Out-of-hospital cardiac arrests and mortality in Swiss Cantons with high and low COVID-19 incidence: A nationwide analysis
Enrico Baldi,Angelo Auricchio,Catherine Klersy,Roman Burkart,Claudio Benvenuti,Chiara Vanetta,Jürg Bärtschi +6 more
- Vol. 6, pp 100105-100105
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TLDR
Mortality increased in Cantons with high-incidence of infection, whilst not in the low- incidence ones during the COVID-19 pandemic, showing how variables related to the health-system and EMS organization deeply influence OHCA occurrence during a pandemic.Abstract:
Aims Many countries reported an increase of out-of-hospital cardiac arrests (OHCAs) and mortality during the COVID-19 pandemic. However, all these data refer to regional settings and national data are still missing. We aimed to assess the OHCA incidence and population mortality during COVID-19 pandemic in whole Switzerland and in the different regions (Cantons) according to the infection rate. Methods We considered OHCAs and deaths which occurred in Switzerland after the first diagnosed case of COVID-19 (February 25th) and for the subsequent 65 days and in the same period in 2019. We also compared Cantons with high versus low COVID-19 incidence. Results A 2.4% reduction in OHCA cases was observed in Switzerland. The reduction was particularly high (−21.4%) in high-incidence COVID-19 cantons, whilst OHCAs increased by 7.7% in low-incidence COVID-19 cantons. Mortality increased by 8.6% in the entire nation: a 27.8% increase in high-incidence cantons and a slight decrease (−0.7%) in low-incidence cantons was observed. The OHCA occurred more frequently at home, CPR and AED use by bystander were less frequent during the pandemic. Conversely, the OHCAs percentage in which a first responder was present, initiated the CPR and used an AED, increased. The outcome of patients in COVID-19 high-incidence cantons was worse compared to low-incidence cantons. Conclusions During the COVID-19 pandemic in Switzerland mortality increased in Cantons with high-incidence of infection, whilst not in the low-incidence ones. OHCA occurrence followed an opposite trend showing how variables related to the health-system and EMS organization deeply influence OHCA occurrence during a pandemic.read more
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Journal ArticleDOI
Out-of-Hospital Cardiac Arrest during the Covid-19 Outbreak in Italy.
Enrico Baldi,Giuseppe Maria Sechi,Claudio Mare,Fabrizio Canevari,Antonella Brancaglione,Roberto Primi,Catherine Klersy,Alessandra Palo,Enrico Contri,Vincenza Ronchi,Giorgio Beretta,Francesca Reali,Pierpaolo Parogni,Fabio Facchin,Davide Bua,Ugo Rizzi,Daniele Bussi,Simone Ruggeri,Luigi Oltrona Visconti,Simone Savastano +19 more
TL;DR: Out- of-Hospital Cardiac Arrest and Covid-19 From February 21 through April 1, 2019, a total of 229 cases of out-of-hospital cardiac arrest were reported in four provinces of Lombardy, Italy.
Journal ArticleDOI
Out-of-hospital cardiac arrest during the COVID-19 pandemic in Paris, France: a population-based, observational study.
Eloi Marijon,Nicole Karam,Daniel Jost,David Perrot,Benoit Frattini,Clément Derkenne,Ardalan Sharifzadehgan,Victor Waldmann,Frankie Beganton,Kumar Narayanan,Antoine Lafont,Wulfran Bougouin,Xavier Jouven +12 more
TL;DR: The incidence and outcomes of out-of-hospital cardiac arrest (OHCA) in an urban region during the pandemic, compared with non-pandemic periods was evaluated in adult inhabitants of the study area.
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