Impact of the COVID-19 pandemic on pediatric out-of-hospital cardiac arrest outcomes in Japan.

Autor: Chida-Nagai A; Department of Pediatrics, Hokkaido University Hospital, Kita 15, Nishi 7, Sapporo, Hokkaido, 060-8638, Japan. ayakonagai@med.hokudai.ac.jp., Sato H; Department of Cardiology and Clinical Examination, Oita University, Yufu, Japan.; Advanced Trauma, Emergency and Critical Care Center, Oita University Hospital, Yufu, Japan., Yamazawa H; Department of Pediatrics, Hokkaido University Hospital, Kita 15, Nishi 7, Sapporo, Hokkaido, 060-8638, Japan., Takeda A; Department of Pediatrics, Hokkaido University Hospital, Kita 15, Nishi 7, Sapporo, Hokkaido, 060-8638, Japan., Yonemoto N; Japanese Circulation Society with Resuscitation Science Study (JCS-ReSS) Group, Tokyo, Japan., Tahara Y; Japanese Circulation Society with Resuscitation Science Study (JCS-ReSS) Group, Tokyo, Japan., lkeda T; Japanese Circulation Society with Resuscitation Science Study (JCS-ReSS) Group, Tokyo, Japan.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 May 16; Vol. 14 (1), pp. 11246. Date of Electronic Publication: 2024 May 16.
DOI: 10.1038/s41598-024-61650-x
Abstrakt: This study investigates the impact of the COVID-19 pandemic on pediatric out-of-hospital cardiac arrest (OHCA) outcomes in Japan, aiming to address a critical research gap. Analyzing data from the All-Japan Utstein registry covering pediatric OHCA cases from 2018 to 2021, the study observed no significant changes in one-month survival, neurological outcomes, or overall performance when comparing the pre-pandemic (2018-2019) and pandemic (2020-2021) periods among 6765 cases. However, a notable reduction in pre-hospital return of spontaneous circulation (ROSC) during the pandemic (15.1-13.1%, p = .020) was identified. Bystander-initiated chest compressions and rescue breaths declined (71.1-65.8%, 22.3-13.0%, respectively; both p < .001), while bystander-initiated automated external defibrillator (AED) use increased (3.7-4.9%, p = .029). Multivariate logistic regression analyses identified factors associated with reduced pre-hospital ROSC during the pandemic. Post-pandemic, there was no noticeable change in the one-month survival rate. The lack of significant change in survival may be attributed to the negative effects of reduced chest compressions and ventilation being offset by the positive impact of widespread AED availability in Japan. These findings underscore the importance of innovative tools and systems for safe bystander cardiopulmonary resuscitation during a pandemic, providing insights to optimize pediatric OHCA care.
(© 2024. The Author(s).)
Databáze: MEDLINE
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