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Impact of COVID-19 on Out-of-Hospital Cardiac Arrest in Singapore.
Lim, Shir Lynn; Shahidah, Nur; Saffari, Seyed Ehsan; Ng, Qin Xiang; Ho, Andrew Fu Wah; Leong, Benjamin Sieu-Hon; Arulanandam, Shalini; Siddiqui, Fahad Javaid; Ong, Marcus Eng Hock.
  • Lim SL; Department of Cardiology, National University Heart Center, Singapore 119228, Singapore.
  • Shahidah N; Department of Emergency Medicine, Singapore General Hospital, Singapore 169608, Singapore.
  • Saffari SE; Center for Quantitative Medicine, Duke-National University of Singapore Medical School, Singapore 169857, Singapore.
  • Ng QX; Emergency Medical Services Department, Singapore Civil Defence Force, Singapore 408827, Singapore.
  • Ho AFW; Department of Emergency Medicine, Singapore General Hospital, Singapore 169608, Singapore.
  • Leong BS; SingHealth Emergency Medicine Academic Clinical Programme, Duke-National University of Singapore Medical School, Singapore 169857, Singapore.
  • Arulanandam S; Pre-Hospital and Emergency Research Center, Duke-National University of Singapore Medical School, Singapore 169857, Singapore.
  • Siddiqui FJ; Emergency Medicine Department, National University Hospital, Singapore 119085, Singapore.
  • Ong MEH; Emergency Medical Services Department, Singapore Civil Defence Force, Singapore 408827, Singapore.
Int J Environ Res Public Health ; 18(7)2021 03 31.
Article in English | MEDLINE | ID: covidwho-1160052
ABSTRACT
This study aimed to evaluate the impact of the Coronavirus Disease 2019 (COVID-19) pandemic on out-of-hospital cardiac arrest (OHCA) in Singapore. We used data from the Singapore Civil Defence Force to compare the incidence, characteristics and outcomes of all Emergency Medical Services (EMS)-attended adult OHCA during the pandemic (January-May 2020) and pre-pandemic (January-May 2018 and 2019) periods. Pre-hospital return of spontaneous circulation (ROSC) was the primary outcome. Binary logistic regression was used to calculate the adjusted odds ratios (aOR) for the characteristics of OHCA. Of the 3893 OHCA patients (median age 72 years, 63.7% males), 1400 occurred during the pandemic period and 2493 during the pre-pandemic period. Compared with the pre-pandemic period, OHCAs during the pandemic period more likely occurred at home (aOR 1.48; 95% CI 1.24-1.75) and were witnessed (aOR 1.71; 95% CI 1.49-1.97). They received less bystander CPR (aOR 0.70; 95% CI 0.61-0.81) despite 65% of witnessed arrests by a family member, and waited longer for EMS (OR ≥ 10 min 1.71, 95% CI 1.46-2.00). Pre-hospital ROSC was less likely during the pandemic period (aOR 0.67; 95% CI 0.53-0.84). The pandemic saw increased OHCA incidence and worse outcomes in Singapore, likely indirect effects of COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / Emergency Medical Services / Out-of-Hospital Cardiac Arrest / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male Country/Region as subject: Asia Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18073646

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / Emergency Medical Services / Out-of-Hospital Cardiac Arrest / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male Country/Region as subject: Asia Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18073646