Evidence map›Paper›PMID 34876368›Full record

ArticleAustralasian emergency care2022

Effect of delayed transport on clinical outcomes among patients with cardiac arrest during the coronavirus disease 2019 pandemic.

Hosub Chung, Myeong Namgung, Dong Hoon Lee, Yoon Hee Choi, Sung Jin Bae

Open access · greenAbstract read
In one paragraph

Article in Australasian emergency care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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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

5 authors at 3 institutions in 1 country.

Hosub ChungDepartment of Emergency Medicine, Ewha Womans University Mokdong Hospital, College of Medicine, Ewha Womans University, 1071, Anyangcheon-ro, Yangcheon-gu, Seoul, Republic of Korea; Department of Emergency Medicine, Graduate school of Medicine, Seoul, Chung-Ang University, 102, Heukseok-ro, Dongjak-gu, Seoul, Republic of Korea. Electronic address: hoshap@cau.ac.kr.
Myeong NamgungDepartment of emergency medicine, College of Medicine, Seoul, Chung-Ang University, Emergency medicine, Chung-Ang university hospital, 102, Heukseok-ro, Dongjak-gu, Seoul, Republic of Korea. Electronic address: myeong15180@caumc.or.kr.
Dong Hoon LeeDepartment of emergency medicine, College of Medicine, Seoul, Chung-Ang University, Emergency medicine, Chung-Ang university hospital, 102, Heukseok-ro, Dongjak-gu, Seoul, Republic of Korea. Electronic address: emdhlee@cau.ac.kr.
Yoon Hee ChoiDepartment of Emergency Medicine, Ewha Womans University Mokdong Hospital, College of Medicine, Ewha Womans University, 1071, Anyangcheon-ro, Yangcheon-gu, Seoul, Republic of Korea. Electronic address: unii@ewha.ac.kr.
Sung Jin BaeDepartment of emergency medicine, College of Medicine, Seoul, Chung-Ang University, Emergency medicine, Chung-Ang university hospital, 102, Heukseok-ro, Dongjak-gu, Seoul, Republic of Korea. Electronic address: uzimuz85@caumc.or.kr.
Chung-Ang University Hospital · KRChung-Ang University · KREwha Womans University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) pandemic has prompted many changes. Revised cardiopulmonary resuscitation (CPR) recommendations were issued including increased requirement for personal protective equipment (PPE) during CPR and isolation rooms. We hypothesized that these changes might have affected transport times and distance. Accordingly, we investigated any differences in transport time and distance and their effect on patient neurologic outcomes at hospital discharge.

methodsThis retrospective study was conducted among patients who experienced cardiopulmonary arrest and were admitted to an emergency department during specific periods - pre-COVID-19 (January 1 to December 31, 2019) and COVID-19 (March 1, 2020, to February 28, 2021).

resultThe mean transport distance was 3.5 ± 2.1 km and 3.7 ± 2.3 km during the pre-COVID-19 and COVID-19 periods, respectively (p = 0.664). The mean total transport time was 30.3 ± 6.9 min and 35.6 ± 9.3 min during the pre-COVID-19 and COVID-19 periods, respectively (p < 0.001). The mean activation time was 1.5 ± 2.2 min and 2.9 ± 4.5 min during the pre-COVID-19 and COVID-19 periods, respectively (p = 0.003). The mean transport time was 9.3 ± 3.5 min and 11.5 ± 6 min during the pre-COVID-19 and COVID-19 periods, respectively (p = 0.001).

conclusionTotal transport time, including activation time for out-of-hospital cardiac arrest patients, increased owing to increased PPE requirements. However, there was no significant difference in the neurological outcome at hospital discharge.

Indexed as

Cardiopulmonary ResuscitationCOVID-19Out-of-Hospital Cardiac ArrestHumansPandemicsRetrospective StudiesCOVID19EMSOHCATransport distanceTransport time

Identifiers

PMID34876368
PMCPMC8629739
OpenAlexW3216309021

What OpenQuestion holds

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Registered trials

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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.