Unraveling the Consequences of the COVID-19 Pandemic on Out-of-hospital Cardiac Arrest: A Systematic Review and Meta-analysis
dc.contributor.author | Dabkowski, Miroslaw | |
dc.contributor.author | Swieczkowski, Damian | |
dc.contributor.author | Pruc, Michal | |
dc.contributor.author | Cander, Basar | |
dc.contributor.author | Gul, Mehmet | |
dc.contributor.author | Bragazzi, Nicola | |
dc.contributor.author | Szarpak, Lukasz | |
dc.date.accessioned | 2024-02-23T14:38:08Z | |
dc.date.available | 2024-02-23T14:38:08Z | |
dc.date.issued | 2023 | |
dc.department | NEÜ | en_US |
dc.description.abstract | Aim: The aim of this systematic review and meta-analysis was to assess the influence of the Coronavirus disease-2019 (COVID-19) pandemic on the incidence, characteristics, and clinical consequences of out-of-hospital cardiac arrest (OHCA).Materials and Methods: We searched PubMed, Embase, Scopus, Web of Science, and Cochrane Library databases up to May 30, 2023 for studies containing comparative data of OHCA patients in COVID-19 and pre-pandemic periods.Results: A total of 35 articles concerning to 34 studies screening based on the inclusion criteria. COVID-19 was associated with higher incidence of OHCA at home compared with the pre-pandemic period (p<0.001), longer emergency medical services arrival time (p<0.001), longer on-scene time (p<0.001), as well as reduction of shockable rhythms (p=0.02). COVID-19 compared with the pre-pandemic period was associated with lower survival to hospital admission (11.2% vs. 19.3%; p<0.001). Survival to hospital discharge (SHD) was 4.8% vs. 12.9%, respectively (p<0.001), while SHD with a good neurological outcome also varied and amounted to 3.6% vs. 5.8%, respectively (p<0.001).Conclusion: COVID-19, compared with the pre-pandemic period, was characterized by a reduced rate of defibrillation rhythms during OHCA, as well as a worse prognosis in terms of both survival to hospital admission, SHD, and SHD good neurological outcome. | en_US |
dc.description.sponsorship | ERC Research Net; Polish Society of Disaster Medicine | en_US |
dc.description.sponsorship | The study was supported by the ERC Research Net and the Polish Society of Disaster Medicine. | en_US |
dc.identifier.doi | 10.4274/eajem.galenos.2023.54037 | |
dc.identifier.endpage | 145 | en_US |
dc.identifier.issn | 2149-5807 | |
dc.identifier.issn | 2149-6048 | |
dc.identifier.issue | 3 | en_US |
dc.identifier.startpage | 135 | en_US |
dc.identifier.uri | https://doi.org/10.4274/eajem.galenos.2023.54037 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12452/16362 | |
dc.identifier.volume | 22 | en_US |
dc.identifier.wos | WOS:001115771500001 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.language.iso | en | en_US |
dc.publisher | Galenos Publ House | en_US |
dc.relation.ispartof | Eurasian Journal Of Emergency Medicine | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Out-Of-Hospital Cardiac Arrest | en_US |
dc.subject | Ohca | en_US |
dc.subject | Outcome | en_US |
dc.subject | Survival | en_US |
dc.subject | Sars-Cov-2 | en_US |
dc.subject | Covid-19 | en_US |
dc.title | Unraveling the Consequences of the COVID-19 Pandemic on Out-of-hospital Cardiac Arrest: A Systematic Review and Meta-analysis | en_US |
dc.type | Review Article | en_US |