Impact of the COVID-19 Pandemic on Prehospital Intervention and Survival of Patients With Out-of-Hospital Cardiac Arrest in Osaka City, Japan
Background: The coronavirus disease (COVID-19) pandemic may have influenced the prehospital emergency care and deaths of individuals experiencing an out-of-hospital cardiac arrest (OHCA).Methods and Results: We analyzed the registry data of 2,420 and 2,371 OHCA patients in Osaka City, Japan in 2019...
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| Veröffentlicht in: | Circulation Journal 2022/09/22, Vol.86(10), pp.1579-1585 |
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| creator | Nishiyama, Chika Kiyohara, Kosuke Kitamura, Tetsuhisa Hayashida, Sumito Maeda, Tatsuya Kiguchi, Takeyuki Shimamoto, Tomonari Iwami, Taku |
| description | Background: The coronavirus disease (COVID-19) pandemic may have influenced the prehospital emergency care and deaths of individuals experiencing an out-of-hospital cardiac arrest (OHCA).Methods and Results: We analyzed the registry data of 2,420 and 2,371 OHCA patients in Osaka City, Japan in 2019 and 2020, respectively, according to the 3 waves of the COVID-19 pandemic. Patient outcomes were compared using multivariable logistic regression analyses with the 2019 data as the reference. Bystander cardiopulmonary resuscitation (CPR) was initiated significantly less frequently in 2020 than in 2019 (2019: 48.0%, 2020: 42.7%, P |
| doi_str_mv | 10.1253/circj.CJ-22-0040 |
| format | Article |
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Patient outcomes were compared using multivariable logistic regression analyses with the 2019 data as the reference. Bystander cardiopulmonary resuscitation (CPR) was initiated significantly less frequently in 2020 than in 2019 (2019: 48.0%, 2020: 42.7%, P<0.001), particularly during the first wave (2019: 47.2%, 2020: 42.9%, P=0.046) and second wave (2019: 48.1%, 2020: 41.2%, P=0.010), but not during the third wave (2019: 49.2%, 2020: 44.1%, P=0.066). The public-access automated external defibrillator was less frequently applied during the first wave (2019: 12.6%, 2020: 9.9%, P=0.043), with no significant difference during the second wave (2019: 12.5%, 2020: 12.8%, P=0.863) and third wave (2019: 13.7%, 2020: 13.0%, P=0.722). There was a significant difference in 1-month survival with favorable neurological outcomes (2019: 4.6%, 2020: 3.3%, P=0.018), with a 28% reduction in the adjusted odds ratio in 2020 (0.72; 95% confidence interval: 0.52–0.99, P=0.044).Conclusions: Bystander CPR and neurologically favorable outcomes after OHCA decreased significantly during the COVID-19 pandemic in Japan.</description><identifier>ISSN: 1346-9843</identifier><identifier>ISSN: 1347-4820</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-22-0040</identifier><identifier>PMID: 35466157</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Bystander CPR ; Cardiopulmonary Resuscitation - methods ; COVID-19 ; COVID-19 - epidemiology ; Emergency Medical Services - methods ; Humans ; Japan - epidemiology ; Out-of-Hospital Cardiac Arrest ; Pandemics ; Public-access AED ; Registries</subject><ispartof>Circulation Journal, 2022/09/22, Vol.86(10), pp.1579-1585</ispartof><rights>2022, THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c539t-57afa24bfe406d813886abaac649031006ca62e52868019f2e6afe3b375323b33</citedby><cites>FETCH-LOGICAL-c539t-57afa24bfe406d813886abaac649031006ca62e52868019f2e6afe3b375323b33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,1884,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35466157$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nishiyama, Chika</creatorcontrib><creatorcontrib>Kiyohara, Kosuke</creatorcontrib><creatorcontrib>Kitamura, Tetsuhisa</creatorcontrib><creatorcontrib>Hayashida, Sumito</creatorcontrib><creatorcontrib>Maeda, Tatsuya</creatorcontrib><creatorcontrib>Kiguchi, Takeyuki</creatorcontrib><creatorcontrib>Shimamoto, Tomonari</creatorcontrib><creatorcontrib>Iwami, Taku</creatorcontrib><title>Impact