Impact of Coronavirus Disease 2019 Pandemic on Pediatric Out-of-Hospital Cardiac Arrest in the Emergency Department
BackgroundOut-of-hospital cardiac arrest (OHCA) in children is a critical condition with a poor prognosis. After the coronavirus disease 2019 (COVID-19) pandemic developed, the epidemiology and clinical characteristics of the pediatric emergency department (PED) visits have changed. This study aimed...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.846410/full |
| _version_ | 1828850377600008192 |
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| author | Chun-Yu Chen Chun-Yu Chen En-Pei Lee En-Pei Lee Yu-Jun Chang Wen-Chieh Yang Wen-Chieh Yang Mao-Jen Lin Mao-Jen Lin Han-Ping Wu Han-Ping Wu Han-Ping Wu |
| author_facet | Chun-Yu Chen Chun-Yu Chen En-Pei Lee En-Pei Lee Yu-Jun Chang Wen-Chieh Yang Wen-Chieh Yang Mao-Jen Lin Mao-Jen Lin Han-Ping Wu Han-Ping Wu Han-Ping Wu |
| author_sort | Chun-Yu Chen |
| collection | DOAJ |
| description | BackgroundOut-of-hospital cardiac arrest (OHCA) in children is a critical condition with a poor prognosis. After the coronavirus disease 2019 (COVID-19) pandemic developed, the epidemiology and clinical characteristics of the pediatric emergency department (PED) visits have changed. This study aimed to analyze the impact of the COVID-19 pandemic on pediatric OHCA in the PED.MethodsFrom January 2018 to September 2021, we retrospectively collected data of children (18 years or younger) with a definite diagnosis of OHCA admitted to the PED. Patient data studied included demographics, pre-/in-hospital information, treatment modalities; and outcomes of interest included sustained return of spontaneous circulation (SROSC) and survival to hospital-discharge (STHD). These were analyzed and compared between the periods before and after the COVID-19 pandemic.ResultsA total of 97 patients with OHCA (68 boys and 29 girls) sent to the PED were enrolled in our study. Sixty cases (61.9%) occurred in the pre-pandemic period and 37 during the pandemic. The most common age group was infants (40.2%) (p = 0.018). Asystole was the most predominant cardiac rhythm (72.2%, P = 0.048). Eighty patients (82.5%) were transferred by the emergency medical services, 62 (63.9%) gained SROSC, and 25 (25.8%) were STHD. During the COVID-19 pandemic, children with non-trauma OHCA had significantly shorter survival duration and prolonged EMS scene intervals (both p < 0.05).ConclusionDuring the COVID-19 pandemic, children with OHCA had a significantly lower rate of SROSC and STHD than that in the pre-pandemic period. The COVID-19 pandemic has changed the nature of PED visits and has affected factors related to ROSC and STHD in pediatric OHCA. |
| first_indexed | 2024-12-12T23:10:49Z |
| format | Article |
| id | doaj.art-fe0f3043a8154ca79b6765cc115f25e9 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-12T23:10:49Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-fe0f3043a8154ca79b6765cc115f25e92022-12-22T00:08:36ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-04-011010.3389/fped.2022.846410846410Impact of Coronavirus Disease 2019 Pandemic on Pediatric Out-of-Hospital Cardiac Arrest in the Emergency DepartmentChun-Yu Chen0Chun-Yu Chen1En-Pei Lee2En-Pei Lee3Yu-Jun Chang4Wen-Chieh Yang5Wen-Chieh Yang6Mao-Jen Lin7Mao-Jen Lin8Han-Ping Wu9Han-Ping Wu10Han-Ping Wu11Department of Pediatric Emergency, China Medical University Children’s Hospital, China Medical University, Taichung City, TaiwanDepartment of Medicine, College of Medicine, China Medical University, Taichung City, TaiwanDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Taoyuan, TaiwanCollege of Medicine, Chang Gung University, Taoyuan, TaiwanLaboratory of Epidemiology and Biostastics, Changhua Christian Hospital, Changhua City, TaiwanDepartment of Pediatric Emergency, China Medical University Children’s Hospital, China Medical University, Taichung City, TaiwanDepartment