Impacts of the COVID-19 pandemic on cardiopulmonary resuscitation
DOI:
https://doi.org/10.33448/rsd-v12i2.40190Keywords:
COVID-19; Cardiopulmonary resuscitation; Cardiac arrest; Pandemic.Abstract
Introduction: The COVID-19 virus has high transmissibility, which has resulted in a pandemic scenario. Within this context, cardiopulmonary resuscitation is an example of a procedure that was affected, since it involves close contact of the patient with the professional, which increases the risk of infection of those involved. Objective: to analyze and gather which were the impacts of the pandemic on cardiopulmonary resuscitation. Methodology: this is an integrative review of the literature, guided by the PICO strategy that started from the clinical question: "How did the COVID-19 pandemic impact cardiopulmonary resuscitation (CPR)?". The databases used were Virtual Health Library (VHL), Scientif Eletronic Library Online (SciELO), National Library of Medicine (PubMed) and Google Scholar. Results and discussion: The SARS-CoV-2 virus has a high transmissibility, which resulted in the reformulation of procedures to ensure the safety of professionals. Furthermore, cardiac arrest occurring inside the hospital environment was related to greater severity of the patients, which generated worse survival outcomes. Out-of-hospital cardiac arrests were impacted by delayed emergency care and fear of infection by bystanders. Conclusion: The COVID-19 pandemic impacted cardiopulmonary resuscitations in several ways, and the outcomes of this interaction were not positive. Thus, it was perceived that the education of professionals and of the general population was of extreme importance for better choices to be made. Thus, knowing the impacts of the pandemic is important to better deal with the issue in focus and to serve as an example for new aggravations.
References
Aguirre, M. M. (2020). Paro Cardiorrespiratorio (PCR) y Reanimación Cardiopulmonar (RCP) en un nuevo escenario: COVID19. Revista chilena de anestesia, 49(3), 388–396. doi:10.25237/revchilanestv49n03.017
Aliaño Piña, M., Ruiz Villén, C., Galán Serrano, J., & Monedero Rodríguez, P. (2021). Resucitación cardiopulmonar durante la pandemia por COVID-19 en España. Revista espanola de anestesiologia y reanimacion, 68(8), 437–442. doi:10.1016/j.redar.2020.11.008
Bharmal, M., DiGrande, K., Patel, A., Shavelle, D. M., & Bosson, N. (2022). Impact of Coronavirus disease 2019 pandemic on cardiac arrest and emergency care. Cardiology Clinics, 40(3), 355–364. doi: 10.1016/j.ccl.2022.03.009
Chojecka, D., Pytlos, J., Zawadka, M., Andruszkiewicz, P., Szarpak, Ł., Dzieciątkowski, T., … Gąsecka, A. (2021). How to maintain safety and maximize the efficacy of cardiopulmonary resuscitation in COVID-19 patients: Insights from the recent guidelines. Journal of Clinical Medicine, 10(23), 5667. doi:10.3390/jcm10235667
Chong, K.-M., Chen, J.-W., Lien, W.-C., Yang, M.-F., Wang, H.-C., Liu, S. S.-H., … Ko, P. C.-I. (2021). Attitude and behavior toward bystander cardiopulmonary resuscitation during COVID-19 outbreak. PloS One, 16(6), e0252841. doi:10.1371/journal.pone.0252841
Costa, I. B. S. da S., Bittar, C. S., Rizk, S. I., Araújo Filho, A. E. de, Santos, K. A. Q., Machado, T. I. V., … Hajjar, L. A. (2020). O Coração e a COVID-19: O que o Cardiologista Precisa Saber. Arquivos Brasileiros de Cardiologia, 114(5), 805–816. doi:10.36660/abc.20200279
da Costa Santos, C. M., de Mattos Pimenta, C. A., & Nobre, M. R. C. (2007). The PICO strategy for the research question construction and evidence search. Revista Latino-Americana de Enfermagem, 15(3), 508–511. https://doi.org/10.1590/s0104-11692007000300023
Fazel, M. F., Mohamad, M. H. N., Sahar, M. A., Juliana, N., Abu, I. F., & Das, S. (2022). Readiness of bystander cardiopulmonary resuscitation (BCPR) during the COVID-19 pandemic: A review. International Journal of Environmental Research and Public Health, 19(17), 10968. doi:10.3390/ijerph191710968
