From: Use of out-of-hospital cardiac arrest registries to assess COVID-19 home mortality
COVID-19 OHCA (N = 146) |
Non-COVID-19 OHCA (N = 524) | Estimated effect sizea | p | |
---|---|---|---|---|
Context of the OHCA | ||||
Age - yr | 67.5 ± 17.5 | 68.4 ± 17.1 | −0.90 [−4.09;2.23] | 0.565 |
Sex (male) - no. (%) | 88 (60.3%) | 373 (71.2%) | 0.61 [0.41;0.92] | 0.015 |
OHCA at home - no. (%) | 129 (88.4%) | 432 (82.4%) | 1.61 [0.92;3.03] | 0.099 |
Medical history - no. (%) | ||||
- diabetes | 31 (21.2%) | 68 (13.0%) | 1.82 [1.09;2.94] | 0.017 |
- cardiovascular | 60 (41.1%) | 228 (43.5%) | 0.91 [0.61;1.33] | 0.637 |
- respiratory | 23 (15.8%) | 69 (13.2%) | 1.23 [0.70;2.08] | 0.417 |
- other | 45 (30.8%) | 151 (28.8%) | 1.10 [0.72;1.67] | 0.681 |
- unremarkable | 9 (6.2%) | 29 (5.5%) | 1.12 [0.46;2.50] | 0.840 |
Cause of the OHCA - no. (%) | ||||
- cardiac cause | 51 (34.9%) | 382 (72.9%) | 0.20 [0.13;0.30] | < 0.001 |
- respiratory cause | 79 (54.1%) | 52 (9.9%) | 11.11 [6.67;16.67] | < 0.001 |
- other cause | 16 (11.0%) | 90 (17.2%) | 0.60 [0.31;1.06] | 0.073 |
Bystander presence (at collapse) - no. (%) | 94 (64.8%) | 279 (53.6%) | 1.59 [1.06;2.38] | 0.018 |
- Immediate bystander BLSb - no. (%) | 48 (52.7%) | 139 (49.6%) | 1.05 [0.64;1.72] | 0.631 |
Resuscitation | ||||
Bystander BLS - no. (%) | 67 (45.9%) | 237 (45.2%) | 1.03 [0.70;1.51] | 0.925 |
Bystander AED use - no. (%) | 5 (6.3%) | 32 (11.3%) | 0.55 [0.16;1.45] | 0.215 |
- if AED used, shock - no. (%) | 1 (20.0%) | 7 (24.1%) | 0.89 [0.02;11.11] | 0.999 |
BLS by first aid providers - no. (%) | 119 (81.5%) | 405 (77.4%) | 1.30 [0.80;2.13] | 0.309 |
ALS by the MMT - no. (%) | 83 (56.8%) | 312 (59.5%) | 0.89 [0.61;1.32] | 0.569 |
First recorded cardiac rhythmc - no. (%) | ||||
- asystole | 122 (83.6%) | 436 (83.4%) | 1.03 [0.62;1.75] | 0.999 |
- VF/pulseless VT | 3 (2.0%) | 35 (6.7%) | 0.29 [0.06;0.95] | 0.041 |
- PEA | 15 (10.3%) | 36 (6.9%) | 1.56 [0.76;3.03] | 0.215 |
- ROSC during BLS | 6 (4.1%) | 16 (3.1%) | 0.94 [0.54;1.58] | 0.599 |
Times | ||||
Time between T0 and MMT arrival - min | 30.4 ± 53.5 | 23.8 ± 24.6 | 6.60 [−2.56;15.60] | 0.158 |
Time between T0 and ROSC or death - min | 50.8 ± 52.4 | 42.0 ± 27.7 | 8.80 [−0.27;17.88] | 0.057 |
Survival | ||||
ROSC - no. (%) | 23 (15.8%) | 87 (16.7%) | 0.94 [0.54;1.59] | 0.900 |
Survival at hospital admission - no. (%) | 15 (10.3%) | 73 (13.9%) | 0.71 [0.36;1.30] | 0.271 |