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10.1016/j.resuscitation.2020.10.025

http://scihub22266oqcxt.onion/10.1016/j.resuscitation.2020.10.025
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33137418!7603976!33137418
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suck abstract from ncbi


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pmid33137418      Resuscitation 2020 ; 157 (ä): 248-258
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  • Incidence and outcome of out-of-hospital cardiac arrests in the COVID-19 era: A systematic review and meta-analysis #MMPMID33137418
  • Lim ZJ; Ponnapa Reddy M; Afroz A; Billah B; Shekar K; Subramaniam A
  • Resuscitation 2020[Dec]; 157 (ä): 248-258 PMID33137418show ga
  • BACKGROUND: The impact of COVID-19 on pre-hospital and hospital services and hence on the prevalence and outcomes of out-of-hospital cardiac arrests (OHCA) remain unclear. The review aimed to evaluate the influence of the COVID-19 pandemic on the incidence, process, and outcomes of OHCA. METHODS: A systematic review of PubMed, EMBASE, and pre-print websites was performed. Studies reporting comparative data on OHCA within the same jurisdiction, before and during the COVID-19 pandemic were included. Study quality was assessed based on the Newcastle-Ottawa Scale. RESULTS: Ten studies reporting data from 35,379 OHCA events were included. There was a 120% increase in OHCA events since the pandemic. Time from OHCA to ambulance arrival was longer during the pandemic (p?=?0.036). While mortality (OR?=?0.67, 95%-CI 0.49-0.91) and supraglottic airway use (OR?=?0.36, 95%-CI 0.27-0.46) was higher during the pandemic, automated external defibrillator use (OR?=?1.78 95%-CI 1.06-2.98), return of spontaneous circulation (OR?=?1.63, 95%CI 1.18-2.26) and intubation (OR?=?1.87, 95%-CI 1.12--3.13) was more common before the pandemic. More patients survived to hospital admission (OR?=?1.75, 95%-CI 1.42-2.17) and discharge (OR?=?1.65, 95%-CI 1.28-2.12) before the pandemic. Bystander CPR (OR?=?1.18, 95%-CI 0.95-1.46), unwitnessed OHCA (OR?=?0.84, 95%-CI 0.66-1.07), paramedic-resuscitation attempts (OR?=?1.19 95%-CI 1.00-1.42) and mechanical CPR device use (OR?=?1.57 95%-CI 0.55-4.55) did not defer significantly. CONCLUSIONS: The incidence and mortality following OHCA was higher during the COVID-19 pandemic. There were significant variations in resuscitation practices during the pandemic. Research to define optimal processes of pre-hospital care during a pandemic is urgently required. REVIEW REGISTRATION: PROSPERO (CRD42020203371).
  • |*Emergency Medical Services[MESH]
  • |*Pandemics[MESH]
  • |*Registries[MESH]
  • |COVID-19/complications/*epidemiology[MESH]
  • |Cardiopulmonary Resuscitation/*methods[MESH]
  • |Global Health[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Out-of-Hospital Cardiac Arrest/*epidemiology/etiology/therapy[MESH]


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