Survival following an out‐of‐hospital cardiac arrest in Japan in 2020 versus 2019 according to the cause
Aim The coronavirus disease (COVID‐19) pandemic has led to an increase in out‐of‐hospital cardiac arrests (OHCAs) and mortality. However, there has been no reports in Japan using nationwide registry data. We compared survival among patients with OHCAs and detailed information on the cause during the...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Acute Medicine & Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ams2.777 |
| _version_ | 1797976166208897024 |
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| author | Sanae Hosomi Ling Zha Kosuke Kiyohara Tetsuhisa Kitamura Taro Irisawa Hiroshi Ogura Jun Oda |
| author_facet | Sanae Hosomi Ling Zha Kosuke Kiyohara Tetsuhisa Kitamura Taro Irisawa Hiroshi Ogura Jun Oda |
| author_sort | Sanae Hosomi |
| collection | DOAJ |
| description | Aim The coronavirus disease (COVID‐19) pandemic has led to an increase in out‐of‐hospital cardiac arrests (OHCAs) and mortality. However, there has been no reports in Japan using nationwide registry data. We compared survival among patients with OHCAs and detailed information on the cause during the COVID‐19 pandemic (2020), and during the pre‐pandemic period (2019). Methods Using a Japanese population‐based retrospective cohort study design, we analyzed registry data on 39,324 and 39,170 patients with OHCAs in 2019 and 2020, respectively. We compared patient outcomes in 2019 and 2020 using univariable and multivariable logistic regression analyses. Results The proportion of OHCAs of cardiac origin increased significantly from 61.6% in 2019 to 62.7% in 2020 (P = 0.001). The use of bystander CPR (6.9% versus 5.7%, P < 0.001) and publicaccess automated external defibrillator pads (3.7% versus 3.0%, P < 0.001) decreased significantly from 2019 to 2020. The 1‐month survival for OHCA of cardiac origin (12.1% versus 10.7%; adjusted odds ratio [OR] 0.93, 95% confidence interval [CI] 0.87–1.00), asphyxia (10.9% versus 8.8%; adjusted OR 0.80, 95% CI 0.70–0.92), and external causes (adjusted OR 0.66; 95% CI 0.46–0.96), also decreased significantly from 2019 to 2020. Conclusions In Japan, the 1‐month survival after OHCA of cardiac origin, or due to asphyxia or external causes, decreased significantly during the COVID‐19 pandemic period. |
| first_indexed | 2024-04-11T04:47:02Z |
| format | Article |
| id | doaj.art-c4e02ccee70445c7995e88427f4cd883 |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-04-11T04:47:02Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-c4e02ccee70445c7995e88427f4cd8832022-12-27T12:22:50ZengWileyAcute Medicine & Surgery2052-88172022-01-0191n/an/a10.1002/ams2.777Survival following an out‐of‐hospital cardiac arrest in Japan in 2020 versus 2019 according to the causeSanae Hosomi0Ling Zha1Kosuke Kiyohara2Tetsuhisa Kitamura3Taro Irisawa4Hiroshi Ogura5Jun Oda6Department of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita JapanDivision of Environmental Medicine and Population Sciences, Department of Social Medicine, Graduate School of Medicine Osaka University Suita JapanDepartment of Food Science, Faculty of Home Economics Otsuma Women's University Tokyo JapanDivision of Environmental Medicine and Population Sciences, Department of Social Medicine, Graduate School of Medicine Osaka University Suita JapanDepartment of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita JapanDepartment of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita JapanDepartment of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita JapanAim The coronavirus disease (COVID‐19) pandemic has led to an increase in out‐of‐hospital cardiac arrests (OHCAs) and mortality. However, there has been no reports in Japan using nationwide registry data. We compared survival among patients with OHCAs and detailed information on the cause during the COVID‐19 pandemic (2020), and during the pre‐pandemic period (2019). Methods Using a Japanese population‐based retrospective cohort study design, we analyzed registry data on 39,324 and 39,170 patients with OHCAs in 2019 and 2020, respectively. We compared patient outcomes in 2019 and 2020 using univariable and multivariable logistic regression analyses. Results The proportion of OHCAs of cardiac origin increased significantly from 61.6% in 2019 to 62.7% in 2020 (P = 0.001). The use of bystander CPR (6.9% versus 5.7%, P < 0.001) and publicaccess automated external defibrillator pads (3.7% versus 3.0%, P < 0.001) decreased significantly from 2019 to 2020. The 1‐month survival for OHCA of cardiac origin (12.1% versus 10.7%; adjusted odds ratio [OR] 0.93, 95% confidence interval [CI] 0.87–1.00), asphyxia (10.9% versus 8.8%; adjusted OR 0.80, 95% CI 0.70–0.92), and external causes (adjusted OR 0.66; 95% CI 0.46–0.96), also decreased significantly from 2019 to 2020. Conclusions In Japan, the 1‐month survival after OHCA of cardiac origin, or due to asphyxia or external causes, decreased significantly during the COVID‐19 pandemic period.https://doi.org/10.1002/ams2.777Cardiopulmonary resuscitationCOVID‐19out‐of‐hospital cardiac arrestretrospective studiessurvival rate |
| spellingShingle | Sanae Hosomi Ling Zha Kosuke Kiyohara Tetsuhisa Kitamura Taro Irisawa Hiroshi Ogura Jun Oda Survival following an out‐of‐hospital cardiac arrest in Japan in 2020 versus 2019 according to the cause Acute Medicine & Surgery Cardiopulmonary resuscitation COVID‐19 out‐of‐hospital cardiac arrest retrospective studies survival rate |
| title | Survival following an out‐of‐hospital cardiac arrest in Japan in 2020 versus 2019 according to the cause |
| title_full | Survival following an out‐of‐hospital cardiac arrest in Japan in 2020 versus 2019 according to the cause |
| title_fullStr | Survival following an out‐of‐hospital cardiac arrest in Japan in 2020 versus 2019 according to the cause |
| title_full_unstemmed | Survival following an out‐of‐hospital cardiac arrest in Japan in 2020 versus 2019 according to the cause |
| title_short | Survival following an out‐of‐hospital cardiac arrest in Japan in 2020 versus 2019 according to the cause |
| title_sort | survival following an out of hospital cardiac arrest in japan in 2020 versus 2019 according to the cause |
| topic | Cardiopulmonary resuscitation COVID‐19 out‐of‐hospital cardiac arrest retrospective studies survival rate |
| url | https://doi.org/10.1002/ams2.777 |
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