학술논문
Assessment of changes in cardiopulmonary resuscitation practices and outcomes on 1005 victims of out-of-hospital cardiac arrest during the COVID-19 outbreak: registry-based study
Document Type
Report
Author
Baert, Valentine; Jaeger, Deborah; Hubert, Hervé; Lascarrou, Jean-Baptiste; Debaty, Guillaume; Chouihed, Tahar; Javaudin, François; Abarrategui, Diego; Adam, Romain; Agostinucci, Jean marc; Ahui, Terence; Alcouffe, Fabrice; Altervain, Yohan; Amelon, Francois-Xavier; Andre, Fanny; Andriamirado, Florian; Antouard, Jerome; Arnaud, Aurelie; Aubert, Raphael; Avondo, Aurelie; Babin, Clement; Baina, Anne; Ballet, Celine; Barberis, Christophe; Barbery, Adele; Bardelay, Romain; Bargain, Philippe; Barukh, Karen; Baudin, Marine; Beaka, Placido; Beayni, Zaher; Belin, Matthieu; Benoit, Clement; Bertrand, Philippe; Besnier, Sylvie; Blain, Stephane; Bonhomme, Cecile; Bouilleau, Guillem; Boulanger, Bertrand; Bourg, Arthur; Boursier, Marion; Bouteloup, Florent; Boutin, Celia; Branche, Fabienne; Bruneau, Amandine; Busi, Olivia; Caprini, Pierre; Carle, Olivier; Chabaud, Asceline; Chantrel, Gauthier; Chassin, Coralie; Chatenet, Guillaume; Chevrier, Guillaume; Cissokho, Khadidiatou; Clauw, Emmelyne; Cohen, Rudy; Colson, Camille; Conio, Alice; Constant, Samuel; Costa, Aurelie; Courcoux, Hubert; Dattin, Alix; De schlichting, Marie alix; Decker, Sandra; Dehouck, Marc-Antoine; Deslais, Benoit; Djebbar, Lynda; Dubeaux, Josephine; Dubois, Camille; Duchier, Caroline; Dumont, Nathalie; Duperron, Yann; Dussoulier, Sebastien; Duval, Benoit; Dyani, Mohamed; Emonet, Anne; Ferquel, Martin; Fiani, Nasri; Flambard, Maud; Fleuchot, Thomas; Foudi, Lahcene; Frenais, Regis; Fritsch, Emmanuelle; Fuseau, Celine; Fuster, Patrick; Gaillard, Nancy; Gay, Julien; Gelin, Emilie; Gentilhomme, Angelie; Genuyt, Benoit; Ginoux, Lucie; Goulois, Nathalie; Goulvin, Virginie; Graux, Cecile; Grave, Eric; Grua, David; Guenier, Pierre-Alban; Guery, Carole; Guillaumee, Frederic; Guillet, Aline; Guillon, Alain; Guinard, Sollweig; Guiot, Olivier; Halbout, Laurent; Hamdan, David; Handwerk, Tom; Harel, David; Hebrard, Manon; Hiller, Pascale; Hoff, Julie; Hoang, Michael; Hugenschmitt, Delphine; Jaeger, Deborah; Jardel, Benoit; Jauneau, Charline; Javaudin, Francois; Jeanmasson, Yoann; Jeziorny, Alexandre; Joliet, Geraldine; Jonquet, Sebastien; Kamara, Mariam; Klimas, Stephane; Laborne, Francois xavier; Lacoste, Julien; Lafitte, Blandine; Lagadec, Steven; Lamarche-Vadel, Yacine; Lambert, Julia; Lamothe, Marion; Laot, Melanie; Larcher, Fanny; Lavielle, Jeanne; Le beuan, Celine; Le normand, Thomas; Le pennetier, Olivier; Lebail, Antoine; Leclerc, Maxence; Lepeve, Alexandra; Leroy, Antoine; Lespiaucq, Christine; Levrard, Pascaline; Li crapi, Raffaello; Longo, Celine; Lorge, Sarah; Loubert, Richard; Lougnon, Jean-Paul; Maigre, Olivier; Majoufre, Gwenaelle; Mansouri, Nadia; Marc, Jean-Baptiste; Maroteix, Paul; Marrakchi, Faycal; Massacrier, Sylvie; Maurel, Marion; Megard, Marie fleur; Merle, Heloise; Mesli, Adil; Meunier, Juliette; Miquelestorena, Julie; Miranda, Celine; Moine, Linda; Montagnon, Francois-Xavier; Morel, Jean-Charles; Morel marechal, Emanuel; Mur, Sebastien; Muteaud, Margaux; Narcisse, Sophie; Nardy, Jean