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Article: The comparison of emergency medical service responses to and outcomes of out-of-hospital cardiac arrest before and during the COVID-19 pandemic in Thailand: a cross-sectional study.

Huabbangyang, Thongpitak / Klaiangthong, Rossakorn / Silakoon, Agasak / Sretimongkol, Suttida / Sangpakdee, Sutasinee / Khiaolueang, Manit / Seancha, Pattama / Nuansamlee, Tontrakan / Kamsom, Anucha / Chaisorn, Ratree

International journal of emergency medicine

2023 Volume 16, Issue 1, Page(s) 9

Abstract: ... on-scene and hospital arrival times were significantly higher during the COVID-19 pandemic compared ... before and during COVID-19 pandemic period; however, markedly longer on-scene and hospital arrival times and ... before and during the COVID-19 pandemic in Thailand.: Methods: This retrospective, observational study ...

Abstract	Background: During the coronavirus disease 2019 (COVID-19) pandemic, the format of patients with out-of-hospital cardiac arrest (OHCA) management was modified. Therefore, this study compared the response time and survival at the scene of patients with OHCA managed by emergency medical services (EMS) before and during the COVID-19 pandemic in Thailand. Methods: This retrospective, observational study used EMS patient care reports to collect data on adult patients with OHCA coded with cardiac arrest. Before and during the COVID-19 pandemic was defined as the periods of January 1, 2018-December 31, 2019, and January 1, 2020-December 31, 2021, respectively. Results: A total of 513 and 482 patients were treated for OHCA before and during the COVID-19 pandemic, respectively, showing a decrease of 6% (% change difference =- 6.0, 95% confidence interval [CI] - 4.1, - 8.5). However, the average number of patients treated per week did not differ (4.83 ± 2.49 vs. 4.65 ± 2.06; p value = 0.700). While the mean response times did not significantly differ (11.87 ± 6.31 vs. 12.21 ± 6.50 min; p value = 0.400), the mean on-scene and hospital arrival times were significantly higher during the COVID-19 pandemic compared with before by 6.32 min (95% CI 4.36-8.27; p value < 0.001), and 6.88 min (95% CI 4.55-9.22; p value < 0.001), respectively. Multivariable analysis revealed that patients with OHCA had a 2.27 times higher rate of return of spontaneous circulation (ROSC) (adjusted odds ratio = 2.27, 95% CI 1.50-3.42, p value < 0.001), and a 0.84 times lower mortality rate (adjusted odds ratio = 0.84, 95% CI: 0.58-1.22, p value = 0.362) during the COVID-19 pandemic period compared with that before the pandemic. Conclusions: In the present study, there was no significant difference between the response time of patients with OHCA managed by EMS before and during COVID-19 pandemic period; however, markedly longer on-scene and hospital arrival times and higher ROSC rates were observed during the COVID-19 pandemic than those in the period before the pandemic.
Language	English
Publishing date	2023-02-20
Publishing country	England
Document type	Journal Article
ZDB-ID	2411462-5
ISSN	1865-1380 ; 1865-1372
ISSN (online)	1865-1380
ISSN	1865-1372
DOI	10.1186/s12245-023-00489-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Out-of-Hospital Cardiac Arrest Response and Outcomes During the COVID-19 Pandemic.

Uy-Evanado, Audrey / Chugh, Harpriya S / Sargsyan, Arayik / Nakamura, Kotoka / Mariani, Ronald / Hadduck, Katy / Salvucci, Angelo / Jui, Jonathan / Chugh, Sumeet S / Reinier, Kyndaron

JACC. Clinical electrophysiology

2020 Volume 7, Issue 1, Page(s) 6–11

Abstract: ... disease-2019 (COVID-19) pandemic on out-of-hospital cardiac arrest (OHCA) responses and outcomes in 2 U.S ... on OHCA, even in communities with relatively low incidence of COVID-19 infection, and point to potential ... communities with relatively low infection rates.: Background: Studies in areas with high COVID-19 infection ...

