Evidence map›Paper›PMID 36079106›Full record

ArticleJournal of clinical medicine2022

Management of Out-of-Hospital Cardiac Arrest during COVID-19: A Tale of Two Cities.

Shir Lynn Lim, Lekshmi Kumar, Seyed Ehsan Saffari, Nur Shahidah, Rabab Al-Araji, Qin Xiang Ng, Andrew Fu Wah Ho, Shalini Arulanandam, Benjamin Sieu-Hon Leong, Nan Liu and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. 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

13 authors at 5 institutions in 2 countries.

Shir Lynn LimDepartment of Cardiology, National University Heart Centre, Singapore 119228, Singapore.ORCID 0000-0002-1151-2357
Lekshmi KumarDepartment of Emergency Medicine, Section of Prehospital and Disaster Medicine, Emory University, Atlanta, GA 30322, USA.
Seyed Ehsan SaffariCenter for Quantitative Medicine, Duke-NUS Medical School, National University of Singapore, Singapore 169857, Singapore.ORCID 0000-0002-6473-4375
Nur ShahidahDepartment of Emergency Medicine, Singapore General Hospital, Singapore 169608, Singapore.ORCID 0000-0003-4522-5273
Rabab Al-ArajiRollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Qin Xiang NgEmergency Medical Services Department, Singapore Civil Defence Force, Singapore 408827, Singapore.
Andrew Fu Wah HoPre-Hospital and Emergency Research Centre, Health Services and Systems Research, Duke-NUS Medical School, National University of Singapore, Singapore 169857, Singapore.ORCID 0000-0003-4338-3876
Shalini ArulanandamEmergency Medical Services Department, Singapore Civil Defence Force, Singapore 408827, Singapore.
Benjamin Sieu-Hon LeongEmergency Department, National University Hospital, Singapore 119074, Singapore.ORCID 0000-0003-1403-8993
Nan LiuPre-Hospital and Emergency Research Centre, Health Services and Systems Research, Duke-NUS Medical School, National University of Singapore, Singapore 169857, Singapore.
Fahad Javaid SiddiquiPre-Hospital and Emergency Research Centre, Health Services and Systems Research, Duke-NUS Medical School, National University of Singapore, Singapore 169857, Singapore.
Bryan McNallyDepartment of Emergency Medicine, Section of Prehospital and Disaster Medicine, Emory University, Atlanta, GA 30322, USA.
Marcus Eng Hock OngPre-Hospital and Emergency Research Centre, Health Services and Systems Research, Duke-NUS Medical School, National University of Singapore, Singapore 169857, Singapore.ORCID 0000-0001-7874-7612
National University of Singapore · SGEmory University · USMinistry of Defence · SGNational University Hospital · SGSingapore General Hospital · SG

Funding

National Medical Research Council NMRC/CSA-SI/0014/2017
6 · The paper itself

Abstract

Variations in the impact of the COVID-19 pandemic on out-of-hospital cardiac arrest (OHCA) have been reported. We aimed to, using population-based registries, compare community response, Emergency Medical Services (EMS) interventions and outcomes of adult, EMS-treated, non-traumatic OHCA in Singapore and metropolitan Atlanta, before and during the pandemic. Associations of OHCA characteristics, pre-hospital interventions and pandemic with survival to hospital discharge were analyzed using logistic regression. There were 2084 cases during the pandemic (17 weeks from the first confirmed COVID-19 case) and 1900 in the pre-pandemic period (corresponding weeks in 2019). Compared to Atlanta, OHCAs in Singapore were older, received more bystander interventions (cardiopulmonary resuscitation (CPR): 65.0% vs. 41.4%; automated external defibrillator application: 28.6% vs. 10.1%), yet had lower survival (5.6% vs. 8.1%). Compared to the pre-pandemic period, OHCAs in Singapore and Atlanta occurred more at home (adjusted odds ratio (aOR) 2.05 and 2.03, respectively) and were transported less to hospitals (aOR 0.59 and 0.36, respectively) during the pandemic. Singapore reported more witnessed OHCAs (aOR 1.96) yet less bystander CPR (aOR 0.81) during pandemic, but not Atlanta (p < 0.05). The impact of COVID-19 on OHCA outcomes did not differ between cities. Changes in OHCA characteristics and management during the pandemic, and differences between Singapore and Atlanta were likely the result of systemic and sociocultural factors.

Indexed as

cardiac arrestpandemicpre-hospital interventionssurvival to hospital discharge

Identifiers

PMID36079106
PMCPMC9457434
OpenAlexW4294147813

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.