Unraveling the Consequences of the COVID-19 Pandemic on Out-of-hospital Cardiac Arrest: A Systematic Review and Meta-analysis
Eurasian Journal of Emergency Medicine · 2023-08-18 · Meta-analysis
Abstract
Aim: The aim of this systematic review and meta-analysis was to assess the influence of the Coronavirus disease-2019 (COVID-19) pandemic on the incidence, characteristics, and clinical consequences of out-of-hospital cardiac arrest (OHCA). Materials and Methods:We searched PubMed, Embase, Scopus, Web of Science, and Cochrane Library databases up to May 30, 2023 for studies containing comparative data of OHCA patients in COVID-19 and pre-pandemic periods.Results: A total of 35 articles concerning to 34 studies screening based on the inclusion criteria.COVID-19 was associated with higher incidence of OHCA at home compared with the pre-pandemic period (p<0.001),longer emergency medical services arrival time (p<0.001),longer on-scene time (p<0.001),as well as reduction of shockable rhythms (p=0.02).COVID-19 compared with the pre-pandemic period was associated with lower survival to hospital admission (11.2% vs. 19.3%;p<0.001).Survival to hospital discharge (SHD) was 4.8% vs. 12.9%, respectively (p<0.001), while SHD with a good neurological outcome also varied and amounted to 3.6% vs. 5.8%, respectively (p<0.001).Conclusion: COVID-19, compared with the pre-pandemic period, was characterized by a reduced rate of defibrillation rhythms during OHCA, as well as a worse prognosis in terms of both survival to hospital admission, SHD, and SHD good neurological outcome.
Abstract © the authors or publisher, via OpenAlex. Reuse and removal
Tags
COVID-19 pandemic · Mortality & survival · Quality of life & function · Time intervals
Related articles
- Comparison of out-of-hospital cardiac arrests during the COVID-19 pandemic with those before the pandemic: an updated systematic review and meta-analysis. (Front Public Health, 2023)
- The Incidence and Outcomes of Out-of-Hospital Cardiac Arrest During the COVID-19 Pandemic in South Korea: Multicenter Registry Study. (JMIR Public Health Surveill, 2024)
- 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 Emerg Med, 2024)
- Out-of-hospital cardiac arrest patients during the coronavirus disease 2019 pandemic. (Sci Rep, 2023)
- The Influence of the COVID-19 Pandemic on Emergency Medical Services to Out-of-Hospital Cardiac Arrests in a Low-Incidence Urban City: An Observational Epidemiological Analysis. (Int J Environ Res Public Health, 2023)
- Impact of the COVID-19 pandemic on emergency medical service response to out-of-hospital cardiac arrests in Taiwan: a retrospective observational study. (Emerg Med J, 2021)