Ethik der Reanimation und Entscheidungen am Lebensende

Voorde, Patrick Van de; Bossaert, Leo; Mentzelopoulos, Spyros D.; Blom, Marieke T.; Couper, Keith; Djakow, Jana; Druwé, Patrick; Lilja, Gisela; Lulić, Ileana; Raffay, Violetta; Perkins, Gavin D; Monsieurs, Koenraad G.

doi:10.1007/s10049-020-00724-5

Cited by 5 publications

(3 citation statements)

References 28 publications

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“… 61 62 63 Actually, during the COVID-19 period, the number of patients withholding resuscitation cases increased from 32,236 to 37,931. 49 64 Further research is needed in this portion because of the limitations of our study dataset. In order to overcome this effect as much as possible, in our study, we compared the Utstein ROSC, and the result was observed identically.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on Out-of-Hospital Cardiac Arrest in Korea

Kim¹,

Lee²,

Lim

et al. 2023

J Korean Med Sci

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Background Coronavirus disease 2019 (COVID-19) is a global public health crisis that has had a significant impact on emergency medical services (EMS). Several studies have reported an increase in the incidence of out-of-hospital cardiac arrest (OHCA) and a decreased survival due to COVID-19, which has been limited to a short period or has been reported in some regions. This study aimed to investigate the effect of COVID-19 on OHCA patients using a nationwide database. Methods We included adult OHCA patients treated by EMS providers from January 19, 2019 to January 20, 2021. The years before and after the first confirmed case in Korea were set as the non-COVID-19 and COVID-19 periods, respectively. The main exposure of interest was the COVID-19 period, and the primary outcome was prehospital return of spontaneous circulation (ROSC). Other OHCA variables were compared before and after the COVID-19 pandemic and analyzed. We performed a multivariable logistic regression analysis to understand the independent effect of the COVID-19 period on prehospital ROSC. Results The final analysis included 51,921 eligible patients, including 25,355 (48.8%) during the non-COVID-19 period and 26,566 (51.2%) during the COVID-19 period. Prehospital ROSC deteriorated during the COVID-19 period (10.2% vs. 11.1%, P = 0.001). In the main analysis, the adjusted odds ratios (AORs) for prehospital ROSC showed no significant differences between the COVID-19 and non-COVID-19 periods (AOR [95% confidence interval], 1.02 [0.96–1.09]). Conclusion This study found that the proportion of prehospital ROSC was lower during the COVID-19 period than during the non-COVID-19 period; however, there was no statistical significance when adjusting for potential confounders. Continuous efforts are needed to restore the broken chain of survival in the prehospital phase and increase the survival rate of OHCA patients.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on Out-of-Hospital Cardiac Arrest in Korea

Kim¹,

Lee²,

Lim

et al. 2023

J Korean Med Sci

View full text Add to dashboard Cite

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“…Dabei sind selbstverständlich mindestens die generelle Pandemielage, die lokale Situation, eine mögliche Risikokonstellation beim Helfer und die Wahrscheinlichkeit einer infektiösen Situation beim Kind zu beachten. Diese und weitere Aspekte zu diesem schwierigen Abwägungsprozess werden in Kapitel 7 ("Ethik") der aktuellen COVID-19-Leitlinien des ERC behandelt [3].…”

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“…In unseren Leitlinien wird zudem mehrfach auch ausdrücklich darauf hingewiesen, dass der empfohlene Umfang der persönlichen Schutzausrüstung (PSA) lokal definiert werden soll -auch in Abhängigkeit von den aktuellen Prävalenzen [3]. Nichtsdestotrotz wäre es zum jetzigen Zeitpunkt nicht angemessen und auch nicht gut zu verantworten, ganz grundsätzlich keine PSA zur kardiopulmonalen Reanimation zu empfehlen.…”

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