계명대학교 의학도서관 Repository

Impact of the COVID-19 outbreak on adult out-of-hospital cardiac arrest outcomes in Daegu, South Korea: an observational study

Metadata Downloads
Affiliated Author(s)
이상훈
Alternative Author(s)
Lee, Sang Hun
Journal Title
Clin Exp Emerg Med
ISSN
2383-4625
Issued Date
2021
Keyword
COVID-19Out-of-hospital cardiac arrestCardiopulmonary resuscitationPrognosis
Abstract
Objective:
This study aimed to compare the outcomes of adult out-of-hospital cardiac arrest (OHCA) before and after the coronavirus disease 2019 (COVID-19) outbreak in a large metropolitan city.

Methods:
This before-and-after observational study used a prospective citywide OHCA registry. Adult patients with emergency medical service-treated OHCA, with presumed cardiac etiology, pre- and post-COVID-19 outbreak were enrolled. The study period spanned 2 months, starting from February 18, 2020. The control period was 2 months from February 18, 2019. The primary and secondary outcomes were good neurologic outcome and survival to hospital discharge, respectively. The association between the COVID-19 outbreak and OHCA outcomes was assessed using multivariable logistic regression analysis.

Results:
This study analyzed 297 OHCA patients (control period, 145; study period, 152). The bystander cardiopulmonary resuscitation rates were 64.8% and 60.5% during the control and study periods, respectively. Response and on-scene times increased by 2 minutes, supraglottic airway use increased by 35.6%, and mechanical chest compression device use increased by 13% post-COVID-19 outbreak. Good neurologic outcome was significantly lower during the study period in overall OHCAs (adjusted odds ratio, 0.23; 95% confidence interval, 0.05–0.98) and in witnessed OHCAs (adjusted odds ratio, 0.14; 95% confidence interval, 0.02–0.90). No significant difference was found in the survival to hospital discharge of OHCA patients between the two periods.

Conclusion:
During the COVID-19 pandemic, the response and on-scene times were longer, and good neurologic outcome was significantly lower than that in the control period.
Department
Dept. of Emergency Medicine (응급의학)
Publisher
School of Medicine (의과대학)
Citation
Jae Yun Ahn et al. (2021). Impact of the COVID-19 outbreak on adult out-of-hospital cardiac arrest outcomes in Daegu, South Korea: an observational study. Clin Exp Emerg Med, 8(2), 137–144. doi: 10.15441/ceem.21.008
Type
Article
ISSN
2383-4625
DOI
10.15441/ceem.21.008
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43672
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.