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Impact of Coronavirus Disease 2019 Pandemic on Cardiac Arrest and Emergency Care

Murtaza Bharmal1, Kyle DiGrande1, Akash Patel1

  • 1Department of Cardiology, University of California Irvine Medical Center, 510 E Peltason Drive, Irvine, CA 92697, USA.

Cardiology Clinics
|July 19, 2022
PubMed

Insights

The coronavirus disease 2019 (COVID-19) pandemic led to more cardiac arrests and worse patient survival. Understanding pandemic-related factors is crucial for improving future emergency cardiac care and saving lives.

Area of Science:

  • Emergency Medicine
  • Public Health
  • Cardiology

Background:

  • The COVID-19 pandemic has significantly impacted healthcare systems globally.
  • Cardiac arrest incidence and outcomes are critical public health indicators.

Purpose of the Study:

  • To analyze the impact of the COVID-19 pandemic on cardiac arrest incidence and patient outcomes.
  • To identify factors contributing to changes in cardiac arrest survival during the pandemic.

Main Methods:

  • Retrospective analysis of cardiac arrest data during the COVID-19 pandemic.
  • Comparison of incidence and survival rates pre-pandemic versus during the pandemic.

Main Results:

  • Increased incidence of both out-of-hospital cardiac arrest (OOHCA) and in-hospital cardiac arrest (IHCA) during the pandemic.
  • Reduced patient survival and neurologic outcomes for both OOHCA and IHCA.
  • Attributed changes to direct COVID-19 effects and indirect pandemic influences on healthcare and patient behavior.

Conclusions:

  • The COVID-19 pandemic adversely affected cardiac arrest outcomes.
  • Interventions addressing both direct viral impacts and systemic pandemic effects are needed.
  • Future strategies should focus on mitigating pandemic-related risks to improve cardiac arrest survival.

Keywords:
COVID-19 pandemicCardiac arrestEmergency careIn-hospital cardiac arrestOut-of-hospital cardiac arrest

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