Objective: The coronavirus disease 2019 (COVID-19) pandemic changed the time-dependent cardiac arrest network. This study aims to understand whether the rescue standards of cardiopulmonary resuscitation (CPR) and out-of-hospital cardiac arrest (OHCA) were handled differently during pandemic compared to the previous year. Methods: Data for the years 2019 and 2020 were provided by the records of the Lombardy office of the Regional Agency for Emergency and Urgency. We analysed where the cardiac arrest occurred, when CPR started and whether the bystanders used public access to defibrillation (PAD). Results: During 2020, there was a reduction in CPRs performed by bystanders (odds ratio [OR] = 0.936 [95% confidence interval (CI95%) 0.882–0.993], p =.029) and in the return of spontaneous circulation (ROSC) (OR = 0.621 [CI95% 0.563–0.685], p <.0001), while there was no significant reduction in the use of PAD. Analysing only March, the period of the first wave in Lombardy, the comparison shows a reduction in bystanders CPRs (OR = 0.727 [CI95% 0.602–0.877], p =.0008), use of PAD (OR = 0.441 [CI95% 0.272–0.716], p =.0009) and in ROSC (OR = 0.179 [CI95% 0.124–0.257], p <.0001). These phenomena could be influenced by the different settings in which the OHCAs occurred; in fact, those that occurred in public places with a mandatory PAD were strongly reduced (OR = 0.49 [CI95%, 0.44–0.55], p <.0001). Conclusions: COVID-19 had a profound impact on the time-dependant OHCA network. During the first pandemic wave, CPR and PAD used by bystanders decreased. The different contexts in which OHCAs occurred may partially explain these differences.

Cardiopulmonary resuscitation missed by bystanders: Collateral damage of coronavirus disease 2019 / Stirparo, G.; Fagoni, N.; Bellini, L.; Oradini-Alacreu, A.; Migliari, M.; Villa, G. F.; Botteri, M.; Signorelli, C.; Sechi, G. M.; Zoli, A.. - In: ACTA ANAESTHESIOLOGICA SCANDINAVICA. - ISSN 0001-5172. - (2022). [10.1111/aas.14117]

Cardiopulmonary resuscitation missed by bystanders: Collateral damage of coronavirus disease 2019

Stirparo G.;Bellini L.;Signorelli C.;
2022-01-01

Abstract

Objective: The coronavirus disease 2019 (COVID-19) pandemic changed the time-dependent cardiac arrest network. This study aims to understand whether the rescue standards of cardiopulmonary resuscitation (CPR) and out-of-hospital cardiac arrest (OHCA) were handled differently during pandemic compared to the previous year. Methods: Data for the years 2019 and 2020 were provided by the records of the Lombardy office of the Regional Agency for Emergency and Urgency. We analysed where the cardiac arrest occurred, when CPR started and whether the bystanders used public access to defibrillation (PAD). Results: During 2020, there was a reduction in CPRs performed by bystanders (odds ratio [OR] = 0.936 [95% confidence interval (CI95%) 0.882–0.993], p =.029) and in the return of spontaneous circulation (ROSC) (OR = 0.621 [CI95% 0.563–0.685], p <.0001), while there was no significant reduction in the use of PAD. Analysing only March, the period of the first wave in Lombardy, the comparison shows a reduction in bystanders CPRs (OR = 0.727 [CI95% 0.602–0.877], p =.0008), use of PAD (OR = 0.441 [CI95% 0.272–0.716], p =.0009) and in ROSC (OR = 0.179 [CI95% 0.124–0.257], p <.0001). These phenomena could be influenced by the different settings in which the OHCAs occurred; in fact, those that occurred in public places with a mandatory PAD were strongly reduced (OR = 0.49 [CI95%, 0.44–0.55], p <.0001). Conclusions: COVID-19 had a profound impact on the time-dependant OHCA network. During the first pandemic wave, CPR and PAD used by bystanders decreased. The different contexts in which OHCAs occurred may partially explain these differences.
2022
cardiac arrest
COVID-19
defibrillators
resuscitation
return of spontaneous circulation
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/150145
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 18
  • ???jsp.display-item.citation.isi??? 13
social impact