Cardiac arrest & resuscitation

The impact of COVID-19 pandemic on out-of-hospital cardiac arrest: An individual patient data meta-analysis

ResuscitationPublished Individual patient data meta-analysis

Pooled result · OHCA incidence and bystander CPR by regional weekly COVID-19 incidenceResult — go to the resultOdds ratio 0.49 95% CI 0.29–0.81

Authors' conclusion

During the first COVID-19 pandemic wave, there was higher OHCA incidence and lower bystander CPR rate in regions with a high-burden of COVID-19. COVID-19 was also associated with a change in patient characteristics and lower survival independently of COVID-19 incidence in the region where OHCA occurred.

Study context

Population
Out-of-hospital cardiac arrests (OHCA) patients in 97 regions
Participants
49,882 patients · 10 studies
Comparison
First COVID-19 pandemic wave vs pre-COVID reference period
Outcome
OHCA incidence and bystander CPR by regional weekly COVID-19 incidence

Pooled result

As reported in the abstract

Odds ratio

0.49

95% CI 0.29–0.81

P = 0.005

First COVID-19 pandemic wave vs pre-COVID reference period
OR 0.49 (95% CI 0.29–0.81); P = 0.005

Further pooled results

Medical etiology

P < 0.001

OHCA at home

P < 0.001

Shockable initial rhythm

P < 0.001

OutcomeOR (95% CI)P value
Pre-hospital death, survival to hospital admission, survival to dischargePre-hospital death · independently associated1.73 (1.55–1.93)P < 0.001
Pre-hospital death, survival to hospital admission, survival to dischargeSurvival to hospital admission · independently associated0.68 (0.64–0.72)P < 0.001
Pre-hospital death, survival to hospital admission, survival to dischargeSurvival to discharge · independently associated0.50 (0.46–0.54)P < 0.001

Original publication

The impact of COVID-19 pandemic on out-of-hospital cardiac arrest: An individual patient data meta-analysis. Resuscitation. Published 10 November 2023. doi:10.1016/j.resuscitation.2023.110043

Composed by AI from the published abstract and checked against it. How Briefs are made →

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