Ippolito, M., Catalisano, G., Marino, C., Fucà, R., Giarratano, A., Baldi, E., … Cortegiani, A. (2021). Mortality after in-hospital cardiac arrest in patients with COVID-19: A systematic review and meta-analysis. Resuscitation, 164, 122–129. doi:10.1016/j.resuscitation.2021.04.025
Khosla, R., Delio, J., Glass, L. N., Khosla, S. G., Awan, O., Bawa, A., & Vyas, K. (2021). In-hospital cardiac arrest (IHCA) and outcomes in patients admitted with COVID-19 infection. Cureus, 13(6), e15365. doi:10.7759/cureus.15365
Kulkarni, A. P., Singh, Y., Garg, H., & Jha, S. (2020). Cardiopulmonary resuscitation during COVID-19 pandemic: Outcomes, Risks, and Protective Strategies for the Healthcare Workers and Ethical Considerations. Indian Journal of Critical Care Medicine: Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine, 24(9), 868–872. doi:10.5005/jp-journals-10071-23544
Kundra, P., & Vinayagam, S. (2020). COVID-19 cardiopulmonary resuscitation: Guidelines and modifications. Journal of Anaesthesiology, Clinical Pharmacology, 36(Suppl 1), S39–S44. doi: 10.4103/joacp.JOACP_257_20
Lim, Z. J., Ponnapa Reddy, M., Afroz, A., Billah, B., Shekar, K., & Subramaniam, A. (2020). Incidence and outcome of out-of-hospital cardiac arrests in the COVID-19 era: A systematic review and meta-analysis. Resuscitation, 157, 248–258. doi:10.1016/j.resuscitation.2020.10.025
Lopes, F. J., Ribeiro, J. B., Stavale, R., Bolzan, D. W., Guizilini, S., & Lopes, R. S. M. (2020). Desafios no manejo da parada cardiorrespiratória durante a pandemia da COVID-19: um estudo de reflexão. Escola Anna Nery, 24(spe). doi:10.1590/2177-9465-ean-2020-0296
Machado, D. M., Vianna, C. D. A., Souza, L. C. de, Leite, T. C., Silva, M. M. da, & Campos, J. F. (2020). Parada cardiorrespiratória na pandemia por coronavírus: revisão compreensiva da literatura. Revista Enfermagem UERJ, 28, e50721. doi:10.12957/reuerj.2020.50721
Oliveira, H. C. de, Sauthier, M., Silva, M. M. da, Crespo, M. da C. A., Seixas, A. P. R., & Campos, J. F. (2021). Ordem de não reanimação em tempos da COVID-19: bioética e ética profissional. doi:10.1590/1983-1447.2021.20200172
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical Research Ed.), 372, n71. https://doi.org/10.1136/bmj.n71
Piacezzi, L. H. V., da Costa, K. A. L., Maurício, L. F. S., & Lopes, M. C. B. (2021). Pandemia da COVID-19: mudanças na ressuscitação cardiopulmonar. Brazilian Journal of Health Review, 4(1), 2930–2943.
Ristau, P., Wnent, J., Gräsner, J.-T., Fischer, M., Bohn, A., Bein, B., … Seewald, S. (2022). Impact of COVID-19 on out-of-hospital cardiac arrest: A registry-based cohort-study from the German Resuscitation Registry. PloS One, 17(9), e0274314. doi:10.1371/journal.pone.0274314
Rodríguez-Reyes, H., Ortiz-Galván, F., Ibarrola, M., Celaya-Cota, M., Dubner, S., Asensio-Lafuente, E., … Márquez, M. F. (2020). Tratamiento del paro cardiaco en adultos, niños y neonatos con COVID-19. Recomendaciones de la Sociedad Interamericana de Cardiología (SIAC), Asociación Nacional de Cardiólogos de México (ANCAM) y Sociedad Mexicana de Cardiología (SMC). Archivos de cardiologia de Mexico. doi:10.24875/acm.20000230
Shao, F., Xu, S., Ma, X., Xu, Z., Lyu, J., Ng, M., … Tang, Z. (2020). In-hospital cardiac arrest outcomes among patients with COVID-19 pneumonia in Wuhan, China. Resuscitation, 151, 18–23. doi:10.1016/j.resuscitation.2020.04.005
Uy-Evanado, A., Chugh, H. S., Sargsyan, A., Nakamura, K., Mariani, R., Hadduck, K., … Reinier, K. (2021). Out-of-hospital cardiac arrest response and outcomes during the COVID-19 pandemic. JACC. Clinical Electrophysiology, 7(1), 6–11. doi:10.1016/j.jacep.2020.08.010
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