Study finds cardiac arrest common in critically ill Covid-19 patients

11 months ago 43
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NEW DELHI: Cardiac arrest is common in critically ill patients with Covid-19 and is associated with poor survival, particularly patients who are 80 years or older, finds a study published in the ‘BMJ’ underlining the need to ensure the elderly population is protected against the infection.
Doctors in India agree that chances of survival are poor in elderly patients above 70-75 years of age with combination of co-morbidities like hypertension, diabetes and kidney diseases.
“Elderly patients with co-morbidities is the worst combination for Covid-19 and such patients are more prone to severe Covid infection as their resistance is poor,” says Dr J P S Sawhney, senior cardiologist at Ganga Ram hospital.
Dr Sawhney said such patients often face problems leading to rapidly falling oxygen levels, lung damage and clot in blood vessels. “We try to clinically assess the situation through markers D-dimer and CRP but if fever, low oxygen and breathlessness persist, we have to put them on ventilators,” he added.
Doctors say the chances of survival are very low for critically ill elderly Covid-19 patients with co-morbidities who are put on ventilator. The fatality rate among such patients is as high as 70-80%, doctors said.
The research published in the ‘BMJ’ showed 14% of patients had in-hospital cardiac arrest within 14 days of admission to theICU.
US researchers studied data for 5,019 critically ill patients — aged 18 years or over — with Covid-19 admitted to ICUs at 68 hospitals across the US. Findings show patients who had in-hospital cardiac arrest were older (average age 63- 60 years) and had more underlying health conditions or co-morbidities.

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