The impact of COVID-19 on incidence and outcomes from out-of-hospital cardiac arrest (OHCA) in Texas

Chavez, Summer; Huebinger, Ryan M.; Chan, Hei Kit; Gill, Joseph; White, Lynn Τ.; Mendez, Donna; Jarvis, Jeffrey L.; Vithalani, Veer; Tannenbaum, Lloyd; Al-Araji, Rabab; Bobrow, Bentley J.

doi:10.1016/j.ajem.2022.04.006

Cited by 11 publications

(8 citation statements)

References 22 publications

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“…This is comparable to other studies which found for all-comers, rates of sustained ROSC decreased from 29.8% in 2019 to 23.0%. 27,28 When stratified by race/ethnicity and gender, the figures were similar for White (22.4%) and Hispanic (22.0%) persons, but worse for Black (19.0%) and Other (17.6%) persons. We found increased rates of field TOR for Black (38.4%), Hispanic (50.0%) and Other (41.2%) OHCA patients in 2020, which were slightly lower compared to overall estimates in the literature (53.9%).…”

Section: Resultsmentioning

confidence: 98%

“…We found increased rates of field TOR for Black (38.4%), Hispanic (50.0%) and Other (41.2%) OHCA patients in 2020, which were slightly lower compared to overall estimates in the literature (53.9%). 27,28 Rates of survival to hospital admission and hospital discharge decreased for all health disparity populations. Although Black and Hispanic OHCA patients both had lower rates of sustained ROSC, Black, Hispanic and Other groups all had increased rates of TOR and decreased survival to hospital admission and discharge.…”

Section: Resultsmentioning

confidence: 99%

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Racial/ethnic and gender disparities of the impact of the COVID-19 pandemic in out-of-hospital cardiac arrest (OHCA) in Texas

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Racial/ethnic and gender disparities of the impact of the COVID-19 pandemic in out-of-hospital cardiac arrest (OHCA) in Texas

et al. 2022

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“…Damjanovic és mtsai Freiburg területét lefedő tanulmánya szerint a laikusok által megkezdett újraélesztés 58%-ról 25%-ra csökkent [7]. Ez a szám Texasban a 2019-es évet a 2020-as időszakkal összehasonlítva szintén szignifikánsan, 46,2%-ról 42,2%-ra csökkent [8]. Mindemellett a félautomata defibrillátor használatának aránya a laikus cardiopulmonalis resuscitatiók során szignifikánsan csökkent.…”

Section: A Covid-19-pandémia Hatása a Kórházon Kívüli Szívmegállás E...unclassified

A COVID–19-pandémia hatása a hirtelen szívmegállást követő alapszintű újraélesztésre és annak sikerességére

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et al. 2023

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A koronavírus-betegség megjelenése óta világszerte nyomon követik a fertőzésekhez kapcsolódó közvetlen halálozást, és naponta számolják a vírus okozta halálesetek számát. A koronavírus okozta világjárvány nemcsak mindennapi életünket, de a teljes egészségügyi rendszer működését átrendezte. A kórházi felvételre való fokozott igény kapcsán a különböző országok vezetői számos, az egészségügyi ellátást befolyásoló rendkívüli intézkedést vezettek be. Az átrendeződés mind direkt, mind indirekt módon negatív hatással volt a hirtelen szívhalál epidemiológiai mutatóira, a laikus elsősegélynyújtók cardiopulmonalis resuscitatióra való hajlandóságára és a félautomata defibrillátor használatára, ezek a negatív hatások azonban széles határok között mozognak a különböző kontinenseken és országokban. A laikusok és az egészségügyi dolgozók védelme, illetve a pandémia terjedésének megakadályozása érdekében a korábbi alapszintű és emelt szintű újraélesztésre vonatkozó, az Európai Újraélesztési Tanács által megfogalmazott ajánlások számos változtatáson estek át. Orv Hetil. 2023; 164(13): 483–487.

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“…However, the number of ambulance dispatches during the COVID-19 pandemic gradually increased [11]. As the number of patients with cardiac arrest in residential areas rose, the number of cases of TOR at the scene of cardiac arrest also gradually increased [12][13][14]. It appears that emergency medical service (EMS) is not used efficiently.…”

Section: Introductionmentioning

confidence: 99%

Reasons for the termination of resuscitation in out-of-hospital cardiac arrests before and after the COVID-19 pandemic in Korea

2022

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The incidence of out-of-hospital cardiac arrest (OHCA) gradually increased during the coronavirus disease 2019 (COVID-19) pandemic, and the number of cases requiring termination of resuscitation (TOR) also rose. This study aimed to analyze the reasons for TOR of OHCA cases over 2 years (2019)(2020). This retrospective observational study was conducted using data gathered from prehospital emergency medical service (EMS) care reports generated in Seoul between 01 January 2019, and 31 December 2020. We included OHCA cases reported to the EMS system in this study. Patients who experienced cardiac arrest for a non-medical cause and received cardiopulmonary resuscitation (CPR) from EMS paramedics at the scene were excluded. The variables of demographics and comorbidities, arrest location, identity of the bystander, cause of cardiac arrest, first monitored electrocardiographic (ECG) rhythm, and reason for TOR were investigated. We compared data for 1 year before and after the start of the COVID-19 pandemic. A total of 10,872 OHCAs with TOR were included in this study; of these, 6238 cardiac arrest cases were terminated without resuscitation attempts during the COVID-19 period compared to 4634 during the pre-COVID-19 period. During the COVID-19 period, the proportion of women in the total population decreased, while the median age increased (p < 0.001). Patients with comorbidities, the frequency of asystole rhythm at first monitoring, and the number of witnessed cardiac arrests significantly increased (p < 0.001). The proportion of TOR cases due to decisions made by a medical director and refusal of CPR by family members also significantly increased, while that due to clear evidence of death decreased (p < 0.001). In conclusion, there was a significant change in the reason for TOR before and after the COVID-19 pandemic in Korea.

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The impact of COVID-19 on incidence and outcomes from out-of-hospital cardiac arrest (OHCA) in Texas

Cited by 11 publications

References 22 publications

Racial/ethnic and gender disparities of the impact of the COVID-19 pandemic in out-of-hospital cardiac arrest (OHCA) in Texas

Racial/ethnic and gender disparities of the impact of the COVID-19 pandemic in out-of-hospital cardiac arrest (OHCA) in Texas

A COVID–19-pandémia hatása a hirtelen szívmegállást követő alapszintű újraélesztésre és annak sikerességére

Reasons for the termination of resuscitation in out-of-hospital cardiac arrests before and after the COVID-19 pandemic in Korea

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