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

Chung, Ho Sub; Namgung, Myeong; Lee, Dong Hoon; Choi, Yoon Hee; Bae, Sung Jin

doi:10.1016/j.auec.2021.11.006

Cited by 13 publications

(15 citation statements)

References 27 publications

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“…Studies have shown that SI can be a tool for early recognition and evaluation of critical illness in prehospital settings [28,29] and SI ≥ 1.0 indicates worsening of hemodynamic status and shock [19]. As reported by other studies [30][31][32], prehospital times, including response time and transportation time in all time-sensitive disease categories, continues to increase.…”

Section: Discussionmentioning

confidence: 78%

Effect of Designating Emergency Medical Centers for Critical Care on Emergency Medical Service Systems during the COVID-19 Pandemic: A Retrospective Observational Study

Park

Kim

et al. 2022

JCM

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During the coronavirus disease 2019 (COVID-19) pandemic, prehospital times were delayed for patients who needed to arrive at the hospital in a timely manner to receive treatment. To address this, in March 2020, the Korean government designated emergency medical centers for critical care (EMC-CC). This study retrospectively analyzed whether this intervention effectively reduced ambulance diversion (AD) and shortened prehospital times using emergency medical service records from 219,763 patients from the Gyeonggi Province, collected between 1 January and 31 December 2020. We included non-traumatic patients aged 18 years or older. We used interrupted time series analysis to investigate the intervention effects on the daily AD rate and compared prehospital times before and after the intervention. Following the intervention, the proportion of patients transported 30–35 km and 50 km or more was 13.8% and 5.7%, respectively, indicating an increased distance compared to before the intervention. Although the change in the AD rate was insignificant, the daily AD rate significantly decreased after the intervention. Prehospital times significantly increased after the intervention in all patients (p < 0.001) and by disease group; all prehospital times except for the scene time of cardiac arrest patients increased. In order to achieve optimal treatment times for critically ill patients in a situation that pushes the limits of the medical system, such as the COVID-19 pandemic, even regional distribution of EMC-CC may be necessary, and priority should be given to the allocation of care for patients with mild symptoms.

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Section: Discussionmentioning

confidence: 78%

Effect of Designating Emergency Medical Centers for Critical Care on Emergency Medical Service Systems during the COVID-19 Pandemic: A Retrospective Observational Study

Park

Kim

et al. 2022

JCM

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“…Ezen túl növekedés volt látható a nem traumás, valamint csökkenés a trauma okozta szívmegállások számában, és gyakoribbá vált az otthoni hirtelen szívmegállás [3,4]. Csökkent a laikus szemtanú által végzett alapszintű újraélesztések aránya, megnövekedett a mentőegységek helyszínre érkezésének ideje, valamint ezzel párhuzamosan kevesebb cardiopulmonalis resuscitatiót kezdtek meg vagy vettek át laikusoktól a mentőegység tagjai [4][5][6]. Damjanovic és mtsai Freiburg területét lefedő tanulmánya szerint a laikusok által megkezdett újraélesztés 58%-ról 25%-ra csökkent [7].…”

Section: A Covid-19-pandémia Hatása a Kórházon Kívüli Szívmegállás E...unclassified

A COVID–19-pandémia hatása a hirtelen szívmegállást követő alapszintű újraélesztésre és annak sikerességére

Nagy

Kiss

Fekete-Győr

et al. 2023

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A koronavírus-betegség megjelenése óta világszerte nyomon követik a fertőzésekhez kapcsolódó közvetlen halálozást, és naponta számolják a vírus okozta halálesetek számát. A koronavírus okozta világjárvány nemcsak mindennapi életünket, de a teljes egészségügyi rendszer működését átrendezte. A kórházi felvételre való fokozott igény kapcsán a különböző országok vezetői számos, az egészségügyi ellátást befolyásoló rendkívüli intézkedést vezettek be. Az átrendeződés mind direkt, mind indirekt módon negatív hatással volt a hirtelen szívhalál epidemiológiai mutatóira, a laikus elsősegélynyújtók cardiopulmonalis resuscitatióra való hajlandóságára és a félautomata defibrillátor használatára, ezek a negatív hatások azonban széles határok között mozognak a különböző kontinenseken és országokban. A laikusok és az egészségügyi dolgozók védelme, illetve a pandémia terjedésének megakadályozása érdekében a korábbi alapszintű és emelt szintű újraélesztésre vonatkozó, az Európai Újraélesztési Tanács által megfogalmazott ajánlások számos változtatáson estek át. Orv Hetil. 2023; 164(13): 483–487.

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“…Indeed, during the COVID-19 pandemics, laypeople trained in CPR and involved in the first response system have been reported to be more reluctant to intervene during OHCA, reducing the rate of bystander CPR. [9][10][11] In the current issue of Acta Anaesthesiologica Scandinavica, Dr Stirparo et al confirmed that the COVID-19 pandemics significantly influenced the epidemiology of OHCA and the performance of bystander CPR in Italy. 12 The authors performed a large retrospective analysis of data collected from more than 25,500 OHCA patients in the Lombardy region in 2019 and 2020.…”

mentioning

confidence: 95%

“…Indeed, during the COVID‐19 pandemics, laypeople trained in CPR and involved in the first response system have been reported to be more reluctant to intervene during OHCA, reducing the rate of bystander CPR. 9 , 10 , 11 …”

mentioning

confidence: 99%

“…The COVID‐19 spread might have further decreased the already fragile people's willingness to provide help to someone who suddenly collapses in a public place. Indeed, during the COVID‐19 pandemics, laypeople trained in CPR and involved in the first response system have been reported to be more reluctant to intervene during OHCA, reducing the rate of bystander CPR 9–11 …”

mentioning

confidence: 99%

See 1 more Smart Citation

COVID‐19 and reduced bystander cardiopulmonary resuscitation: A thanatophobic attitude leading to increased deaths from cardiac arrest?

Babini

Ristagno

2022

Acta Anaesthesiol Scand

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

Cited by 13 publications

References 27 publications

Effect of Designating Emergency Medical Centers for Critical Care on Emergency Medical Service Systems during the COVID-19 Pandemic: A Retrospective Observational Study

Effect of Designating Emergency Medical Centers for Critical Care on Emergency Medical Service Systems during the COVID-19 Pandemic: A Retrospective Observational Study

A COVID–19-pandémia hatása a hirtelen szívmegállást követő alapszintű újraélesztésre és annak sikerességére

COVID‐19 and reduced bystander cardiopulmonary resuscitation: A thanatophobic attitude leading to increased deaths from cardiac arrest?

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