Abstract	Objectives: The purpose of this study was to evaluate the potential impact of the coronavirus disease-2019 (COVID-19) pandemic on out-of-hospital cardiac arrest (OHCA) responses and outcomes in 2 U.S. communities with relatively low infection rates. Background: Studies in areas with high COVID-19 infection rates indicate that the pandemic has had direct and indirect effects on community responses to OHCA and negative impacts on survival. Data from areas with lower infection rates are lacking. Methods: Cases of OHCA in Multnomah County, Oregon, and Ventura County, California, with attempted resuscitation by emergency medical services (EMS) from March 1 to May 31, 2020, and from March 1 to May 31, 2019, were evaluated. Results: In a comparison of 231 OHCA in 2019 to 278 in 2020, the proportion of cases receiving bystander cardiopulmonary resuscitation (CPR) was lower in 2020 (61% to 51%, respectively; p = 0.02), and bystander use of automated external defibrillators (AEDs) declined (5% to 1%, respectively; p = 0.02). EMS response time increased (6.6 ± 2.0 min to 7.6 ± 3.0 min, respectively; p < 0.001), and fewer OHCA cases survived to hospital discharge (14.7% to 7.9%, respectively; p = 0.02). Incidence rates did not change significantly (p > 0.07), and coronavirus infection rates were low (Multnomah County, 143/100,000; Ventura County, 127/100,000 as of May 31) compared to rates of ∼1,600 to 3,000/100,000 in the New York City region at that time. Conclusions: The community response to OHCA was altered from March to May 2020, with less bystander CPR, delays in EMS response time, and reduced survival from OHCA. These results highlight the pandemic's indirect negative impact on OHCA, even in communities with relatively low incidence of COVID-19 infection, and point to potential opportunities for countering the impact.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; COVID-19/epidemiology ; California/epidemiology ; Cardiopulmonary Resuscitation/trends ; Defibrillators ; Electric Countershock/trends ; Emergency Medical Services/trends ; Female ; Humans ; Male ; Middle Aged ; Oregon/epidemiology ; Out-of-Hospital Cardiac Arrest/epidemiology ; Out-of-Hospital Cardiac Arrest/mortality ; Out-of-Hospital Cardiac Arrest/therapy ; SARS-CoV-2 ; Survival Rate/trends ; Time Factors ; United States/epidemiology
Language	English
Publishing date	2020-08-14
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2846739-5
ISSN	2405-5018 ; 2405-500X ; 2405-500X
ISSN (online)	2405-5018 ; 2405-500X
ISSN	2405-500X
DOI	10.1016/j.jacep.2020.08.010
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Article ; Online: The Comparison of Emergency Medical Service Responses to and Outcomes of Out-of-hospital Cardiac Arrest before and during the COVID-19 Pandemic in an Area of Korea.

Lim, Daesung / Park, Song Yi / Choi, Byungho / Kim, Sun Hyu / Ryu, Ji Ho / Kim, Yong Hwan / Sung, Ae Jin / Bae, Byung Kwan / Kim, Han Byeol

Journal of Korean medical science

2021 Volume 36, Issue 36, Page(s) e255

Abstract: ... to and outcomes of adult OHCA during the COVID-19 pandemic to those during the pre-COVID-19 period ... cardiac arrest (OHCA). The purpose of this study was to identify the impact of the COVID-19 pandemic ... Conclusion: During the COVID-19 period, there were significant changes in the EMS responses to OHCA ...

Abstract	Background: Since the declaration of the coronavirus disease 2019 (COVID-19) pandemic, COVID-19 has affected the responses of emergency medical service (EMS) systems to cases of out-of-hospital cardiac arrest (OHCA). The purpose of this study was to identify the impact of the COVID-19 pandemic on EMS responses to and outcomes of adult OHCA in an area of South Korea. Methods: This was a retrospective observational study of adult OHCA patients attended by EMS providers comparing the EMS responses to and outcomes of adult OHCA during the COVID-19 pandemic to those during the pre-COVID-19 period. Propensity score matching was used to compare the survival rates, and logistic regression analysis was used to assess the impact of the COVID-19 pandemic on the survival of OHCA patients. Results: A total of 891 patients in the pre-COVID-19 group and 1,063 patients in the COVID-19 group were included in the final analysis. During the COVID-19 period, the EMS call time was shifted to a later time period (16:00-24:00, Conclusion: During the COVID-19 period, there were significant changes in the EMS responses to OHCA. These changes are considered to be partly due to social distancing measures. As a result, the proportion of patients with an initial shockable rhythm in the COVID-19 period was greater than that in the pre-COVID-19 period, but the final survival rate and favorable neurological outcome were lower.
Language	English
Publishing date	2021-09-13
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	639262-3
ISSN	1598-6357 ; 1011-8934
ISSN (online)	1598-6357
ISSN	1011-8934
DOI	10.3346/jkms.2021.36.e255
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Article ; Online: Out-of-Hospital Cardiac Arrest Response and Outcomes During the COVID-19 Pandemic