of Medicine, College of Medicine, China Medical University, Taichung City, TaiwanDepartment of Medicine, College of Medicine, Tzu Chi University, Hualien City, TaiwanDivision of Cardiology, Department of Medicine, Taichung Tzu Chi Hospital, The Buddhist Tzu Chi Medical Foundation, Taichung City, TaiwanDepartment of Pediatric Emergency, China Medical University Children’s Hospital, China Medical University, Taichung City, TaiwanDepartment of Medicine, College of Medicine, China Medical University, Taichung City, TaiwanDepartment of Medical Research, China Medical University Children’s Hospital, China Medical University, Taichung City, TaiwanBackgroundOut-of-hospital cardiac arrest (OHCA) in children is a critical condition with a poor prognosis. After the coronavirus disease 2019 (COVID-19) pandemic developed, the epidemiology and clinical characteristics of the pediatric emergency department (PED) visits have changed. This study aimed to analyze the impact of the COVID-19 pandemic on pediatric OHCA in the PED.MethodsFrom January 2018 to September 2021, we retrospectively collected data of children (18 years or younger) with a definite diagnosis of OHCA admitted to the PED. Patient data studied included demographics, pre-/in-hospital information, treatment modalities; and outcomes of interest included sustained return of spontaneous circulation (SROSC) and survival to hospital-discharge (STHD). These were analyzed and compared between the periods before and after the COVID-19 pandemic.ResultsA total of 97 patients with OHCA (68 boys and 29 girls) sent to the PED were enrolled in our study. Sixty cases (61.9%) occurred in the pre-pandemic period and 37 during the pandemic. The most common age group was infants (40.2%) (p = 0.018). Asystole was the most predominant cardiac rhythm (72.2%, P = 0.048). Eighty patients (82.5%) were transferred by the emergency medical services, 62 (63.9%) gained SROSC, and 25 (25.8%) were STHD. During the COVID-19 pandemic, children with non-trauma OHCA had significantly shorter survival duration and prolonged EMS scene intervals (both p < 0.05).ConclusionDuring the COVID-19 pandemic, children with OHCA had a significantly lower rate of SROSC and STHD than that in the pre-pandemic period. The COVID-19 pandemic has changed the nature of PED visits and has affected factors related to ROSC and STHD in pediatric OHCA.https://www.frontiersin.org/articles/10.3389/fped.2022.846410/fullOHCAout-of-hospital cardiac arrestCOVID-19emergency departmentchildren |
| spellingShingle | Chun-Yu Chen Chun-Yu Chen En-Pei Lee En-Pei Lee Yu-Jun Chang Wen-Chieh Yang Wen-Chieh Yang Mao-Jen Lin Mao-Jen Lin Han-Ping Wu Han-Ping Wu Han-Ping Wu Impact of Coronavirus Disease 2019 Pandemic on Pediatric Out-of-Hospital Cardiac Arrest in the Emergency Department Frontiers in Pediatrics OHCA out-of-hospital cardiac arrest COVID-19 emergency department children |
| title | Impact of Coronavirus Disease 2019 Pandemic on Pediatric Out-of-Hospital Cardiac Arrest in the Emergency Department |
| title_full | Impact of Coronavirus Disease 2019 Pandemic on Pediatric Out-of-Hospital Cardiac Arrest in the Emergency Department |
| title_fullStr | Impact of Coronavirus Disease 2019 Pandemic on Pediatric Out-of-Hospital Cardiac Arrest in the Emergency Department |
| title_full_unstemmed | Impact of Coronavirus Disease 2019 Pandemic on Pediatric Out-of-Hospital Cardiac Arrest in the Emergency Department |
| title_short | Impact of Coronavirus Disease 2019 Pandemic on Pediatric Out-of-Hospital Cardiac Arrest in the Emergency Department |
| title_sort | impact of coronavirus disease 2019 pandemic on pediatric out of hospital cardiac arrest in the emergency department |
| topic | OHCA out-of-hospital cardiac arrest COVID-19 emergency department children |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.846410/full |
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