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10.1016/j.jacep.2020.08.010 http://scihub22266oqcxt.onion/10.1016/j.jacep.2020.08.010 33478713!7428321!33478713     free     free     free Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       JACC+Clin+Electrophysiol 2021 ; 7 (1): 6-11 Nephropedia Template TP {{tp|p=33478713|t=2021. Out-of-Hospital Cardiac Arrest Response and Outcomes During the COVID-19 Pandemic |pdf=|usr=}}{{33478713}} gab.com Text Out-of-Hospital Cardiac Arrest Response and Outcomes During the COVID-19 Pandemic JO: JACC Clin Electrophysiol http://www.kidney.de/pget.php?&tw=1&pmid=33478713 #FOAvip OBJECTIVES: The purpose of this study was to evaluate the potential impact of the coronavirus disease-2019 (COVID-19) pandemic on out-of-hospital cardiac arrest (OHCA) responses and outcomes in 2 U.S. 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 responses to OHCA and negative impacts on survival. Data from areas with lower infection rates are lacking. METHODS: Cases of OHCA in Multnomah County, Oregon, and Ventura County, California, with attempted resuscitation by emergency medical services (EMS) from March 1 to May 31, 2020, and from March 1 to May 31, 2019, were evaluated. RESULTS: In a comparison of 231 OHCA in 2019 to 278 in 2020, the proportion of cases receiving bystander cardiopulmonary resuscitation (CPR) was lower in 2020 (61% to 51%, respectively; p = 0.02), and bystander use of automated external defibrillators (AEDs) declined (5% to 1%, respectively; p = 0.02). EMS response time increased (6.6 +/- 2.0 min to 7.6 +/- 3.0 min, respectively; p < 0.001), and fewer OHCA cases survived to hospital discharge (14.7% to 7.9%, respectively; p = 0.02). Incidence rates did not change significantly (p > 0.07), and coronavirus infection rates were low (Multnomah County, 143/100,000; Ventura County, 127/100,000 as of May 31) compared to rates of approximately 1,600 to 3,000/100,000 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 infection, and point to potential opportunities for countering the impact. Twit Text FOAVip Out-of-Hospital Cardiac Arrest Response and Outcomes During the COVID-19 Pandemic ????JACC Clin Electrophysiol http://www.kidney.de/pget.php?&tw=1&pmid=33478713 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33478713 #FOAvip English Wikipedia <ref>{{Cite pmid|33478713}}</ref> Out-of-Hospital Cardiac Arrest Response and Outcomes During the COVID-19 Pandemic #MMPMID33478713 Uy-Evanado A; Chugh HS; Sargsyan A; Nakamura K; Mariani R; Hadduck K; Salvucci A; Jui J; Chugh SS; Reinier K JACC Clin Electrophysiol 2021[Jan]; 7 (1): 6-11 PMID33478713show ga OBJECTIVES: The purpose of this study was to evaluate the potential impact of the coronavirus disease-2019 (COVID-19) pandemic on out-of-hospital cardiac arrest (OHCA) responses and outcomes in 2 U.S. 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 responses to OHCA and negative impacts on survival. Data from areas with lower infection rates are lacking. METHODS: Cases of OHCA in Multnomah County, Oregon, and Ventura County, California, with attempted resuscitation by emergency medical services (EMS) from March 1 to May 31, 2020, and from March 1 to May 31, 2019, were evaluated. RESULTS: In a comparison of 231 OHCA in 2019 to 278 in 2020, the proportion of cases receiving bystander cardiopulmonary resuscitation (CPR) was lower in 2020 (61% to 51%, respectively; p = 0.02), and bystander use of automated external defibrillators (AEDs) declined (5% to 1%, respectively; p = 0.02). EMS response time increased (6.6 +/- 2.0 min to 7.6 +/- 3.0 min, respectively; p < 0.001), and fewer OHCA cases survived to hospital discharge (14.7% to 7.9%, respectively; p = 0.02). Incidence rates did not change significantly (p > 0.07), and coronavirus infection rates were low (Multnomah County, 143/100,000; Ventura County, 127/100,000 as of May 31) compared to rates of approximately 1,600 to 3,000/100,000 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 infection, and point to potential opportunities for countering the impact. |Adult[MESH] |Aged[MESH] |Aged, 80 and over[MESH] |COVID-19/epidemiology[MESH] |California/epidemiology[MESH] |Cardiopulmonary Resuscitation/*trends[MESH] |Defibrillators[MESH] |Electric Countershock/trends[MESH] |Emergency Medical Services/*trends[MESH] |Female[MESH] |Humans[MESH] |Male[MESH] |Middle Aged[MESH] |Oregon/epidemiology[MESH] |Out-of-Hospital Cardiac Arrest/epidemiology/mortality/*therapy[MESH] |SARS-CoV-2[MESH] |Survival Rate/trends[MESH] |Time Factors[MESH]Out-of-Hospital Cardiac Arrest Response and Outcomes During the COVID-(epmc).pdf DeepDyve Pubget Overpricing