Epidemic of the SARS-CoV-2 Omicron variant in Shanghai, China in 2022: Transient and persistent effects on Out-of-hospital cardiac arrests

Li, Guohui; Zhang, Wenchao; Jia, Dechang; Jin, Rong; Yu, Zhiqiang; Wu, Degen

doi:10.1016/j.resuscitation.2023.109722

Cited by 4 publications

(2 citation statements)

References 29 publications

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“…To our knowledge, published studies up to now have only compared outcomes pertaining to specific aspects between periods before and during the pandemic, including neurological recovery, 13 survival following OHCAs witnessed by EMS, 19 and enduring aspects of health care in relation to OCHA. 20 However, even updates as important as the annual report of the American Heart Association on cardiac disease and stroke 21 have not provided health outcomes that address recovery of the functioning of the health care system following the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Out-of-Hospital Cardiac Arrest Following the COVID-19 Pandemic

Ruiz Azpiazu,

Fernández del Valle,

Echarri Sucunza

et al. 2024

JAMA Netw Open

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ImportanceOut-of-hospital cardiac arrest (OHCA) health care provision may be a good indicator of the recovery of the health care system involved in OHCA care following the COVID-19 pandemic. There is a lack of data regarding outcomes capable of verifying this recovery.ObjectiveTo determine whether return to spontaneous circulation, overall survival, and survival with good neurological outcome increased in patients with OHCA since the COVID-19 pandemic was brought under control in 2022 compared with prepandemic and pandemic levels.Design, Setting, and ParticipantsThis observational cohort study was conducted to examine health care response and survival with good neurological outcome at hospital discharge in patients treated following OHCA. A 3-month period, including the first wave of the pandemic (February 1 to April 30, 2020), was compared with 2 periods before (April 1, 2017, to March 31, 2018) and after (January 1 to December 31, 2022) the pandemic. Data analysis was performed in July 2023. Emergency medical services (EMS) serving a population of more than 28 million inhabitants across 10 Spanish regions participated. Patients with OHCA were included if participating EMS initiated resuscitation or continued resuscitation initiated by a first responder.ExposureThe pandemic was considered to be under control following the official declaration that infection with SARS-CoV-2 was to be considered another acute respiratory infection.Main Outcome and MeasuresThe main outcomes were return of spontaneous circulation, overall survival, and survival at hospital discharge with good neurological outcome, expressed as unimpaired or minimally impaired cerebral performance.ResultsA total of 14 732 patients (mean [SD] age, 64.2 [17.2] years; 10 451 [71.2%] male) were included, with 6372 OHCAs occurring during the prepandemic period, 1409 OHCAs during the pandemic period, and 6951 OHCAs during the postpandemic period. There was a higher incidence of OHCAs with a resuscitation attempt in the postpandemic period compared with the pandemic period (rate ratio, 4.93; 95% CI, 4.66-5.22; P &lt; .001), with lower incidence of futile resuscitation for OHCAs (2.1 per 100 000 person-years vs 1.3 per 100 000 person-years; rate ratio, 0.81; 95% CI, 0.71-0.92; P &lt; .001). Recovery of spontaneous circulation at hospital admission increased from 20.5% in the pandemic period to 30.5% in the postpandemic period (relative risk [RR], 1.08; 95% CI, 1.06-1.10; P &lt; .001). In the same way, overall survival at discharge increased from 7.6% to 11.2% (RR, 1.45; 95% CI, 1.21-1.75; P &lt; .001), with 6.6% of patients being discharged with good neurological status (Cerebral Performance Category Scale categories 1-2) in the pandemic period compared with 9.6% of patients in the postpandemic period (RR, 1.07; 95% CI, 1.04-1.10; P &lt; .001).Conclusions and RelevanceIn this cohort study, survival with good neurological outcome at hospital discharge following OHCA increased significantly after the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Out-of-Hospital Cardiac Arrest Following the COVID-19 Pandemic

Ruiz Azpiazu,

Fernández del Valle,

Echarri Sucunza

et al. 2024

JAMA Netw Open

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“…Since the first case of COVID-19 was reported in Wuhan, China in December 2019 (2), more than 762 million confirmed cases and 6.8 million deaths worldwide have been reported by the World Health Organization (WHO) as of April 8, 2023 (3). China adopted proactive control policies in June 2020 to fight COVID-19 and has entered the post-pandemic era (4,5) with the majority of the population vaccinated (6) and a lower fatality rate than before (7). Studies in various countries (8)(9)(10) revealed that people's psychological stress under COVID-19 directly affected their quality of life and work performance.…”

Section: Introductionmentioning

confidence: 99%

Association of self-leadership and epidemic risk perception on quality of life in post-pandemic mainland of China: a cross-sectional study

Ren,

Zhu,

et al. 2024

Front. Public Health

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BackgroundSelf-leadership has proven to adjust individual psychological states and promote active behaviors to mitigate stress perception and negative lifestyle. This study aims to investigate the relationship between self-leadership, epidemic risk perception, and quality of life among the general public in post-pandemic mainland of China.MethodsTwo online self-reported questionnaire surveys were carried out with 3,098 and 469 people in the Chinese mainland in February 2021 and December 2022, respectively. The univariate analysis, structural equation modeling, and fuzzy-set qualitative comparative analysis were used to analyze the data which was collected by Revised Self-Leadership Questionnaire, Perceived Risk of COVID-19 Pandemic Scale and World Health Organization Quality of Life Brief Scale.ResultsThe Self-leadership was directly, moderately, and positively correlated with quality of life (Standardized path coefficients: 0.383 and 0.491, respectively; p < 0.05), and epidemic risk perception was negatively correlated with quality of life (Standardized path: 0.068 and 0.120, respectively; p < 0.05). The structural equation model for self-leadership, epidemic risk perception, and quality of life had a good fit (CFI = 0.957, 0.939 > 0.9; RSMEA = 0.058, 0.064 < 0.08, respectively) and was consistent across genders, educational levels, and types of occupations (Delata-CFI < 0.01). The core condition for achieving a high quality of life lies in maintaining a low level of self-punishment and a high level of self-cueing or a high level of self-punishment and a low level of self-cueing.ConclusionIn the post-epidemic era, the public can adjust their attitude toward stress by enhancing their self-leadership skills. Among various self-leadership skills, self-punishment or self-cueing may have the most significant impact on the quality of life.

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