Uy-Evanado, Audrey / Chugh, Harpriya S. / Sargsyan, Arayik / Nakamura, Kotoka / Mariani, Ronald / Hadduck, Katy / Salvucci, Angelo / Jui, Jonathan / Chugh, Sumeet S. / Reinier, Kyndaron

JACC: Clinical Electrophysiology ; ISSN 2405-500X

2020

Keywords	Physiology (medical) ; Cardiology and Cardiovascular Medicine ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
DOI	10.1016/j.jacep.2020.08.010
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Article: Out-of-Hospital Cardiac Arrest Response and Outcomes During the COVID-19 Pandemic

Uy-Evanado, Audrey / Chugh, Harpriya S. / Sargsyan, Arayik / Nakamura, Kotoka / Mariani, Ronald / Hadduck, Katy / Salvucci, Angelo / Jui, Jonathan / Chugh, Sumeet S. / Reinier, Kyndaron

JACC: Clinical Electrophysiology

Abstract: ... cardiac arrest (OHCA) response and outcomes in two US communities with relatively low infection rates ... ABSTRACT Objectives To evaluate the potential impact of the COVID-19 pandemic on out-of-hospital ... Background Studies in areas with high COVID-19 infection rates indicate that the pandemic has had direct and ...

Abstract	ABSTRACT Objectives To evaluate the potential impact of the COVID-19 pandemic on out-of-hospital cardiac arrest (OHCA) response and outcomes in two US communities with relatively low infection rates Background Studies in areas with high COVID-19 infection rates indicate that the pandemic has had direct and indirect effects on community response to OHCA and negative impacts on survival Data from areas with lower infection rates are lacking Methods In Multnomah County, OR and Ventura County, CA, we evaluated OHCA with attempted resuscitation by EMS from March 1 – May 31, 2020 and March 1 – May 31, 2019 Results Comparing 231 OHCA in 2019 to 278 in 2020, the proportion receiving bystander CPR was lower in 2020 (61% to 51%, p=0 02) and bystander use of automated external defibrillators (AEDs) declined (5% to 1%, p=0 02) EMS response time increased (6 6 ± 2 0 to 7 6 ± 3 0 minutes, p0 07), and coronavirus infection rates were low (Multnomah 143/100,000, Ventura 127/100,000 as of May 31), compared to rates of ∼1600-3000/100,000 in the New York City region at that time Conclusions The community response to OHCA was altered from March to May 2020, with less bystander CPR, delays in EMS response time, and reduced survival from OHCA These results highlight the pandemic’s indirect negative impact on OHCA even in communities with relatively low incidence of COVID-19 and point to potential opportunities for countering the impact
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #714378
Database	COVID19

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Article ; Online: Out-of-Hospital Cardiac Arrest Following the COVID-19 Pandemic.

