No apparent effect of the COVID-19 pandemic on out-of-hospital cardiac arrest incidence and outcome in Western Australia

Background: We examined the incidence, patient and arrest characteristics, and survival outcomes of out-of-hospital cardiac arrest (OHCA) in Western Australia (WA) in the first wave of the COVID-19 pandemic. Methods: Adult OHCA cases attended by St John WA Emergency Medical Service (EMS) between 16t...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Milena Talikowska, Stephen Ball, Hideo Tohira, Paul Bailey, Dan Rose, Deon Brink, Janet Bray, Judith Finn
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Out of hospital cardiac arrest COVID-19 Incidence Survival Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/f7244c4ef9ad4f279292b9278c71b8af
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f7244c4ef9ad4f279292b9278c71b8af
record_format	dspace
spelling	oai:doaj.org-article:f7244c4ef9ad4f279292b9278c71b8af2021-11-26T04:41:03ZNo apparent effect of the COVID-19 pandemic on out-of-hospital cardiac arrest incidence and outcome in Western Australia2666-520410.1016/j.resplu.2021.100183https://doaj.org/article/f7244c4ef9ad4f279292b9278c71b8af2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666520421001089https://doaj.org/toc/2666-5204Background: We examined the incidence, patient and arrest characteristics, and survival outcomes of out-of-hospital cardiac arrest (OHCA) in Western Australia (WA) in the first wave of the COVID-19 pandemic. Methods: Adult OHCA cases attended by St John WA Emergency Medical Service (EMS) between 16th March and 17th May 2020 (‘COVID-19 period’) were compared with those for the same period in 2017-9. We calculated crude OHCA incidence for all OHCA cases and modelled the effect of the ‘COVID-19 period’ on 30-day survival for OHCA cases with EMS attempted resuscitation; comparing our results with those published for Victoria (Australia), which had a higher incidence of COVID-19. Results: In WA there was no significant difference between the 2020 ‘COVID-19 period’ (n = 423) and the same period in 2017-9 (n = 1,334) in the OHCA incidence in adults (117.9 vs 126.1 per 100,000 person-years, p = 0.23). In OHCA cases with EMS-resuscitation attempted, there was no change in bystander cardiopulmonary resuscitation rates. Despite an increase in EMS response time, neither the crude nor risk-adjusted odds ratio (aOR) for 30-day survival in 2020 was significantly different to 2017-9 (11.7% vs 9.6%; p = 0.45) (aOR = 1.19, 95% confidence interval 0.57-2.51, p = 0.65). This contrasts with a significant reduction in survival to hospital discharge reported in Victoria. Conclusion: In WA, with a relatively low incidence of COVID-19, OHCA incidence and survival was not significantly different during the initial wave of the COVID-19 pandemic compared to the three previous years. Our study suggests that OHCA survival may be more closely related to the incidence of COVID-19 in the community, rather than COVID-19 restrictions per se.Milena TalikowskaStephen BallHideo TohiraPaul BaileyDan RoseDeon BrinkJanet BrayJudith FinnElsevierarticleOut of hospital cardiac arrestCOVID-19IncidenceSurvivalSpecialties of internal medicineRC581-951ENResuscitation Plus, Vol 8, Iss , Pp 100183- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Out of hospital cardiac arrest COVID-19 Incidence Survival Specialties of internal medicine RC581-951
spellingShingle	Out of hospital cardiac arrest COVID-19 Incidence Survival Specialties of internal medicine RC581-951 Milena Talikowska Stephen Ball Hideo Tohira Paul Bailey Dan Rose Deon Brink Janet Bray Judith Finn No apparent effect of the COVID-19 pandemic on out-of-hospital cardiac arrest incidence and outcome in Western Australia
