Relationship between out-of-hospital cardiac arrests and COVID-19 during the first and second pandemic wave. The importance of monitoring COVID-19 incidence

<h4>Background</h4> The relationship between COVID-19 and out-of-hospital cardiac arrests (OHCAs) has been shown during different phases of the first pandemic wave, but little is known about how to predict where cardiac arrests will increase in case of a third peak. <h4>Aim</h4&...

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Autores principales: Enrico Baldi, Roberto Primi, Sara Bendotti, Alessia Currao, Sara Compagnoni, Francesca Romana Gentile, Giuseppe Maria Sechi, Claudio Mare, Alessandra Palo, Enrico Contri, Vincenza Ronchi, Giuseppe Bergamini, Francesca Reali, Pierpaolo Parogni, Fabio Facchin, Ugo Rizzi, Daniele Bussi, Simone Ruggeri, Sabina Campi, Paola Centineo, Roberto De Ponti, Luigi Oltrona Visconti, Simone Savastano, all the Lombardia CARe researchers
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/c0e12162e0a640b9b17ec2becfe8cd18
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spelling oai:doaj.org-article:c0e12162e0a640b9b17ec2becfe8cd182021-11-25T06:19:29ZRelationship between out-of-hospital cardiac arrests and COVID-19 during the first and second pandemic wave. The importance of monitoring COVID-19 incidence1932-6203https://doaj.org/article/c0e12162e0a640b9b17ec2becfe8cd182021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604324/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> The relationship between COVID-19 and out-of-hospital cardiac arrests (OHCAs) has been shown during different phases of the first pandemic wave, but little is known about how to predict where cardiac arrests will increase in case of a third peak. <h4>Aim</h4> To seek for a correlation between the OHCAs and COVID-19 daily incidence both during the two pandemic waves at a provincial level. <h4>Methods</h4> We considered all the OHCAs occurred in the provinces of Pavia, Lodi, Cremona, Mantua and Varese, in Lombardy Region (Italy), from 21/02/2020 to 31/12/2020. We divided the study period into period 1, the first 157 days after the outbreak and including the first pandemic wave and period 2, the second 158 days including the second pandemic wave. We calculated the cumulative and daily incidence of OHCA and COVID-19 for the whole territory and for each province for both periods. <h4>Results</h4> A significant correlation between the daily incidence of COVID-19 and the daily incidence of OHCAs was observed both during the first and the second pandemic period in the whole territory (R = 0.4, p<0.001 for period 1 and 2) and only in those provinces with higher COVID-19 cumulative incidence (period 1: Cremona R = 0.3, p = 0.001; Lodi R = 0.4, p<0.001; Pavia R = 0.3; p = 0.01; period 2: Varese R = 0.4, p<0.001). <h4>Conclusions</h4> Our results suggest that strictly monitoring the pandemic trend may help in predict which territories will be more likely to experience an OHCAs’ increase. That may also serve as a guide to re-allocate properly health resources in case of further pandemic waves.Enrico BaldiRoberto PrimiSara BendottiAlessia CurraoSara CompagnoniFrancesca Romana GentileGiuseppe Maria SechiClaudio MareAlessandra PaloEnrico ContriVincenza RonchiGiuseppe BergaminiFrancesca RealiPierpaolo ParogniFabio FacchinUgo RizziDaniele BussiSimone RuggeriSabina CampiPaola CentineoRoberto De PontiLuigi Oltrona ViscontiSimone Savastanoall the Lombardia CARe researchersPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Enrico Baldi
Roberto Primi
Sara Bendotti
Alessia Currao
Sara Compagnoni
Francesca Romana Gentile
Giuseppe Maria Sechi
Claudio Mare
Alessandra Palo
Enrico Contri
Vincenza Ronchi
Giuseppe Bergamini
Francesca Reali
Pierpaolo Parogni
Fabio Facchin
Ugo Rizzi
Daniele Bussi
Simone Ruggeri
Sabina Campi
Paola Centineo
Roberto De Ponti