Ruiz Azpiazu, José Ignacio / Fernández Del Valle, Patricia / Echarri Sucunza, Alfredo / Iglesias Vázquez, Jose Antonio / Del Pozo, Carmen / Knox, Emily Caitlin Lily / Azeli, Youcef / Sánchez García, Francisco José / Fernández Barreras, Cristian / Escriche, María Carmen / Martín Hernández, Pedro Jesús / Juanes García, Marcos / Ramos García, Natividad / Royo Embid, Sonia / Cortés Ramas, José Antonio / Mateo-Rodríguez, Inmaculada / Sola Muñoz, Silvia / Alcalá-Zamora Marcó, Elena / Fornér Canos, Ana Belén /

Mainar Gómez, Belén / Dacal Pérez, Pedro / Camacho Leis, Carmen / García Cortés, Jose Javier / Hernández Royano, José Manuel / Escalada Roig, Xavier / Daponte Codina, Antonio / Rosell Ortiz, Fernando

JAMA network open

2024 Volume 7, Issue 1, Page(s) e2352377

Abstract: ... with OHCA since the COVID-19 pandemic was brought under control in 2022 compared with prepandemic and ... Importance: Out-of-hospital cardiac arrest (OHCA) health care provision may be a good indicator ... to examine health care response and survival with good neurological outcome at hospital discharge in patients ...

Abstract	Importance: Out-of-hospital cardiac arrest (OHCA) health care provision may be a good indicator of the recovery of the health care system involved in OHCA care following the COVID-19 pandemic. There is a lack of data regarding outcomes capable of verifying this recovery. Objective: To determine whether return to spontaneous circulation, overall survival, and survival with good neurological outcome increased in patients with OHCA since the COVID-19 pandemic was brought under control in 2022 compared with prepandemic and pandemic levels. Design, setting, and participants: This observational cohort study was conducted to examine health care response and survival with good neurological outcome at hospital discharge in patients treated following OHCA. A 3-month period, including the first wave of the pandemic (February 1 to April 30, 2020), was compared with 2 periods before (April 1, 2017, to March 31, 2018) and after (January 1 to December 31, 2022) the pandemic. Data analysis was performed in July 2023. Emergency medical services (EMS) serving a population of more than 28 million inhabitants across 10 Spanish regions participated. Patients with OHCA were included if participating EMS initiated resuscitation or continued resuscitation initiated by a first responder. Exposure: The pandemic was considered to be under control following the official declaration that infection with SARS-CoV-2 was to be considered another acute respiratory infection. Main outcome and measures: The main outcomes were return of spontaneous circulation, overall survival, and survival at hospital discharge with good neurological outcome, expressed as unimpaired or minimally impaired cerebral performance. Results: A total of 14 732 patients (mean [SD] age, 64.2 [17.2] years; 10 451 [71.2%] male) were included, with 6372 OHCAs occurring during the prepandemic period, 1409 OHCAs during the pandemic period, and 6951 OHCAs during the postpandemic period. There was a higher incidence of OHCAs with a resuscitation attempt in the postpandemic period compared with the pandemic period (rate ratio, 4.93; 95% CI, 4.66-5.22; P < .001), with lower incidence of futile resuscitation for OHCAs (2.1 per 100 000 person-years vs 1.3 per 100 000 person-years; rate ratio, 0.81; 95% CI, 0.71-0.92; P < .001). Recovery of spontaneous circulation at hospital admission increased from 20.5% in the pandemic period to 30.5% in the postpandemic period (relative risk [RR], 1.08; 95% CI, 1.06-1.10; P < .001). In the same way, overall survival at discharge increased from 7.6% to 11.2% (RR, 1.45; 95% CI, 1.21-1.75; P < .001), with 6.6% of patients being discharged with good neurological status (Cerebral Performance Category Scale categories 1-2) in the pandemic period compared with 9.6% of patients in the postpandemic period (RR, 1.07; 95% CI, 1.04-1.10; P < .001). Conclusions and relevance: In this cohort study, survival with good neurological outcome at hospital discharge following OHCA increased significantly after the COVID-19 pandemic.
MeSH term(s)	Female ; Humans ; Male ; Middle Aged ; Cohort Studies ; COVID-19/epidemiology ; Out-of-Hospital Cardiac Arrest/epidemiology ; Out-of-Hospital Cardiac Arrest/therapy ; Pandemics ; SARS-CoV-2 ; Aged ; Aged, 80 and over
Language	English
Publishing date	2024-01-02
Publishing country	United States
Document type	Observational Study ; Journal Article
ISSN	2574-3805
ISSN (online)	2574-3805
DOI	10.1001/jamanetworkopen.2023.52377
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Article ; Online: Out-of-Hospital Cardiac Arrest Before and During the COVID-19 Pandemic in Hong Kong: Registry-Based Study From 2017 to 2023.

