Abstract 15568: Profound Increases in Out-of-Hospital Cardiopulmonary Arrest Cases Within Most Metropolitan Municipalities During the COVID-19 Pandemic
| Autor: | E. S. Bronsky, E. M. S. Med Directors Metropolitan, P. E. Pepe, Kevin E. McVaney, James J Augustine, Michael T. Osterholm, Lauren M. Maloney, Glenn Asaeda, Marc Eckstein |
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| Rok vydání: | 2020 |
| Předmět: |
Out of hospital
2019-20 coronavirus outbreak medicine.medical_specialty Coronavirus disease 2019 (COVID-19) business.industry Physiology (medical) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Emergency medicine Pandemic medicine Cardiology and Cardiovascular Medicine business Metropolitan area |
| Zdroj: | Circulation. 142 |
| ISSN: | 1524-4539 0009-7322 |
| Popis: | Introduction: Even though most EMS systems globally experienced dramatic decreases in call volumes during the COVID-19 pandemic, many also reported unexpected increases in out-of-hospital cardiac arrest (OHCA) cases. Hypothesis: The pervasiveness of COVID-19 in metropolitan cities might be associated with a greater number of OHCA cases as compared to prior years. Methods: Large city EMS system medical directors responsible for about one-quarter of the U.S. population and millions of others in Europe/Australia were asked to tabulate the absolute number of OHCA cases to which EMS responded within their jurisdictions during the first 4 months of 2020. Results were compared to average numbers encountered during 2018 and 2019. A priori, considering the large populations (high corresponding OHCA frequencies) and case complexities, a 15% increase/decrease was to be considered highly significant (usual variation + 4-8% within the 28-31 days/month). Results: Of 35 major U.S. cities reporting to date, most had significant increases in OHCA, particularly in April with 71% (25/35) of the cities seeing a very large (>15%) increase. Nine cities (26%), all experiencing a high prevalence of COVID-19, had >50% (1.5-fold) increases. Three cities with highly-publicized inundations of COVID-19, experienced more than twice as many arrests (3.5-fold in the worst case). Meanwhile, 3 other cities with relatively low COVID-19 impact to date, had significantly fewer cases. Still, combining all of the 35 cities studied, OHCA increased from 5,009 (2 prior years’ average) to 8,701 (74% increase) during April (Fig 1). Participating cities outside the U.S. (e.g., Paris, London, Perth) mirrored these findings. Conclusions: To date, most, but not all, metropolitan cities have clearly experienced significant increases in OHCA that appear to parallel the prevalence of COVID-19 in their respective jurisdictions. These observations and available forensic data are now part of a work in progress. |
| Databáze: | OpenAIRE |
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