Evidence map›Paper›PMID 33426536›Full record

ArticleResuscitation plus2021

Management of first responder programmes for out-of-hospital cardiac arrest during the COVID-19 pandemic in Europe.

Linn Andelius, Iris Oving, Fredrik Folke, Corina de Graaf, Remy Stieglis, Julie Samsoee Kjoelbye, Carolina Malta Hansen, Rudolph W Koster, Hanno L Tan, Marieke T Blom and 1 more

Open access · goldAbstract read
In one paragraph

Article in Resuscitation plus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 32 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Linn AndeliusCopenhagen Emergency Medical Services, University of Copenhagen, Denmark.
Iris OvingDepartment of Cardiology, Heart Center, Amsterdam University Medical Centres, Academic Medical Center, University of Amsterdam, The Netherlands.
Fredrik FolkeCopenhagen Emergency Medical Services, University of Copenhagen, Denmark.
Corina de GraafDepartment of Cardiology, Heart Center, Amsterdam University Medical Centres, Academic Medical Center, University of Amsterdam, The Netherlands.
Remy StieglisDepartment of Cardiology, Heart Center, Amsterdam University Medical Centres, Academic Medical Center, University of Amsterdam, The Netherlands.
Julie Samsoee KjoelbyeCopenhagen Emergency Medical Services, University of Copenhagen, Denmark.
Carolina Malta HansenCopenhagen Emergency Medical Services, University of Copenhagen, Denmark.
Rudolph W KosterDepartment of Cardiology, Heart Center, Amsterdam University Medical Centres, Academic Medical Center, University of Amsterdam, The Netherlands.
Hanno L TanDepartment of Cardiology, Heart Center, Amsterdam University Medical Centres, Academic Medical Center, University of Amsterdam, The Netherlands.
Marieke T BlomDepartment of Cardiology, Heart Center, Amsterdam University Medical Centres, Academic Medical Center, University of Amsterdam, The Netherlands.
ESCAPE-NET investigators
Amsterdam UMC Location University of Amsterdam · NLUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimFirst responder (FR) programmes dispatch professional FRs (police and/or firefighters) or citizen responders to perform cardiopulmonary resuscitation (CPR) and use automated external defibrillators (AED) in out-of-hospital cardiac arrest (OHCA). We aimed to describe management of FR-programmes across Europe in response to the Coronavirus Disease 2019 (COVID-19) pandemic.

methodsIn June 2020, we conducted a cross-sectional survey sent to OHCA registry representatives in 18 European countries with active FR-programmes. The survey was administered by e-mail and included questions regarding management of both citizen responder and FR-programmes. A follow-up question was conducted in October 2020 assessing management during a potential "second wave" of COVID-19.

resultsAll representatives responded (response rate = 100%). Fourteen regions dispatched citizen responders and 17 regions dispatched professional FRs (9 regions dispatched both). Responses were post-hoc divided into three categories: FR activation continued unchanged, FR activation continued with restrictions, or FR activation temporarily paused. For citizen responders, regions either temporarily paused activation (n = 7, 50.0%) or continued activation with restrictions (n = 7, 50.0%). The most common restriction was to omit rescue breaths and perform compression-only CPR. For professional FRs, nine regions continued activation with restrictions (52.9%) and five regions (29.4%) continued activation unchanged, but with personal protective equipment available for the professional FRs. In three regions (17.6%), activation of professional FRs temporarily paused.

conclusionMost regions changed management of FR-programmes in response to the COVID-19 pandemic. Studies are needed to investigate the consequences of pausing or restricting FR-programmes for bystander CPR and AED use, and how this may impact patient outcome.

Indexed as

AEDCitizen responderCoronaCPROHCA

Identifiers

PMID33426536
PMCPMC7778367
OpenAlexW3119936718

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.