective study from January 1st, 2018, to December 31st, 2021.</div></div><div><h3>Setting</h3><div>Tertiary hospital.</div></div><div><h3>Patients</h3><div>All adult patients over 18<!--> <!-->years old requiring attention from the IHCA response team.</div></div><div><h3>Interventions</h3><div>CPR maneuvers according to the advanced life support guidelines of the European Resuscitation Council published in 2015, as well as the modifications made in the COVID era (2020).</div></div><div><h3>Main variables</h3><div>Demographic and epidemiological data, activations of the IHCA response team, CA data, hospital and intensive care unit (ICU) length of stay, survival and neurological outcome at hospital discharge.</div></div><div><h3>Results</h3><div>A total of 368 patients were analyzed: 173 in the pre-pandemic group and 195 in the pandemic group. The neurological outcome was better in the pre-pandemic group, and COVID+ patients had a longer ICU length of stay. However, no differences in the response time of the CPR team or in CPR duration were found, nor in immediate survival or at hospital discharge, between both groups or between COVID+ and COVID− patients.</div></div><div><h3>Conclusions</h3><div>Changes in CPR care protocols due to the COVID-19 pandemia did not seem to affect response times from IHCA team neither immediate nor discharge survival.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 10","pages":"Article 502137"},"PeriodicalIF":3.1000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impacto de la COVID-19 en las activaciones del equipo de parada cardiorrespiratoria intrahospitalaria: estudio retrospectivo\",\"authors\":\"Ghali Ballout , Marta Magaldi Mendaña , Bartomeu Ramis Bou , Cristian Torres Quevedo , Adriana Capdevila Freixas , Silvia Moreno-Jurico , Enrique Jesús Carrero Cardenal , Jaime Fontanals Dotras , Comisión a la Atención a la Parada Cardiorrespiratoria del Hospital Clínic de Barcelona\",\"doi\":\"10.1016/j.medin.2024.502137\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To analyze whether the characteristics of the patients treated by the in-hospital cardiorespiratory arrest team, IHCA and cardiopulmonary resuscitation (CPR) were different in the period before the COVID-19 compared to the pandemic period; also analyzing the differences between COVID+ and COVID− patients.</div></div><div><h3>Design</h3><div>Observational and retrospective study from January 1st, 2018, to December 31st, 2021.</div></div><div><h3>Setting</h3><div>Tertiary hospital.</div></div><div><h3>Patients</h3><div>All adult patients over 18<!--> <!-->years old requiring attention from the IHCA response team.</div></div><div><h3>Interventions</h3><div>CPR maneuvers according to the advanced life support guidelines of the European Resuscitation Council published in 2015, as well as the modifications made in the COVID era (2020).</div></div><div><h3>Main variables</h3><div>Demographic and epidemiological data, activations of the IHCA response team, CA data, hospital and intensive care unit (ICU) length of stay, survival and neurological outcome at hospital discharge.</div></div><div><h3>Results</h3><div>A total of 368 patients were analyzed: 173 in the pre-pandemic group and 195 in the pandemic group. The neurological outcome was better in the pre-pandemic group, and COVID+ patients had a longer ICU length of stay. 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Impacto de la COVID-19 en las activaciones del equipo de parada cardiorrespiratoria intrahospitalaria: estudio retrospectivo
Objective
To analyze whether the characteristics of the patients treated by the in-hospital cardiorespiratory arrest team, IHCA and cardiopulmonary resuscitation (CPR) were different in the period before the COVID-19 compared to the pandemic period; also analyzing the differences between COVID+ and COVID− patients.
Design
Observational and retrospective study from January 1st, 2018, to December 31st, 2021.
Setting
Tertiary hospital.
Patients
All adult patients over 18 years old requiring attention from the IHCA response team.
Interventions
CPR maneuvers according to the advanced life support guidelines of the European Resuscitation Council published in 2015, as well as the modifications made in the COVID era (2020).
Main variables
Demographic and epidemiological data, activations of the IHCA response team, CA data, hospital and intensive care unit (ICU) length of stay, survival and neurological outcome at hospital discharge.
Results
A total of 368 patients were analyzed: 173 in the pre-pandemic group and 195 in the pandemic group. The neurological outcome was better in the pre-pandemic group, and COVID+ patients had a longer ICU length of stay. However, no differences in the response time of the CPR team or in CPR duration were found, nor in immediate survival or at hospital discharge, between both groups or between COVID+ and COVID− patients.
Conclusions
Changes in CPR care protocols due to the COVID-19 pandemia did not seem to affect response times from IHCA team neither immediate nor discharge survival.
期刊介绍:
Medicina Intensiva is the journal of the Spanish Society of Intensive Care Medicine and Coronary Units (SEMICYUC) and of Pan American and Iberian Federation of Societies of Intensive and Critical Care Medicine. Medicina Intensiva has become the reference publication in Spanish in its field. The journal mainly publishes Original Articles, Reviews, Clinical Notes, Consensus Documents, Images, and other information relevant to the specialty. All works go through a rigorous selection process. The journal accepts submissions of articles in English and in Spanish languages. The journal follows the publication requirements of the International Committee of Medical Journal Editors (ICMJE) and the Committee on Publication Ethics (COPE).