of the COVID-19 Pandemic on Prehospital Intervention and Survival of Patients With Out-of-Hospital Cardiac Arrest in Osaka City, Japan</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background: The coronavirus disease (COVID-19) pandemic may have influenced the prehospital emergency care and deaths of individuals experiencing an out-of-hospital cardiac arrest (OHCA).Methods and Results: We analyzed the registry data of 2,420 and 2,371 OHCA patients in Osaka City, Japan in 2019 and 2020, respectively, according to the 3 waves of the COVID-19 pandemic. Patient outcomes were compared using multivariable logistic regression analyses with the 2019 data as the reference. Bystander cardiopulmonary resuscitation (CPR) was initiated significantly less frequently in 2020 than in 2019 (2019: 48.0%, 2020: 42.7%, P<0.001), particularly during the first wave (2019: 47.2%, 2020: 42.9%, P=0.046) and second wave (2019: 48.1%, 2020: 41.2%, P=0.010), but not during the third wave (2019: 49.2%, 2020: 44.1%, P=0.066). The public-access automated external defibrillator was less frequently applied during the first wave (2019: 12.6%, 2020: 9.9%, P=0.043), with no significant difference during the second wave (2019: 12.5%, 2020: 12.8%, P=0.863) and third wave (2019: 13.7%, 2020: 13.0%, P=0.722). There was a significant difference in 1-month survival with favorable neurological outcomes (2019: 4.6%, 2020: 3.3%, P=0.018), with a 28% reduction in the adjusted odds ratio in 2020 (0.72; 95% confidence interval: 0.52–0.99, P=0.044).Conclusions: Bystander CPR and neurologically favorable outcomes after OHCA decreased significantly during the COVID-19 pandemic in Japan.</description><subject>Bystander CPR</subject><subject>Cardiopulmonary Resuscitation - methods</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Emergency Medical Services - methods</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Out-of-Hospital Cardiac Arrest</subject><subject>Pandemics</subject><subject>Public-access AED</subject><subject>Registries</subject><issn>1346-9843</issn><issn>1347-4820</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkUtvEzEUhS0EoqWwZ4W8ZIGLH2NnZlkN0CaqlEi8ltaNc4c4zKu2J1J_BP8Zp0nbja-l851j6x5C3gt-KaRWn50PbndZL5iUjPOCvyDnQhUzVpSSv3y4G1aVhTojb2LccS4rrqvX5EzpwhihZ-fk37wbwSU6NDRtkdbLX_MvTFR0Bf0GO-_o0NNVwO0QR5-gpfM-Ydhjn3wWMkO_T2Hv91nJCStIPkuR_vZpS5dTYkPDbh6tNYSNB0evQsCYqO_pMsJfoLVP95_oAkbo35JXDbQR353mBfn57euP-obdLq_n9dUtc1pViekZNCCLdYMFN5tSqLI0sAZwpqi4EpwbB0ailqUpuagaiQYaVGs100rmoS7Ix2PuGIa7Kf_Gdj46bFvocZiilUZrwWXeUUb5EXVhiDFgY8fgOwj3VnB7KME-lGDrhZXSHkrIlg-n9Gnd4ebJ8Lj1DFwfgV1M8AefAAjJuxZPiaU5PJHP5-hnYgvBYq_-A0iCnK4</recordid><startdate>20220922</startdate><enddate>20220922</enddate><creator>Nishiyama, Chika</creator><creator>Kiyohara, Kosuke</creator><creator>Kitamura, Tetsuhisa</creator><creator>Hayashida, Sumito</creator><creator>Maeda, Tatsuya</creator><creator>Kiguchi, Takeyuki</creator><creator>Shimamoto, Tomonari</creator><creator>Iwami, Taku</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20220922</creationdate><title>Impact of the COVID-19 Pandemic on Prehospital Intervention and Survival of Patients With Out-of-Hospital Cardiac Arrest in Osaka City, Japan</title><author>Nishiyama, Chika ; Kiyohara, Kosuke ; Kitamura, Tetsuhisa ; Hayashida, Sumito ; Maeda, Tatsuya ; Kiguchi, Takeyuki ; Shimamoto, Tomonari ; Iwami, Taku</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c539t-57afa24bfe406d813886abaac649031006ca62e52868019f2e6afe3b375323b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Bystander CPR</topic><topic>Cardiopulmonary Resuscitation - methods</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Emergency Medical Services - methods</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Out-of-Hospital Cardiac Arrest</topic><topic>Pandemics</topic><topic>Public-access AED</topic><topic>Registries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nishiyama, Chika</creatorcontrib><creatorcontrib>Kiyohara, Kosuke</creatorcontrib><creatorcontrib>Kitamura, Tetsuhisa</creatorcontrib><creatorcontrib>Hayashida, Sumito</creatorcontrib><creatorcontrib>Maeda, Tatsuya</creatorcontrib><creatorcontrib>Kiguchi, Takeyuki</creatorcontrib><creatorcontrib>Shimamoto, Tomonari</creatorcontrib><creatorcontrib>Iwami, Taku</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nishiyama, Chika</au><au>Kiyohara, Kosuke</au><au>Kitamura, Tetsuhisa</au><au>Hayashida, Sumito</au><au>Maeda, Tatsuya</au><au>Kiguchi, Takeyuki</au><au>Shimamoto, Tomonari</au><au>Iwami, Taku</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of the COVID-19 Pandemic on Prehospital Intervention and Survival of Patients With Out-of-Hospital Cardiac Arrest in Osaka City, Japan</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2022-09-22</date><risdate>2022</risdate><volume>86</volume><issue>10</issue><spage>1579</spage><epage>1585</epage><pages>1579-1585</pages><artnum>CJ-22-0040</artnum><issn>1346-9843</issn><issn>1347-4820</issn><eissn>1347-4820</eissn><abstract>Background: The coronavirus disease (COVID-19) pandemic may have influenced the prehospital emergency care and deaths of individuals experiencing an out-of-hospital cardiac arrest (OHCA).Methods and Results: We analyzed the registry data of 2,420 and 2,371 OHCA patients in Osaka City, Japan in 2019 and 2020, respectively, according to the 3 waves of the COVID-19 pandemic. Patient outcomes were compared using multivariable logistic regression analyses with the 2019 data as the reference. Bystander cardiopulmonary resuscitation (CPR) was initiated significantly less frequently in 2020 than in 2019 (2019: 48.0%, 2020: 42.7%, P<0.001), particularly during the first wave (2019: 47.2%, 2020: 42.9%, P=0.046) and second wave (2019: 48.1%, 2020: 41.2%, P=0.010), but not during the third wave (2019: 49.2%, 2020: 44.1%, P=0.066). The public-access automated external defibrillator was less frequently applied during the first wave (2019: 12.6%, 2020: 9.9%, P=0.043), with no significant difference during the second wave (2019: 12.5%, 2020: 12.8%, P=0.863) and third wave (2019: 13.7%, 2020: 13.0%, P=0.722). There was a significant difference in 1-month survival with favorable neurological outcomes (2019: 4.6%, 2020: 3.3%, P=0.018), with a 28% reduction in the adjusted odds ratio in 2020 (0.72; 95% confidence interval: 0.52–0.99, P=0.044).Conclusions: Bystander CPR and neurologically favorable outcomes after OHCA decreased significantly during the COVID-19 pandemic in Japan.</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>35466157</pmid><doi>10.1253/circj.CJ-22-0040</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Bystander CPR Cardiopulmonary Resuscitation - methods COVID-19 COVID-19 - epidemiology Emergency Medical Services - methods Humans Japan - epidemiology Out-of-Hospital Cardiac Arrest Pandemics Public-access AED Registries |
| title | Impact of the COVID-19 Pandemic on Prehospital Intervention and Survival of Patients With Out-of-Hospital Cardiac Arrest in Osaka City, Japan |
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