Please use this identifier to cite or link to this item: https://doi.org/10.1038/s41598-021-04749-9
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
Authors: Masuda, Y
Teoh, SE
Yeo, JW
Tan, DJH
Jimian, DL 
Lim, SL 
Ong, MEH 
Blewer, AL 
Ho, AFW 
Keywords: Aged
Aged, 80 and over
COVID-19
Cardiopulmonary Resuscitation
Emergency Medical Services
Female
Hospitals
Humans
Male
Middle Aged
Out-of-Hospital Cardiac Arrest
Pandemics
Issue Date: 1-Dec-2022
Publisher: Springer Science and Business Media LLC
Citation: Masuda, Y, Teoh, SE, Yeo, JW, Tan, DJH, Jimian, DL, Lim, SL, Ong, MEH, Blewer, AL, Ho, AFW (2022-12-01). 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 12 (1) : 800-. ScholarBank@NUS Repository. https://doi.org/10.1038/s41598-021-04749-9
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.
Source Title: Scientific Reports
URI: https://scholarbank.nus.edu.sg/handle/10635/228737
ISSN: 20452322
DOI: 10.1038/s41598-021-04749-9
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