Impact of COVID-19 on pediatric out-of-hospital cardiac arrest in the Masovian region

Meyer-Szary, Jarosław; Jaguszewski, Miłosz; Smereka, Jacek; Emam, Mohamed S.; John, Ivo; Rafique, Zubaid; Peacock, W. Frank; Chirico, Francesco; Sagan, Dorota; Jachowicz, Marta; Szarpak, Łukasz

doi:10.5603/demj.a2021.0028

Cited by 7 publications

(7 citation statements)

References 11 publications

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“…Moreover, recurrent cardiac arrests occurred more commonly during this period. During the COVID-19 period, ROSC occurred less frequently, and fewer patients survived until discharge when SARS-CoV-2 was positive, reinforcing the fact that the lower ROSC and SHD seen during the pandemic were due to the SARS-CoV-2 infection [37,38]. However, the 30-day survival was similar between SARS-CoV-2 positive and negative patients.…”

Section: Discussionmentioning

confidence: 88%

Uncovering the effects of COVID-19 on in-hospital cardiac arrest – a living systematic review and meta-analysis

Bielski¹,

Pruc²,

Rafique³

et al. 2023

Ann Agric Environ Med.

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Introduction and Objective.Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused a global pandemic and had a negative impact on the entire health care system. To understand the effect of COVID-19 on outcomes of in-hospital cardiac arrest (IHCA), a systematic review and meta-analysis of studies was designed to compare the pre-and intra-pandemic periods of adult patients who suffered cardiac arrest, and additionally by performing a sub-analysis related to COVID-19 positive vs. negative patients in the same group of patients. Materials and method. To evaluate the impact of COVID-19 on IHCA outcomes a systematic review and meta-analysis was performed. Pubmed (MEDLINE), Scopus, Embase, Web of Science, and Cochrane database were searched for articles published from 1 January 2020 -8 April 2023. Results. Return of spontaneous circulation events among IHCA patients in pre-COVID-19 and COVID-19 pandemic periods varied and amounted to 64.0% vs. 60.0%, respectively (OR=1.23; 95%CI: 1.19 to 1.26; p<0.001). Re-arrest occurrence was 4.5% vs. 4.9%, respectively (OR=1.24; 95%CI: 1.00 to 1.53; p=0.05). Survival to hospital discharge (SHD) was 25.1% compared to 20.9% for COVID-19 period (OR = 1.17; 95%CI: 0.96 to 1.41; p=0.12). During the COVID-19 period, SHD in COVID-19 positive patients was 14.0% compared to 25.9% for patients without 95%CI: 0.28 to 1.86; p=0.50). 30-day survival rate among COVID-19 positive vs. negative patients was 62.6% vs. 58.3%, respectively (OR =0.99; 95%CI: 0.23 to 4.24; p=0.99). Conclusions. Patients with SARS-CoV-2 infection had reduced rates of ROSC and SDH, as well as poorer neurologic outcomes and increased in hospital re-arrests during the COVID-19 period. However, the 30-day survival rate was similar in SARS-CoV-2 positive and negative patients.

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Section: Discussionmentioning

confidence: 88%

Uncovering the effects of COVID-19 on in-hospital cardiac arrest – a living systematic review and meta-analysis

Bielski¹,

Pruc²,

Rafique³

et al. 2023

Ann Agric Environ Med.

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“…Rare deaths of children from COVID-19 infection have been reported in worldwide [ 60 ]. Most often diagnosed with asymptomatic disease, or with mild or moderate severity [ 46 , 61 ].…”

Section: Pharmacological Thromboprophylaxis In Pediatric and Adolesce...mentioning

confidence: 99%

COVID-19-induced coagulopathy: Experience, achievements, prospects

et al. 2023

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“…However, what about the later time and the following surges in illness prevalence? Furthermore, particularly during the first phase of the COVID-19 pandemic, a particular constraint that might impact the results after OHCA was the scarcity of healthcare personnel and other resourc-es within the healthcare system [7]. Healthcare personnel were largely engaged in the provision of care for COVID-19 patients and were reassigned from other departments [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Effect of COVID-19 on the prevalence of bystanders performing cardiopulmonary resuscitation: A systematic review and meta-analysis

Krawczyk,

Kurek,

Nucera

et al. 2024

Cardiol J.

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Background: The importance of bystander cardiopulmonary resuscitation (CPR) during out-of--hospital cardiac arrests is especially important in the context of coronavirus disease 2019 (COVID-19)because it can significantly influence survival outcomes. The objective of this meta-analysis was to examine the primary outcomes of bystander CPR during the pandemic and pre-pandemic periods. Methods: A search was conducted in the PubMed Central, Scopus, and EMBASE databases, as well as the Cochrane Central Register of Controlled Trials database, up to December 10, 2023. In cases where the value of I 2 was greater than or equal to 50% or the Q-test indicated that the p-value was less than or equal to 0.05, the studies were considered to be heterogeneous. Sensitivity assessment was performed using the leave-one--out methodology. The study protocol was registered in PROSPERO with the ID number CRD42023494912. Results: Twenty-five articles were included in this meta-analysis. Pooled analysis showed that bystander CPR frequency during the COVID-19 pandemic was 38.8%, compared to 44.8% for the pre-pandemic period (odds ratio: 1.04; 95% confidence interval: 0.93-1.16; p = 0.48). Conclusions: The article's conclusions indicate that the COVID-19 pandemic influenced a reduction in bystander CPR compared to the pre-pandemic period, but this difference was not statistically significant. Further research is recommended to understand attitudes, including the fears of witnesses, before performing CPR on patients with suspected or confirmed infectious diseases. The study highlights the importance of bystander intervention in emergency situations and the impact of a pandemic on public health response behaviors. (Cardiol J

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Impact of COVID-19 on pediatric out-of-hospital cardiac arrest in the Masovian region

Cited by 7 publications

References 11 publications

Uncovering the effects of COVID-19 on in-hospital cardiac arrest – a living systematic review and meta-analysis

Uncovering the effects of COVID-19 on in-hospital cardiac arrest – a living systematic review and meta-analysis

COVID-19-induced coagulopathy: Experience, achievements, prospects

Effect of COVID-19 on the prevalence of bystanders performing cardiopulmonary resuscitation: A systematic review and meta-analysis

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