Xu, Richard Huan / Sun, Ruiqi / Fu, Siu-Ngor

JMIR public health and surveillance

2024 Volume 10, Page(s) e56054

Abstract: ... the efficacy of health care systems. However, the influence of COVID-19 on the frequency and outcomes of out ... Background: The COVID-19 pandemic has exerted a significant toll on individual health and ... the prevalence and outcomes of OHCA in Hong Kong (HK) both before and during the whole pandemic period ...

Abstract	Background: The COVID-19 pandemic has exerted a significant toll on individual health and the efficacy of health care systems. However, the influence of COVID-19 on the frequency and outcomes of out-of-hospital cardiac arrest (OHCA) within the Chinese population, both before and throughout the entire pandemic period, remains to be clarified. Objective: This study aimed to fill the gaps by investigating the prevalence and outcomes of OHCA in Hong Kong (HK) both before and during the whole pandemic period. Methods: This is a retrospective regional registry study. The researchers matched OHCA data with COVID-19-confirmed case records between December 2017 and May 2023. The data included information on response times, location of OHCA, witness presence, initial rhythm, bystander cardiopulmonary resuscitation (CPR), use of public-access defibrillation, resuscitation in the accident and emergency department, and survival to admission. Descriptive analyses were conducted, and statistical tests such as analysis of variance and χ Results: A total of 43,882 cases of OHCA were reported in HK and included in our analysis. Around 13,946 cases were recorded during the prepandemic period (2017-2019), and the remaining 29,936 cases were reported during the pandemic period (2020-2023). During the pandemic period, the proportion of female patients increased to 44.1% (13,215/29,936), and the average age increased slightly to 76.5 (SD 18.5) years. The majority of OHCAs (n=18,143, 61.1% cases) occurred at home. A witness was present in 45.9% (n=10,723) of the cases, and bystander CPR was initiated in 44.6% (n=13,318) of the cases. There was a significant increase in OHCA incidence, with a corresponding decrease in survival rates compared to the prepandemic period. The location of OHCA shifted, with a decrease in incidents in public places and a potential increase in incidents at home. We found that CPR (odds ratio 1.48, 95% CI 1.17-1.86) and public-access defibrillation (odds ratio 1.16, 95% CI 1.05-1.28) were significantly associated with a high survival to admission rate during the pandemic period. There was a correlation between the development of OHCA and the prevalence of COVID-19 in HK. Conclusions: The COVID-19 pandemic has had a significant impact on OHCA in HK, resulting in increased incidence and decreased survival rates. The findings highlight the importance of addressing the indirect effects of the pandemic, such as increased stress levels and strain on health care systems, on OHCA outcomes. Strategies should be developed to improve OHCA prevention, emergency response systems, and health care services during public health emergencies to mitigate the impact on population health.
MeSH term(s)	Humans ; Out-of-Hospital Cardiac Arrest/epidemiology ; Out-of-Hospital Cardiac Arrest/therapy ; Hong Kong/epidemiology ; COVID-19/epidemiology ; Female ; Registries ; Male ; Middle Aged ; Retrospective Studies ; Aged ; Aged, 80 and over ; Adult ; Cardiopulmonary Resuscitation/statistics & numerical data ; Pandemics ; Prevalence
Language	English
Publishing date	2024-05-21
Publishing country	Canada
Document type	Journal Article
ISSN	2369-2960
ISSN (online)	2369-2960
DOI	10.2196/56054
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Article ; Online: Impact of the COVID-19 pandemic on prehospital and in-hospital treatment and outcomes of patients after out-of-hospital cardiac arrest: a Japanese multicenter cohort study.

Tanaka, Chie / Tagami, Takashi / Kaneko, Junya / Kitamura, Nobuya / Yasunaga, Hideo / Aso, Shotaro / Takeda, Munekazu / Kuno, Masamune

BMC emergency medicine

2024 Volume 24, Issue 1, Page(s) 12

Abstract: ... prehospital care, in-hospital treatment, and outcomes among OHCA patients before and after the COVID-19 ... pre- and post-COVID-19 pandemic. ... Background: In the chain of survival for Out-of-hospital cardiac arrest (OHCA), each component ...

