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  1. Artikel ; Online: Influence of the Covid-19 pandemic on out-of-hospital cardiac arrest. A Spanish nationwide prospective cohort study.

    Rosell Ortiz, Fernando / Fernández Del Valle, Patricia / Knox, Emily C / Jiménez Fábrega, Xavier / Navalpotro Pascual, José M / Mateo Rodríguez, Inmaculada / Ruiz Azpiazu, José I / Iglesias Vázquez, José A / Echarri Sucunza, Alfredo / Alonso Moreno, Daniel F / Forner Canos, Ana B / García-Ochoa Blanco, María J / López Cabeza, Nuria / Mainar Gómez, Belén / Batres Gómez, Susana / Cortés Ramas, José A / Ceniceros Rozalén, María I / Guirao Salas, Francisco A / Fernández Martínez, Begoña /
    Daponte Codina, Antonio

    Resuscitation

    2020  Band 157, Seite(n) 230–240

    Abstract: Aims: The influence of the COVID-19 pandemic on attendance to out-of-hospital cardiac arrest (OHCA) has only been described in city or regional settings. The impact of COVID-19 across an entire country with a high infection rate is yet to be explored.!## ...

    Abstract Aims: The influence of the COVID-19 pandemic on attendance to out-of-hospital cardiac arrest (OHCA) has only been described in city or regional settings. The impact of COVID-19 across an entire country with a high infection rate is yet to be explored.
    Methods: The study uses data from 8629 cases recorded in two time-series (2017/2018 and 2020) of the Spanish national registry. Data from a non-COVID-19 period and the COVID-19 period (February 1st-April 30th 2020) were compared. During the COVID-19 period, data a further analysis comparing non-pandemic and pandemic weeks (defined according to the WHO declaration on March 11th, 2020) was conducted. The chi-squared analysis examined differences in OHCA attendance and other patient and resuscitation characteristics. Multivariate logistic regression examined survival likelihood to hospital admission and discharge. The multilevel analysis examined the differential effects of regional COVID-19 incidence on these same outcomes.
    Results: During the COVID-19 period, the incidence of resuscitation attempts declined and survival to hospital admission (OR = 1.72; 95%CI = 1.46-2.04; p < 0.001) and discharge (OR = 1.38; 95%CI = 1.07-1.78; p = 0.013) fell compared to the non-COVID period. This pattern was also observed when comparing non-pandemic weeks and pandemic weeks. COVID-19 incidence impinged significantly upon outcomes regardless of regional variation, with low, medium, and high incidence regions equally affected.
    Conclusions: The pandemic, irrespective of its incidence, seems to have particularly impeded the pre-hospital phase of OHCA care. Present findings call for the need to adapt out-of-hospital care for periods of serious infection risk.
    Study registration number: ISRCTN10437835.
    Mesh-Begriff(e) Aftercare ; Aged ; COVID-19/complications ; COVID-19/epidemiology ; Cardiopulmonary Resuscitation/methods ; Emergency Medical Services ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Out-of-Hospital Cardiac Arrest/epidemiology ; Out-of-Hospital Cardiac Arrest/etiology ; Pandemics ; Prospective Studies ; Registries ; SARS-CoV-2 ; Spain/epidemiology
    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2020-10-10
    Erscheinungsland Ireland
    Dokumenttyp Journal Article ; Multicenter Study ; 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.2020.09.037
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel: Influence of the Covid-19 pandemic on out-of-hospital cardiac arrest. A Spanish nationwide prospective cohort study

    Rosell Ortiz, Fernando / Fernández Del Valle, Patricia / Knox, Emily C / Jiménez Fábrega, Xavier / Navalpotro Pascual, José M / Mateo Rodríguez, Inmaculada / Ruiz Azpiazu, José I / Iglesias Vázquez, José A / Echarri Sucunza, Alfredo / Alonso Moreno, Daniel F / Forner Canos, Ana B / García-Ochoa Blanco, María J / López Cabeza, Nuria / Mainar Gómez, Belén / Batres Gómez, Susana / Cortés Ramas, José A / Ceniceros Rozalén, María I / Guirao Salas, Francisco A / Fernández Martínez, Begoña /
    Daponte Codina, Antonio

    Resuscitation

    Abstract: AIMS: The influence of the COVID-19 pandemic on attendance to out-of-hospital cardiac arrest (OHCA) has only been described in city or regional settings. The impact of COVID-19 across an entire country with a high infection rate is yet to be explored. ... ...