Luigi Oltrona Visconti
Simone Savastano
all the Lombardia CARe researchers
Relationship between out-of-hospital cardiac arrests and COVID-19 during the first and second pandemic wave. The importance of monitoring COVID-19 incidence
description <h4>Background</h4> The relationship between COVID-19 and out-of-hospital cardiac arrests (OHCAs) has been shown during different phases of the first pandemic wave, but little is known about how to predict where cardiac arrests will increase in case of a third peak. <h4>Aim</h4> To seek for a correlation between the OHCAs and COVID-19 daily incidence both during the two pandemic waves at a provincial level. <h4>Methods</h4> We considered all the OHCAs occurred in the provinces of Pavia, Lodi, Cremona, Mantua and Varese, in Lombardy Region (Italy), from 21/02/2020 to 31/12/2020. We divided the study period into period 1, the first 157 days after the outbreak and including the first pandemic wave and period 2, the second 158 days including the second pandemic wave. We calculated the cumulative and daily incidence of OHCA and COVID-19 for the whole territory and for each province for both periods. <h4>Results</h4> A significant correlation between the daily incidence of COVID-19 and the daily incidence of OHCAs was observed both during the first and the second pandemic period in the whole territory (R = 0.4, p<0.001 for period 1 and 2) and only in those provinces with higher COVID-19 cumulative incidence (period 1: Cremona R = 0.3, p = 0.001; Lodi R = 0.4, p<0.001; Pavia R = 0.3; p = 0.01; period 2: Varese R = 0.4, p<0.001). <h4>Conclusions</h4> Our results suggest that strictly monitoring the pandemic trend may help in predict which territories will be more likely to experience an OHCAs’ increase. That may also serve as a guide to re-allocate properly health resources in case of further pandemic waves.
format article
author Enrico Baldi
Roberto Primi
Sara Bendotti
Alessia Currao
Sara Compagnoni
Francesca Romana Gentile
Giuseppe Maria Sechi
Claudio Mare
Alessandra Palo
Enrico Contri
Vincenza Ronchi
Giuseppe Bergamini
Francesca Reali
Pierpaolo Parogni
Fabio Facchin
Ugo Rizzi
Daniele Bussi
Simone Ruggeri
Sabina Campi
Paola Centineo
Roberto De Ponti
Luigi Oltrona Visconti
Simone Savastano
all the Lombardia CARe researchers
author_facet Enrico Baldi
Roberto Primi
Sara Bendotti
Alessia Currao
Sara Compagnoni
Francesca Romana Gentile
Giuseppe Maria Sechi
Claudio Mare
Alessandra Palo
Enrico Contri
Vincenza Ronchi
Giuseppe Bergamini
Francesca Reali
Pierpaolo Parogni
Fabio Facchin
Ugo Rizzi
Daniele Bussi
Simone Ruggeri
Sabina Campi
Paola Centineo
Roberto De Ponti
Luigi Oltrona Visconti
Simone Savastano
all the Lombardia CARe researchers
author_sort Enrico Baldi
title Relationship between out-of-hospital cardiac arrests and COVID-19 during the first and second pandemic wave. The importance of monitoring COVID-19 incidence
title_short Relationship between out-of-hospital cardiac arrests and COVID-19 during the first and second pandemic wave. The importance of monitoring COVID-19 incidence
title_full Relationship between out-of-hospital cardiac arrests and COVID-19 during the first and second pandemic wave. The importance of monitoring COVID-19 incidence
title_fullStr Relationship between out-of-hospital cardiac arrests and COVID-19 during the first and second pandemic wave. The importance of monitoring COVID-19 incidence
title_full_unstemmed Relationship between out-of-hospital cardiac arrests and COVID-19 during the first and second pandemic wave. The importance of monitoring COVID-19 incidence
title_sort relationship between out-of-hospital cardiac arrests and covid-19 during the first and second pandemic wave. the importance of monitoring covid-19 incidence
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/c0e12162e0a640b9b17ec2becfe8cd18
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