Abstract	Background: In the chain of survival for Out-of-hospital cardiac arrest (OHCA), each component of care contributes to improve the prognosis of the patient with OHCA. The SARS-CoV-2 (COVID-19) pandemic potentially affected each part of care in the chain of survival. The aim of this study was to compare prehospital care, in-hospital treatment, and outcomes among OHCA patients before and after the COVID-19 pandemic. Methods: We analyzed data from a multicenter prospective study in Kanto area, Japan, named SOS-KANTO 2017. We enrolled patients who registered during the pre-pandemic period (September 2019 to December 2019) and the post-pandemic period (June 2020 to March 2021). The main outcome measures were 30-day mortality and the proportion of favorable outcomes at 1 month, and secondary outcome measures were changes in prehospital and in-hospital treatments between the pre- and post-pandemic periods. Results: There were 2015 patients in the pre-pandemic group, and 5023 in the post-pandemic group. The proportion of advanced airway management by emergency medical service (EMS) increased (p < 0.01), and EMS call-to-hospital time was prolonged (p < 0.01) in the post- versus pre-pandemic group. There were no differences between the groups in defibrillation, extracorporeal membrane oxygenation, or temperature control therapy (p = 0.43, p = 0.14, and p = 0.16, respectively). Survival rate at 1 month and favorable outcome rate at 1 month were lower (p = 0.01 and p < 0.01, respectively) in the post- versus pre-pandemic group. Conclusion: Survival rate and favorable outcome rate 1 month after return of spontaneous circulation of OHCA worsened, EMS response time was prolonged, and advanced airway management by EMS increased in the post- versus pre-pandemic group; however, most prehospital and in-hospital management did not change between pre- and post-COVID-19 pandemic.
MeSH term(s)	Humans ; Japan/epidemiology ; Pandemics ; COVID-19/epidemiology ; Out-of-Hospital Cardiac Arrest/epidemiology ; Out-of-Hospital Cardiac Arrest/therapy ; Prospective Studies ; SARS-CoV-2 ; Hospitals ; Emergency Medical Services ; Treatment Outcome
Language	English
Publishing date	2024-01-08
Publishing country	England
Document type	Multicenter Study ; Journal Article
ZDB-ID	2050431-7
ISSN	1471-227X ; 1471-227X
ISSN (online)	1471-227X
ISSN	1471-227X
DOI	10.1186/s12873-024-00929-8
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Article ; Online: Comparison of out-of-hospital cardiac arrests during the COVID-19 pandemic with those before the pandemic: an updated systematic review and meta-analysis.

Kim, Jae Hwan / Ahn, Chiwon / Park, Yeonkyung / Won, Moonho

Frontiers in public health

2023 Volume 11, Page(s) 1180511

Abstract: ... the OHCA outcomes and epidemiological characteristics during the COVID-19 pandemic with before the pandemic ... the emergency medical care system and resulted in worse out-of-hospital cardiac arrest (OHCA) outcomes and ... During the COVID-19 pandemic, survival and favorable neurological outcome rates were significantly lower ...

