Evidence map›Paper›PMID 34031648›Full record

ArticleResuscitation plus2020

Preparedness of personal protective equipment and implementation of new CPR strategies for patients with out-of-hospital cardiac arrest in the COVID-19 era.

Jae Wan Cho, Haewon Jung, Mi Jin Lee, Sang Hun Lee, Suk Hee Lee, You Ho Mun, Han-Sol Chung, Yang Hun Kim, Gyun Moo Kim, Sin-Youl Park and 3 more

Open access · goldAbstract read
In one paragraph

Article in Resuscitation plus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 5 pooled it
5.9field-weighted citation impact, top 3% 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

15 citing papers in PubMed, 5 syntheses or guidelines pooled it, 29 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

13 authors at 6 institutions in 1 country.

Jae Wan ChoDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Haewon JungDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Mi Jin LeeDepartment of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Sang Hun LeeDepartment of Emergency Medicine, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.
Suk Hee LeeDepartment of Emergency Medicine, Catholic University of Daegu School of Medicine, Daegu, Republic of Korea.
You Ho MunDepartment of Emergency Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.
Han-Sol ChungDepartment of Emergency Medicine, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.
Yang Hun KimDepartment of Emergency Medicine, Daegu Fatima Hospital, Daegu, Republic of Korea.
Gyun Moo KimDepartment of Emergency Medicine, Catholic University of Daegu School of Medicine, Daegu, Republic of Korea.
Sin-Youl ParkDepartment of Emergency Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.
Jae Cheon JeonDepartment of Emergency Medicine, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.
Changho KimDepartment of Emergency Medicine, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.
WinCOVID-19 consortium
Daegu Catholic University · KRKyungpook National University · KRKyungpook National University Hospital · KRYeungnam University · KRDaegu Fatima Hospital · KRKeimyung University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn February and March 2020, healthcare providers and citizens in Daegu, South Korea, experienced the onslaught of a large-scale community epidemic of COVID-19. This had a profound impact on patients who experienced out-of-hospital cardiac arrest (OHCA).

methodsWe conducted a retrospective observational study of 171 OHCA patients based on the multicenter WinCOVID registry. Demographic and clinical characteristics, overall survival, COVID-19 related data, as well as personal protective equipment (PPE) and resuscitation techniques used during the COVID-19 outbreak were evaluated and compared with outcomes from a 2018 historical cohort (n ​= ​158).

resultsAmong the interventions, high-level PPE was introduced and standard cardiopulmonary resuscitation was changed to chest compressions using mechanical devices. All OHCA patients were treated as confirmed or suspicious for COVID-19 regardless of symptoms. Furthermore, complete or partial closures of emergency centers and the number of medical personnel requiring self-isolation decreased in response to the introduction of isolated resuscitation units. However, the adjusted odds ratio and 95% confidence intervals for survival discharge and favorable neurologic outcome were 0.51 (0.25-0.97) and 0.45 (0.21-1.07) compared with those in the 2018 historical cohort.

conclusionsResponses to the COVID-19 pandemic included changes to current PPE strategies and introduction of isolated resuscitation units; the latter intervention reduced the number of unexpected closures and quarantines of emergency resources early on during the COVID-19 outbreak. Given the possibility of future outbreaks, we need to have revised resuscitation strategies and the capacity to commandeer emergency resources for OHCA patients.

Indexed as

Cardiopulmonary resuscitationCoronavirus diseaseEmergency departmentHeart arrestPrognosisStandard precautions

Identifiers

PMID34031648
PMCPMC7315986
OpenAlexW3037064061

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.