Unraveling the Consequences of the COVID-19 Pandemic on Out-of-hospital Cardiac Arrest: A Systematic Review and Meta-analysis

dc.contributor.authorDabkowski, Miroslaw
dc.contributor.authorSwieczkowski, Damian
dc.contributor.authorPruc, Michal
dc.contributor.authorCander, Basar
dc.contributor.authorGul, Mehmet
dc.contributor.authorBragazzi, Nicola
dc.contributor.authorSzarpak, Lukasz
dc.date.accessioned2024-02-23T14:38:08Z
dc.date.available2024-02-23T14:38:08Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractAim: 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.sponsorshipERC Research Net; Polish Society of Disaster Medicineen_US
dc.description.sponsorshipThe study was supported by the ERC Research Net and the Polish Society of Disaster Medicine.en_US
dc.identifier.doi10.4274/eajem.galenos.2023.54037
dc.identifier.endpage145en_US
dc.identifier.issn2149-5807
dc.identifier.issn2149-6048
dc.identifier.issue3en_US
dc.identifier.startpage135en_US
dc.identifier.urihttps://doi.org/10.4274/eajem.galenos.2023.54037
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16362
dc.identifier.volume22en_US
dc.identifier.wosWOS:001115771500001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofEurasian Journal Of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectOut-Of-Hospital Cardiac Arresten_US
dc.subjectOhcaen_US
dc.subjectOutcomeen_US
dc.subjectSurvivalen_US
dc.subjectSars-Cov-2en_US
dc.subjectCovid-19en_US
dc.titleUnraveling the Consequences of the COVID-19 Pandemic on Out-of-hospital Cardiac Arrest: A Systematic Review and Meta-analysisen_US
dc.typeReview Articleen_US

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