description	Background: We examined the incidence, patient and arrest characteristics, and survival outcomes of out-of-hospital cardiac arrest (OHCA) in Western Australia (WA) in the first wave of the COVID-19 pandemic. Methods: Adult OHCA cases attended by St John WA Emergency Medical Service (EMS) between 16th March and 17th May 2020 (‘COVID-19 period’) were compared with those for the same period in 2017-9. We calculated crude OHCA incidence for all OHCA cases and modelled the effect of the ‘COVID-19 period’ on 30-day survival for OHCA cases with EMS attempted resuscitation; comparing our results with those published for Victoria (Australia), which had a higher incidence of COVID-19. Results: In WA there was no significant difference between the 2020 ‘COVID-19 period’ (n = 423) and the same period in 2017-9 (n = 1,334) in the OHCA incidence in adults (117.9 vs 126.1 per 100,000 person-years, p = 0.23). In OHCA cases with EMS-resuscitation attempted, there was no change in bystander cardiopulmonary resuscitation rates. Despite an increase in EMS response time, neither the crude nor risk-adjusted odds ratio (aOR) for 30-day survival in 2020 was significantly different to 2017-9 (11.7% vs 9.6%; p = 0.45) (aOR = 1.19, 95% confidence interval 0.57-2.51, p = 0.65). This contrasts with a significant reduction in survival to hospital discharge reported in Victoria. Conclusion: In WA, with a relatively low incidence of COVID-19, OHCA incidence and survival was not significantly different during the initial wave of the COVID-19 pandemic compared to the three previous years. Our study suggests that OHCA survival may be more closely related to the incidence of COVID-19 in the community, rather than COVID-19 restrictions per se.
format	article
author	Milena Talikowska Stephen Ball Hideo Tohira Paul Bailey Dan Rose Deon Brink Janet Bray Judith Finn
author_facet	Milena Talikowska Stephen Ball Hideo Tohira Paul Bailey Dan Rose Deon Brink Janet Bray Judith Finn
author_sort	Milena Talikowska
title	No apparent effect of the COVID-19 pandemic on out-of-hospital cardiac arrest incidence and outcome in Western Australia
title_short	No apparent effect of the COVID-19 pandemic on out-of-hospital cardiac arrest incidence and outcome in Western Australia
title_full	No apparent effect of the COVID-19 pandemic on out-of-hospital cardiac arrest incidence and outcome in Western Australia
title_fullStr	No apparent effect of the COVID-19 pandemic on out-of-hospital cardiac arrest incidence and outcome in Western Australia
title_full_unstemmed	No apparent effect of the COVID-19 pandemic on out-of-hospital cardiac arrest incidence and outcome in Western Australia
title_sort	no apparent effect of the covid-19 pandemic on out-of-hospital cardiac arrest incidence and outcome in western australia
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/f7244c4ef9ad4f279292b9278c71b8af
work_keys_str_mv	AT milenatalikowska noapparenteffectofthecovid19pandemiconoutofhospitalcardiacarrestincidenceandoutcomeinwesternaustralia AT stephenball noapparenteffectofthecovid19pandemiconoutofhospitalcardiacarrestincidenceandoutcomeinwesternaustralia AT hideotohira noapparenteffectofthecovid19pandemiconoutofhospitalcardiacarrestincidenceandoutcomeinwesternaustralia AT paulbailey noapparenteffectofthecovid19pandemiconoutofhospitalcardiacarrestincidenceandoutcomeinwesternaustralia AT danrose noapparenteffectofthecovid19pandemiconoutofhospitalcardiacarrestincidenceandoutcomeinwesternaustralia AT deonbrink noapparenteffectofthecovid19pandemiconoutofhospitalcardiacarrestincidenceandoutcomeinwesternaustralia AT janetbray noapparenteffectofthecovid19pandemiconoutofhospitalcardiacarrestincidenceandoutcomeinwesternaustralia AT judithfinn noapparenteffectofthecovid19pandemiconoutofhospitalcardiacarrestincidenceandoutcomeinwesternaustralia
_version_	1718409818567344128

No apparent effect of the COVID-19 pandemic on out-of-hospital cardiac arrest incidence and outcome in Western Australia

Ejemplares similares