ely; Naud, Julien; Nave, Sophie; Nenert, Eloi; Ngoyi, Natacha; Nguyen, Kim; Nicolin, Leandre; Nussbaum, Camille; Oliveira, Larissa; Ovtcharenko, Mariane; Pancher, Agathe; Parisot, Sarah; Peixoto, Brandon; Pernot, Thomas; Petitdemange, Olivia; Piboule, Ludovic; Pic, Daniel; Picot, Jessica; Pinel, Lauren; Plenier, Cecile; Potriquier, Stephane; Pradeau, Catherine; Pretalli, Jean-Baptiste; Prouve, Christina; Prudor, Florence; Quilliet, Dominique; Raconnat, Julien; Rallu, Martin; Ramaherison, Thierry; Remond, Annabelle; Robart, Jean-Christophe; Robert, Helene; Rojas, Jerome; Roucaud, Nicolas; Roudiak, Nathalie; Rouffilange, Louis; Sanchez, Caroline; Savu, Alexandru; Sciacca, Christelle; Scuotto, Pierre; Sebai, Salim; Serre, Patrice; Simeon, Isabelle; Simisdean, Ciprian; Suhas, Pauline; Sussat, Myriam; Sylvie, Roux; Tabary, Romain; Tasei, Frederic; Tellier, Eric; Theurey, Odile; Thibaud, Eric; Thiriez, Sylvain; Trialoup, Sarah laure; Trouvain, Helene; Ursat, Cecile; Vanderstraeten, Carine; Vasseur, Laurene; Vergne, Muriel; Villain-Coquet, Laurent; Watrelot, Olivier; Weyer, Claire marie; Zeribi, Badia
Source
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. December 18, 2020, Vol. 28 Issue 1
Subject
Language
English
ISSN
1757-7241
Abstract
Background The COVID-19 outbreak requires a permanent adaptation of practices. Cardiopulmonary resuscitation (CPR) is also involved and we evaluated these changes in the management of out-of-hospital cardiac arrest (OHCA). Methods OHCA of medical origins identified from the French National Cardiac Arrest Registry between March 1st and April 31st 2020 (COVID-19 period), were analysed. Different resuscitation characteristics were compared with the same period from the previous year (non-COVID-19 period). Results Overall, 1005 OHCA during the COVID-19 period and 1620 during the non-COVID-19 period were compared. During the COVID-19 period, bystanders and first aid providers initiated CPR less frequently (49.8% versus 54.9%; difference, - 5.1 percentage points [95% CI, - 9.1 to - 1.2]; and 84.3% vs. 88.7%; difference, - 4.4 percentage points [95% CI, - 7.1 to - 1.6]; respectively) as did mobile medical teams (67.3% vs. 75.0%; difference, - 7.7 percentage points [95% CI, - 11.3 to - 4.1]). First aid providers used defibrillators less often (66.0% vs. 74.1%; difference, - 8.2 percentage points [95% CI, - 11.8 to - 4.6]). Return of spontaneous circulation (ROSC) and D30 survival were lower during the COVID-19 period (19.5% vs. 25.3%; difference, - 5.8 percentage points [95% CI, - 9.0 to - 2.5]; and 2.8% vs. 6.4%; difference, - 3.6 percentage points [95% CI, - 5.2 to - 1.9]; respectively). Conclusions During the COVID-19 period, we observed a decrease in CPR initiation regardless of whether patients were suspected of SARS-CoV-2 infection or not. In the current atmosphere, it is important to communicate good resuscitation practices to avoid drastic and lasting reductions in survival rates after an OHCA. Keywords: COVID-19, Registry, Out-of-hospital cardiac arrest, Resuscitation
Author(s): Valentine Baert[sup.1,2] , Deborah Jaeger[sup.3] , Hervé Hubert[sup.1,2] , Jean-Baptiste Lascarrou[sup.4,5] , Guillaume Debaty[sup.6] , Tahar Chouihed[sup.3] , François Javaudin[sup.7,8] , Diego Abarrategui[sup.] , Romain Adam[sup.] , Jean marc [...]
Author(s): Valentine Baert[sup.1,2] , Deborah Jaeger[sup.3] , Hervé Hubert[sup.1,2] , Jean-Baptiste Lascarrou[sup.4,5] , Guillaume Debaty[sup.6] , Tahar Chouihed[sup.3] , François Javaudin[sup.7,8] , Diego Abarrategui[sup.] , Romain Adam[sup.] , Jean marc [...]