Out-of-Hospital Cardiac Arrest Response and Outcomes During the COVID-19 Pandemic
| العنوان: | Out-of-Hospital Cardiac Arrest Response and Outcomes During the COVID-19 Pandemic |
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| المؤلفون: | Kyndaron Reinier, Kotoka Nakamura, Audrey Uy-Evanado, Sumeet S. Chugh, Harpriya Chugh, Jonathan Jui, Katy Hadduck, Angelo Salvucci, Arayik Sargsyan, Ronald Mariani |
| المصدر: | Jacc. Clinical Electrophysiology |
| بيانات النشر: | Published by Elsevier on behalf of the American College of Cardiology Foundation., 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Resuscitation, Emergency Medical Services, OHCA, Out of hospital cardiac arrest, Time Factors, Coronavirus disease 2019 (COVID-19), Ventura PRESTO, Prediction of Sudden Death in Multi-Ethnic Communities Study, resuscitation, Electric Countershock, 030204 cardiovascular system & hematology, Out of hospital cardiac arrest, California, Article, 03 medical and health sciences, Oregon, 0302 clinical medicine, External defibrillators, Pandemic, Medicine, Humans, COVID-19, novel coronavirus disease 2019, 030212 general & internal medicine, CPR, cardiopulmonary resuscitation, Aged, Aged, 80 and over, Potential impact, business.industry, SARS-CoV-2, EMS, Emergency Medical Services, Incidence (epidemiology), COVID-19, AED, automated external defibrillator, Middle Aged, Cardiopulmonary Resuscitation, United States, Survival Rate, Emergency medicine, Bystander cpr, Female, Oregon SUDS, Sudden Unexpected Death Study, business, Out-of-Hospital Cardiac Arrest, Defibrillators |
| الوصف: | 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. Graphical abstract We evaluated the possible impact of the COVID-19 pandemic on out-of-hospital cardiac arrest (OHCA). In two communities in Oregon and California, comparing March 1 - May 31, 2020 to the same period the year prior, EMS response times for OHCA were prolonged from 6.6 ± 2.0 to 7.6 ± 3.0 minutes (p |
| اللغة: | English |
| تدمد: | 2405-5018 2405-500X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b58eb9dff1e92a0c25f16d84cd8ebf0f http://europepmc.org/articles/PMC7428321 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b58eb9dff1e92a0c25f16d84cd8ebf0f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 24055018 2405500X |
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