RT Journal Article
T1 Influence of the Covid-19 pandemic on out-of-hospital cardiac arrest. A Spanish nationwide prospective cohort study.
A1 Rosell Ortiz, Fernando
A1 Fernández Del Valle, Patricia
A1 Knox, Emily C
A1 Jiménez Fábrega, Xavier
A1 Navalpotro Pascual, José M
A1 Mateo Rodríguez, Inmaculada
A1 Ruiz Azpiazu, José I
A1 Iglesias Vázquez, José A
A1 Echarri Sucunza, Alfredo
A1 Alonso Moreno, Daniel F
A1 Forner Canos, Ana B
A1 García-Ochoa Blanco, María J
A1 López Cabeza, Nuria
A1 Mainar Gómez, Belén
A1 Batres Gómez, Susana
A1 Cortés Ramas, José A
A1 Ceniceros Rozalén, María I
A1 Guirao Salas, Francisco A
A1 Fernández Martínez, Begoña
A1 Daponte Codina, Antonio
A1 OHSCAR investigators, 
K1 Covid 19
K1 Emergency services
K1 Out-of hospital cardiac arrest
K1 Survival
AB The influence of the COVID-19 pandemic on attendance to out-of-hospital cardiac arrest (OHCA) has only been described in city or regional settings. The impact of COVID-19 across an entire country with a high infection rate is yet to be explored. The study uses data from 8629 cases recorded in two time-series (2017/2018 and 2020) of the Spanish national registry. Data from a non-COVID-19 period and the COVID-19 period (February 1st-April 30th 2020) were compared. During the COVID-19 period, data a further analysis comparing non-pandemic and pandemic weeks (defined according to the WHO declaration on March 11th, 2020) was conducted. The chi-squared analysis examined differences in OHCA attendance and other patient and resuscitation characteristics. Multivariate logistic regression examined survival likelihood to hospital admission and discharge. The multilevel analysis examined the differential effects of regional COVID-19 incidence on these same outcomes. During the COVID-19 period, the incidence of resuscitation attempts declined and survival to hospital admission (OR = 1.72; 95%CI = 1.46-2.04; p  The pandemic, irrespective of its incidence, seems to have particularly impeded the pre-hospital phase of OHCA care. Present findings call for the need to adapt out-of-hospital care for periods of serious infection risk. ISRCTN10437835.
YR 2020
FD 2020-10-10
LK https://hdl.handle.net/10668/27260
UL https://hdl.handle.net/10668/27260
LA en
DS RISalud
RD Apr 4, 2025