Clinical paper Impact of the COVID-19 pandemic on out-of-hospital cardiac arrest outcomes in older adults in Japan

被引:7
作者
Hosomi, Sanae [1 ,2 ]
Zha, Ling [2 ]
Kiyohara, Kosuke [3 ]
Kitamura, Tetsuhisa [2 ]
Komukai, Sho [4 ]
Sobue, Tomotaka [2 ]
Oda, Jun [1 ]
机构
[1] Osaka Univ, Grad Sch Med, Dept Traumatol & Acute Crit Med, 2-15,Yamada oka, Suita 5650871, Japan
[2] Osaka Univ, Grad Sch Med, Dept Social Med, Div Environm Med & Populat Sci, 2-2 Yamada oka, Suita 5650871, Japan
[3] Otsuma Womens Univ, Fac Home Econ, Dept Food Sci, 12 Sanban cho,Chiyoda ku, Tokyo 1028357, Japan
[4] Osaka Univ, Grad Sch Med, Dept Integrated Med, Div Biomed Stat, 2-2,Yamada oka, Suita 5650871, Japan
来源
RESUSCITATION PLUS | 2022年 / 12卷
基金
日本学术振兴会;
关键词
Out-of-hospital cardiac arrest; Survival outcomes; Older adults; COVID-19; pandemic; EUROPEAN-RESUSCITATION-COUNCIL; AMERICAN-HEART-ASSOCIATION; STROKE-FOUNDATION; TASK-FORCE; PROFESSIONALS; STATEMENT; SURVIVAL; CANADA;
D O I
10.1016/j.resplu.2022.100299
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Aim: The coronavirus disease (COVID-19) pandemic has negatively affected access to healthcare and treatment. This study aimed to explore the impact of the COVID-19 pandemic on older adults with out-of-hospital cardiac arrest (OHCA) in Japan, a country with a super-aging society. Methods: This secondary analysis of the All-Japan Utstein Registry included patients aged 65 years and older with bystander-witnessed OHCA between January 1, 2005, and December 31, 2020. Survival outcomes were compared by time period using multivariable logistic regression analyses. The primary outcome measured was the one-month survival rate with neurologically favorable outcomes. Results: Before the COVID-19 pandemic, survival outcomes were steadily improving, and 32,024 patients in 2019 and 31,894 in 2020 were eligible for analysis. The proportions of conventional cardiopulmonary resuscitation and shock by public-access automated external defibrillators were lower in 2020 than in 2019 (6.7% versus 5.7%, p < 0.001 and 2.5% versus 2.1%, p < 0.001, respectively). Compared to 2019, the one-month survival after OHCA and prehospital return of spontaneous circulation decreased significantly in 2020 than in 2019 (7.7% versus 6.6%, adjusted odds ratio [AOR]: 0.88, 95% confidence interval [CI]: 0.83-0.94, and 16.8% versus 14.9%, AOR: 0.87, 95% CI: 0.83-0.91, respectively). The proportion of neurologically favorable outcomes also decreased, but the decrease was not statistically significant (3.4% versus 2.8%, AOR: 0.92, 95% CI: 0.83-1.01). Conclusion: In this population-focused, bystander-witnessed study regarding OHCA, the analysis of nationwide registry data revealed that the COVID-19 pandemic was associated with reduced survival among older adults with OHCA in Japan.
引用
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页数:7
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