Variation in community and ambulance care processes for out-of-hospital cardiac arrest during the COVID-19 pandemic: a systematic review and meta-analysis
Abstract Bystander cardiopulmonary resuscitation (BCPR), early defibrillation and timely treatment by emergency medical services (EMS) can double the chance of survival from out-of-hospital sudden cardiac arrest (OHCA). We investigated the effect of the COVID-19 pandemic on the pre-hospital chain of...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-01-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-04749-9 |
| _version_ | 1819261113614729216 |
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| author | Yoshio Masuda Seth En Teoh Jun Wei Yeo Darren Jun Hao Tan Daryl Lin Jimian Shir Lynn Lim Marcus Eng Hock Ong Audrey L. Blewer Andrew Fu Wah Ho |
| author_facet | Yoshio Masuda Seth En Teoh Jun Wei Yeo Darren Jun Hao Tan Daryl Lin Jimian Shir Lynn Lim Marcus Eng Hock Ong Audrey L. Blewer Andrew Fu Wah Ho |
| author_sort | Yoshio Masuda |
| collection | DOAJ |
| description | Abstract Bystander cardiopulmonary resuscitation (BCPR), early defibrillation and timely treatment by emergency medical services (EMS) can double the chance of survival from out-of-hospital sudden cardiac arrest (OHCA). We investigated the effect of the COVID-19 pandemic on the pre-hospital chain of survival. We searched five bibliographical databases for articles that compared prehospital OHCA care processes during and before the COVID-19 pandemic. Random effects meta-analyses were conducted, and meta-regression with mixed-effect models and subgroup analyses were conducted where appropriate. The search yielded 966 articles; 20 articles were included in our analysis. OHCA at home was more common during the pandemic (OR 1.38, 95% CI 1.11–1.71, p = 0.0069). BCPR did not differ during and before the COVID-19 pandemic (OR 0.94, 95% CI 0.80–1.11, p = 0.4631), although bystander defibrillation was significantly lower during the COVID-19 pandemic (OR 0.65, 95% CI 0.48–0.88, p = 0.0107). EMS call-to-arrival time was significantly higher during the COVID-19 pandemic (SMD 0.27, 95% CI 0.13–0.40, p = 0.0006). Resuscitation duration did not differ significantly between pandemic and pre-pandemic timeframes. The COVID-19 pandemic significantly affected prehospital processes for OHCA. These findings may inform future interventions, particularly to consider interventions to increase BCPR and improve the pre-hospital chain of survival. |
| first_indexed | 2024-12-23T19:36:38Z |
| format | Article |
| id | doaj.art-55bedce249c645f494a34fda9442eeae |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-23T19:36:38Z |
| publishDate | 2022-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-55bedce249c645f494a34fda9442eeae2022-12-21T17:33:46ZengNature PortfolioScientific Reports2045-23222022-01-0112111510.1038/s41598-021-04749-9Variation in community and ambulance care processes for out-of-hospital cardiac arrest during the COVID-19 pandemic: a systematic review and meta-analysisYoshio Masuda0Seth En Teoh1Jun Wei Yeo2Darren Jun Hao Tan3Daryl Lin Jimian4Shir Lynn Lim5Marcus Eng Hock Ong6Audrey L. Blewer7Andrew Fu Wah Ho8Yong Loo Lin School of Medicine, National University of SingaporeYong Loo Lin School of Medicine, National University of SingaporeYong Loo Lin School of Medicine, National University of SingaporeYong Loo Lin School of Medicine, National University of SingaporeYong Loo Lin School of Medicine, National University of SingaporeDepartment of Cardiology, National University Heart CenterDepartment of Emergency Medicine, Singapore General HospitalDepartment of Family Medicine and Community Health and Department of Population Health Sciences, Duke UniversityDepartment of Emergency Medicine, Singapore General HospitalAbstract Bystander cardiopulmonary resuscitation (BCPR), early defibrillation and timely treatment by emergency medical services (EMS) can double the chance of survival from out-of-hospital sudden cardiac arrest (OHCA). We investigated the effect of the COVID-19 pandemic on the pre-hospital chain of survival. We searched five bibliographical databases for articles that compared prehospital OHCA care processes during and before the COVID-19 pandemic. Random effects meta-analyses were conducted, and meta-regression with mixed-effect models and subgroup analyses were conducted where appropriate. The search yielded 966 articles; 20 articles were included in our analysis. OHCA at home was more common during the pandemic (OR 1.38, 95% CI 1.11–1.71, p = 0.0069). BCPR did not differ during and before the COVID-19 pandemic (OR 0.94, 95% CI 0.80–1.11, p = 0.4631), although bystander defibrillation was significantly lower during the COVID-19 pandemic (OR 0.65, 95% CI 0.48–0.88, p = 0.0107). EMS call-to-arrival time was significantly higher during the COVID-19 pandemic (SMD 0.27, 95% CI 0.13–0.40, p = 0.0006). Resuscitation duration did not differ significantly between pandemic and pre-pandemic timeframes. The COVID-19 pandemic significantly affected prehospital processes for OHCA. These findings may inform future interventions, particularly to consider interventions to increase BCPR and improve the pre-hospital chain of survival.https://doi.org/10.1038/s41598-021-04749-9 |
| spellingShingle | Yoshio Masuda Seth En Teoh Jun Wei Yeo Darren Jun Hao Tan Daryl Lin Jimian Shir Lynn Lim Marcus Eng Hock Ong Audrey L. Blewer Andrew Fu Wah Ho Variation in community and ambulance care processes for out-of-hospital cardiac arrest during the COVID-19 pandemic: a systematic review and meta-analysis Scientific Reports |
| title | Variation in community and ambulance care processes for out-of-hospital cardiac arrest during the COVID-19 pandemic: a systematic review and meta-analysis |
| title_full | Variation in community and ambulance care processes for out-of-hospital cardiac arrest during the COVID-19 pandemic: a systematic review and meta-analysis |
| title_fullStr | Variation in community and ambulance care processes for out-of-hospital cardiac arrest during the COVID-19 pandemic: a systematic review and meta-analysis |
| title_full_unstemmed | Variation in community and ambulance care processes for out-of-hospital cardiac arrest during the COVID-19 pandemic: a systematic review and meta-analysis |
| title_short | Variation in community and ambulance care processes for out-of-hospital cardiac arrest during the COVID-19 pandemic: a systematic review and meta-analysis |
| title_sort | variation in community and ambulance care processes for out of hospital cardiac arrest during the covid 19 pandemic a systematic review and meta analysis |
| url | https://doi.org/10.1038/s41598-021-04749-9 |
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