Do-not-resuscitate orders for COVID-19 patients? – Cardiovascular Business

The survival charge for COVID-19 sufferers who require cardiopulmonary resuscitation for in-hospital cardiac arrest is simply 2.9%, in response to current analysis out of Wuhan, China.

New findings printed in Circulation: Cardiovascular High quality and Outcomes, nonetheless, spotlight why there may be nonetheless no purpose to contemplate a blanket “do-not-resuscitate” order for COVID-19 sufferers in the USA.

With restricted information obtainable on cardiac arrest survival in the USA, the authors assessed survival information following cardiopulmonary resuscitation from greater than 5,000 critically in poor health pneumonia and sepsis ICU sufferers. The staff used information from the Get-With-The-Tips-Resuscitation registry of in-hospital cardiac arrest sufferers, specializing in the years 2014 by means of 2018. The media affected person age was 65 years outdated, and all sufferers had been receiving mechanical air flow on the time of the cardiac arrest.

General, the speed of survival to discharge was 12.5% in these sufferers. The speed of survival with a cerebral efficiency class (CPC) of 1 or 2 was 9.2%, and survival with a CPC of 1 was 6.2%.

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