Evidence map›Paper›PMID 35039578›Full record

SynthesisScientific reports2022

Variation in community and ambulance care processes for out-of-hospital cardiac arrest during the COVID-19 pandemic: a systematic review and meta-analysis.

Yoshio Masuda, Seth En Teoh, Jun Wei Yeo, Darren Jun Hao Tan, Daryl Lin Jimian, Shir Lynn Lim, Marcus Eng Hock Ong, Audrey L Blewer, Andrew Fu Wah Ho

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
9.2field-weighted citation impact, top 1% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Exploring Prehospital Data for Pandemic Preparedness: A Western Brazilian Amazon Case Study on COVID-19.International journal of environmental research and public health · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Impact of COVID-19 on out-of-hospital cardiac arrest care processes.Journal of paramedic practice : the clinical monthly for emergency care professionals · 2023
    Article
  18. Review
  19. Review
  20. Article
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

9 authors at 5 institutions in 2 countries.

Yoshio Masuda *Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Seth En Teoh *Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jun Wei YeoYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Darren Jun Hao TanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Daryl Lin JimianYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Shir Lynn LimDepartment of Cardiology, National University Heart Center, Singapore, Singapore.
Marcus Eng Hock OngDepartment of Emergency Medicine, Singapore General Hospital, C/O Office C, 1 Outram Rd, Singapore, 169608, Singapore.
Audrey L BlewerDepartment of Family Medicine and Community Health and Department of Population Health Sciences, Duke University, Durham, NC, USA.
Andrew Fu Wah HoDepartment of Emergency Medicine, Singapore General Hospital, C/O Office C, 1 Outram Rd, Singapore, 169608, Singapore. andrew.ho@duke-nus.edu.sg.
National University of Singapore · SGDuke-NUS Medical School · SGDuke University · USNational University Heart Centre Singapore · SGSingapore General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bystander cardiopulmonary resuscitation (BCPR), early defibrillation and timely treatment by emergency medical services (EMS) can double the chance of survival from out-of-hospital sudden cardiac arrest (OHCA). We investigated the effect of the COVID-19 pandemic on the pre-hospital chain of survival. We searched five bibliographical databases for articles that compared prehospital OHCA care processes during and before the COVID-19 pandemic. Random effects meta-analyses were conducted, and meta-regression with mixed-effect models and subgroup analyses were conducted where appropriate. The search yielded 966 articles; 20 articles were included in our analysis. OHCA at home was more common during the pandemic (OR 1.38, 95% CI 1.11-1.71, p = 0.0069). BCPR did not differ during and before the COVID-19 pandemic (OR 0.94, 95% CI 0.80-1.11, p = 0.4631), although bystander defibrillation was significantly lower during the COVID-19 pandemic (OR 0.65, 95% CI 0.48-0.88, p = 0.0107). EMS call-to-arrival time was significantly higher during the COVID-19 pandemic (SMD 0.27, 95% CI 0.13-0.40, p = 0.0006). Resuscitation duration did not differ significantly between pandemic and pre-pandemic timeframes. The COVID-19 pandemic significantly affected prehospital processes for OHCA. These findings may inform future interventions, particularly to consider interventions to increase BCPR and improve the pre-hospital chain of survival.

Indexed as

PandemicsAgedAged, 80 and overCardiopulmonary ResuscitationCOVID-19Emergency Medical ServicesFemaleHospitalsHumansMaleMiddle AgedOut-of-Hospital Cardiac Arrest

Identifiers

PMID35039578
PMCPMC8764072
OpenAlexW4225993864

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.