ArticleThe American journal of emergency medicine2021
Effects of the COVID-19 pandemic on out-of-hospital cardiac arrest care in Detroit.
Article in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Comparison of out-of-hospital cardiac arrests during the COVID-19 pandemic with those before the pandemic: an updated systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- 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 · 2022Pooled it
- Structural Reconfiguration of the Time-Valid Cohort and Stage-Specific Reversal of Prehospital Time-Outcome Associations During the COVID-19 Pandemic.Medicina (Kaunas, Lithuania) · 2026Observational
- Article
- Article
- Reshaping Emergency Care: Dynamics of OHCA and STEMI in a Three-Year Analysis.Epidemiologia (Basel, Switzerland) · 2024Article
- Out-of-Hospital Cardiac Arrest Before and During the COVID-19 Pandemic in Hong Kong: Registry-Based Study From 2017 to 2023.JMIR public health and surveillance · 2024Article
- Acute care pathway assessed through performance indicators during the COVID-19 pandemic in OECD countries (2020-2021): a scoping review.BMC emergency medicine · 2024Article
- Impact of the COVID-19 pandemic on prehospital and in-hospital treatment and outcomes of patients after out-of-hospital cardiac arrest: a Japanese multicenter cohort study.BMC emergency medicine · 2024Article
- "When," "Where," and "How" of SARS-CoV-2 Infection Affects the Human Cardiovascular System: A Narrative Review.Balkan medical journal · 2024Review
- Out-of-hospital cardiac arrest patients during the coronavirus disease 2019 pandemic.Scientific reports · 2023Article
- Treatment and outcome variation in out-of-hospital cardiac arrest among four urban hospitals in Detroit.Resuscitation · 2023Article
- Impact of Coronavirus Disease 2019 Pandemic on Cardiac Arrest and Emergency Care.Heart failure clinics · 2023Review
- Perspective of emergency medical services (EMS) professionals on changes in resources, cardiac arrest care and burnout in Texas during the COVID-19 pandemic.The American journal of emergency medicine · 2022Article
- Cardiopulmonary resuscitation missed by bystanders: Collateral damage of coronavirus disease 2019.Acta anaesthesiologica Scandinavica · 2022Article
- Readiness of Bystander Cardiopulmonary Resuscitation (BCPR) during the COVID-19 Pandemic: A Review.International journal of environmental research and public health · 2022Review
- Impact of Coronavirus Disease 2019 Pandemic on Cardiac Arrest and Emergency Care.Cardiology clinics · 2022Review
- Occurrence and Temporal Variability of Out-of-Hospital Cardiac Arrest during COVID-19 Pandemic in Comparison to the Pre-Pandemic Period in Poland-Observational Analysis of OSCAR-POL Registry.Journal of clinical medicine · 2022Article
- Clinical update on COVID-19 for the emergency clinician: Cardiac arrest in the out-of-hospital and in-hospital settings.The American journal of emergency medicine · 2022Review
- The impact of COVID-19 on incidence and outcomes from out-of-hospital cardiac arrest (OHCA) in Texas.The American journal of emergency medicine · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn response to the COVID-19 pandemic in Detroit, an earlier termination of resuscitation protocol was initiated in March 2020. To characterize pre-hospital cardiac arrest careduring COVID-19 in Detroit, we analyzed out-of-hospital cardiac arrest (OHCA) rate of ROSC (return of spontaneous circulation) and patient characteristics before and during the COVID-19 pandemic.
methodsOHCA data was analyzed between March 10th, 2020 - April 30th, 2020 and March 10th, 2019 - April 30th, 2019. ROSC, patient demographics, arrest location, initial rhythms, bystander CPR and field termination were compared before and during the pandemic. Descriptive statistics were utilized to compare arrest characteristics between years, and the odds of achieving vs. not achieving ROSC. 2020 vs. 2019 as a predictor for ROSC was assessed with logistic regression.
results471 patients were included. Arrests increased to 291 during the pandemic vs. 180 in 2019 (62% increase). Age (mean difference + 6; 95% CI: +2.4 to +9.5), arrest location (nursing home OR = 2.42; 95% CI: 1.42-4.31; public place OR = 0.47; 95% CI: 0.25-0.88), BLS response (OR = 0.68; 95% CI: 0.47-0.99), and field termination of resuscitation (OR = 2.36; 95% CI: 1.36-4.07) differed significantly in 2020 compared to 2019. No significant difference was found in the confounder-adjusted odds of ROSC in 2020 vs 2019 (OR = 0.61; 95% CI: 0.34-1.11).
conclusionOHCA increased by 62% during COVID-19 in Detroit, without a significant change in prehospital ROSC. The rate of ROSC remained similar despite the implementation of an early termination of resuscitation protocol in response to COVID-19.
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