Observational study on implications of the COVID-19-pandemic for cardiopulmonary resuscitation in out-of-hospital cardiac arrest: qualitative and quantitative insights from a model region in Germany.

Autor: Damjanovic D; Department of Cardiovascular Surgery, University Heart Center Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany. domagoj.damjanovic@universitaets-herzzentrum.de., Pooth JS; Department of Cardiovascular Surgery, University Heart Center Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany., Steger R; Department of Emergency Medicine, Faculty of Medicine, University Hospital of Freiburg, University of Freiburg, Sir-Hans-A.-Krebs-Str, 79106, Freiburg, Germany., Boeker M; Institute of Medical Biometry and Statistics, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Stefan-Meier-Str. 26, 79104, Freiburg, Germany., Steger M; Department of Emergency Medicine, Faculty of Medicine, University Hospital of Freiburg, University of Freiburg, Sir-Hans-A.-Krebs-Str, 79106, Freiburg, Germany., Ganter J; Department of Cardiovascular Surgery, University Heart Center Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany., Hack T; Department of Cardiovascular Surgery, University Heart Center Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany., Baldas K; Department of Anaesthesiology, Intensive Care, and Emergency Medicine, St. Josef's Hospital, Sautierstr. 1, 79104, Freiburg, Germany., Biever PM; Department of Medicine III: Interdisciplinary Medical Intensive Care, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany., Schmitz D; Department of Anaesthesiology, Intensive Care, and Emergency Medicine, St. Josef's Hospital, Sautierstr. 1, 79104, Freiburg, Germany., Busch HJ; Department of Emergency Medicine, Faculty of Medicine, University Hospital of Freiburg, University of Freiburg, Sir-Hans-A.-Krebs-Str, 79106, Freiburg, Germany., Müller MP; Department of Anaesthesiology, Intensive Care, and Emergency Medicine, St. Josef's Hospital, Sautierstr. 1, 79104, Freiburg, Germany., Trummer G; Department of Cardiovascular Surgery, University Heart Center Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany., Schmid B; Department of Emergency Medicine, Faculty of Medicine, University Hospital of Freiburg, University of Freiburg, Sir-Hans-A.-Krebs-Str, 79106, Freiburg, Germany.
Jazyk: angličtina
Zdroj: BMC emergency medicine [BMC Emerg Med] 2022 May 18; Vol. 22 (1), pp. 85. Date of Electronic Publication: 2022 May 18.
DOI: 10.1186/s12873-022-00628-2
Abstrakt: Background: The city of Freiburg has been among the most affected regions by the COVID-19 pandemic in Germany. In out of hospital cardiac arrest (OHCA) care, all parts of the rescue system were exposed to profound infrastructural changes. We aimed to provide a comprehensive overview of these changes in the resuscitation landscape in the Freiburg region.
Methods: Utstein-style quantitative data on OHCA with CPR initiated, occurring in the first pandemic wave between February 27th, 2020 and April 30th, 2020 were compared to the same time periods between 2016 and 2019. Additionally, qualitative changes in the entire rescue system were analyzed and described.
Results: Incidence of OHCA with attempted CPR did not significantly increase during the pandemic period (11.1/100.000 inhabitants/63 days vs 10.4/100.000 inhabitants/63 days, p = 1.000). In witnessed cases, bystander-CPR decreased significantly from 57.7% (30/52) to 25% (4/16) (p = 0.043). A severe pre-existing condition (PEC) was documented more often, 66.7% (16/24) vs 38.2% (39/102) there were longer emergency medical services (EMS) response times, more resuscitation attempts terminated on scene, 62.5% (15/24) vs. 34.3% (35/102) and less patients transported to hospital (p = 0.019). Public basic life support courses, an app-based first-responder alarm system, Kids Save Lives activities and a prehospital extracorporeal CPR (eCPR) service were paused during the peak of the pandemic.
Conclusion: In our region, bystander CPR in witnessed OHCA cases as well as the number of patients transported to hospital significantly decreased during the first pandemic wave. Several important parts of the resuscitation landscape were paused. The COVID-19 pandemic impedes OHCA care, which leads to additional casualties. Countermeasures should be taken.
(© 2022. The Author(s).)
Databáze: MEDLINE
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