Abstract	The coronavirus disease of 2019 (COVID-19) pandemic, directly and indirectly, affected the emergency medical care system and resulted in worse out-of-hospital cardiac arrest (OHCA) outcomes and epidemiological features compared with those before the pandemic. This review compares the regional and temporal features of OHCA prognosis and epidemiological characteristics. Various databases were searched to compare the OHCA outcomes and epidemiological characteristics during the COVID-19 pandemic with before the pandemic. During the COVID-19 pandemic, survival and favorable neurological outcome rates were significantly lower than before. Survival to hospitalization, return of spontaneous circulation, endotracheal intubation, and use of an automated external defibrillator (AED) decreased significantly, whereas the use of a supraglottic airway device, the incidence of cardiac arrest at home, and response time of emergency medical service (EMS) increased significantly. Bystander CPR, unwitnessed cardiac arrest, EMS transfer time, use of mechanical CPR, and in-hospital target temperature management did not differ significantly. A subgroup analysis of the studies that included only the first wave with those that included the subsequent waves revealed the overall outcomes in which the epidemiological features of OHCA exhibited similar patterns. No significant regional differences between the OHCA survival rates in Asia before and during the pandemic were observed, although other variables varied by region. The COVID-19 pandemic altered the epidemiologic characteristics, survival rates, and neurological prognosis of OHCA patients.
MeSH term(s)	Humans ; Cardiopulmonary Resuscitation/adverse effects ; Cardiopulmonary Resuscitation/methods ; Pandemics ; COVID-19/epidemiology ; COVID-19/complications ; Out-of-Hospital Cardiac Arrest/epidemiology ; Out-of-Hospital Cardiac Arrest/therapy ; Out-of-Hospital Cardiac Arrest/etiology ; Emergency Medical Services
Language	English
Publishing date	2023-05-04
Publishing country	Switzerland
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1180511
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Article ; Online: The effect of the COVID-19 pandemic on the incidence and survival outcomes of EMS-witnessed out-of-hospital cardiac arrest.

Kennedy, Charlotte / Alqudah, Zainab / Stub, Dion / Anderson, David / Nehme, Ziad

Resuscitation

2023 Volume 187, Page(s) 109770

Abstract: ... outcomes during the COVID-19 pandemic, respectively.: Results: We included 5,034 patients, 3,976 (79.0 ... outcomes of emergency medical service (EMS)-witnessed out-of-hospital cardiac arrest (OHCA) in Victoria ... Aim: We sought to examine the impact of the COVID-19 pandemic on the incidence and survival ...

Abstract	Aim: We sought to examine the impact of the COVID-19 pandemic on the incidence and survival outcomes of emergency medical service (EMS)-witnessed out-of-hospital cardiac arrest (OHCA) in Victoria, Australia. Methods: We performed an interrupted time-series analysis of adult EMS-witnessed OHCA patients of medical aetiology. Patients treated during the COVID-19 period (1st March 2020 to 31st December 2021) were compared to a historical comparator period (1st January 2012 and 28th February 2020). Multivariable poisson and logistic regression models were used to examine changes in incidence and survival outcomes during the COVID-19 pandemic, respectively. Results: We included 5,034 patients, 3,976 (79.0%) in the comparator period and 1,058 (21.0%) in the COVID-19 period. Patients in the COVID-19 period had longer EMS response times, fewer public location arrests and were significantly more likely to receive mechanical CPR and laryngeal mask airways compared to the historical period (all p < 0.05). There were no significant differences in the incidence of EMS-witnessed OHCA between the comparator and COVID-19 periods (incidence rate ratio 1.06, 95% CI: 0.97-1.17, p = 0.19). Also, there was no difference in the risk-adjusted odds of survival to hospital discharge for EMS-witnessed OHCA occurring during COVID-19 period compared to the comparator period (adjusted odd ratio 1.02, 95% CI: 0.74-1.42; p = 0.90). Conclusion: Unlike the reported findings in non-EMS-witnessed OHCA populations, changes during the COVID-19 pandemic did not influence incidence or survival outcomes in EMS-witnessed OHCA. This may suggest that changes in clinical practice that sought to limit the use of aerosol generating procedures did not influence outcomes in these patients.
MeSH term(s)	Adult ; Humans ; Out-of-Hospital Cardiac Arrest/epidemiology ; Out-of-Hospital Cardiac Arrest/therapy ; Cardiopulmonary Resuscitation/methods ; Incidence ; COVID-19/epidemiology ; Pandemics ; Emergency Medical Services/methods ; Victoria/epidemiology ; Registries
Language	English
Publishing date	2023-03-17
Publishing country	Ireland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	189901-6
ISSN	1873-1570 ; 0300-9572
ISSN (online)	1873-1570
ISSN	0300-9572
DOI	10.1016/j.resuscitation.2023.109770
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Inter-library loan at ZB MED

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Inter-library loan at ZB MED

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Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

More links

Kategorien

Order via subito

Full text online

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In stock of ZB MED Cologne/Königswinter

Order via subito