    Abstract AIMS: The influence of the COVID-19 pandemic on attendance to out-of-hospital cardiac arrest (OHCA) has only been described in city or regional settings. The impact of COVID-19 across an entire country with a high infection rate is yet to be explored. METHODS: The study uses data from 8629 cases recorded in two time-series (2017/2018 and 2020) of the Spanish national registry. Data from a non-COVID-19 period and the COVID-19 period (February 1st to April 30th 2020) were compared. During the COVID-19 period, data a further analysis comparing non-pandemic and pandemic weeks (defined according to the WHO declaration on March 11th, 2020) was conducted. The chi-squared analysis examined differences in OHCA attendance and other patient and resuscitation characteristics. Multivariate logistic regression examined survival likelihood to hospital admission and discharge. The multilevel analysis examined the differential effects of regional COVID-19 incidence on these same outcomes. RESULTS: During the COVID-19 period, the incidence of resuscitation attempts declined and survival to hospital admission (OR = 1.72; 95%CI = 1.46-2.04; p < 0.001) and discharge (OR = 1.38; 95%CI = 1.07-1.78; p = 0.013) fell compared to the non-COVID period. This pattern was also observed when comparing non-pandemic weeks and pandemic weeks. COVID-19 incidence impinged significantly upon outcomes regardless of regional variation, with low, medium, and high incidence regions equally affected. CONCLUSIONS: The pandemic, irrespective of its incidence, seems to have particularly impeded the pre-hospital phase of OHCA care. Present findings call for the need to adapt out-of-hospital care for periods of serious infection risk. STUDY REGISTRATION NUMBER: ISRCTN10437835.
    Schlagwörter covid19
    Verlag WHO
    Dokumenttyp Artikel
    Anmerkung WHO #Covidence: #845866
    Datenquelle COVID19

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  3. Artikel ; Online: Influence of the Covid-19 pandemic on out-of-hospital cardiac arrest. A Spanish nationwide prospective cohort study

    Rosell Ortiz, Fernando / Fernández del Valle, Patricia / Knox, Emily C. / Jiménez Fábrega, Xavier / Navalpotro Pascual, José M. / Mateo Rodríguez, Inmaculada / Ruiz Azpiazu, José I. / Iglesias Vázquez, José A. / Echarri Sucunza, Alfredo / Alonso Moreno, Daniel F. / Forner Canos, Ana B. / García-Ochoa Blanco, María J. / López cabeza, Nuria / Mainar Gómez, Belén / Batres Gómez, Susana / Cortés Ramas, José A. / ceniceros Rozalén, María I. / Guirao Salas, Francisco A. / Fernández martínez, Begoña /
    Daponte Codina, Antonio / Vergel, Francisco José Mellado / Royo, Sonia / Aguilo, Bernardo / Cuervo, Elvira Prieto / Lindez, Juan Jose Garcia / Campo, Marta Sansegundo / Arenal, Ignacio del Campo / Pérez, Carmen del Pozo / Pozo, Margarita Baez del / de la Cruz Martínez, Marta / Vives, Angels Mora / Jiménez, Francisco José Carmona / Muñoz, Silvia Solà / Roig, Xavier Escalada / Escriche, Carmen / Gómez, María Remedios Belmonte / Barril, Antonio José Fernández / Márquez, Juan Ramírez / López, Gabina Pérez / Pérez, Pedro Dacal / Rivera, Antonio Rodríguez / González, Elena Pastor / Gómez, María luz Sabin / Leis, Carmen Camacho / Vallejo, Francisco Alfonso Peinado / Moya, Alfredo Carrillo / Cuesta, Yago Muñecas / Isabel, Belén Muñoz / León, Manuel José González / González, Juan Ignacio Les / Jiménez, Antonia Sáez / Muñoz Pastor, José / Pérez, María Teresa López / Laspalas, Maitane Tainta / Barreras, Cristian Fernández / Mar Vaqueriza Iturriza, Mª / Mercado, Mario Jiménez / Aranzasti, Blanca Alberro / Gall, Amelie Le / Bragado-Blas, María Lourdes / Teja-Ruiz, Basilio

    Resuscitation ; ISSN 0300-9572

    2020  

    Schlagwörter Emergency ; Emergency Medicine ; Cardiology and Cardiovascular Medicine ; covid19
    Sprache Englisch
    Verlag Elsevier BV
    Erscheinungsland us
    Dokumenttyp Artikel ; Online
    DOI 10.1016/j.resuscitation.2020.09.037
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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