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Influence of the Covid-19 pandemic on out-of-hospital cardiac arrest. A Spanish nationwide prospective cohort study
- Source :
- Resuscitation, r-FISABIO. Repositorio Institucional de Producción Científica, instname, r-FISABIO: Repositorio Institucional de Producción Científica, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
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 nonCOVID-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.
- Subjects :
- Male
Emergency Medical Services
Resuscitation
medicine.medical_specialty
Survival
Coronavirus disease 2019 (COVID-19)
Aftercare
030204 cardiovascular system & hematology
Emergency Nursing
Logistic regression
03 medical and health sciences
0302 clinical medicine
Pandemic
medicine
Humans
Prospective Studies
Registries
Prospective cohort study
Pandemics
Aged
Out-of hospital cardiac arrest
SARS-CoV-2
business.industry
Incidence
Incidence (epidemiology)
Multilevel model
Attendance
COVID-19
Covid 19
030208 emergency & critical care medicine
Middle Aged
Cardiopulmonary Resuscitation
Spain
Emergency medicine
Emergency
Clinical Paper
Emergency Medicine
Female
Emergency services
business
Cardiology and Cardiovascular Medicine
Out-of-Hospital Cardiac Arrest
Subjects
Details
- ISSN :
- 10437835 and 03009572
- Database :
- OpenAIRE
- Journal :
- Resuscitation, r-FISABIO. Repositorio Institucional de Producción Científica, instname, r-FISABIO: Repositorio Institucional de Producción Científica, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
- Accession number :
- edsair.doi.dedup.....dacc882031c585f4951e64ae6bf7b54e