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About:
Preparedness of personal protective equipment and implementation of new CPR strategies for patients with out-of-hospital cardiac arrest in the COVID-19 era
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Preparedness of personal protective equipment and implementation of new CPR strategies for patients with out-of-hospital cardiac arrest in the COVID-19 era
Creator
Cho, Jae
Jeon, Jae
Kim, Yang
Lee, Mi
Lee, Sang
Kim, Gyun
Kim, Changho
Lee, Suk
Mun, Ho
Cheon Jeon, Jae
Chung, Han-Sol
Jung, Haewon
Mun, You
Park, Sin-Youl
Source
Elsevier; PMC
abstract
Abstract Background In February and March 2020, healthcare providers and citizens in Daegu, South Korea, experienced the onslaught of a large-scale community epidemic of COVID-19. This had a profound impact on patients who experienced out-of-hospital cardiac arrest (OHCA). Methods We conducted a retrospective observational study of 171 OHCA patients based on the multicenter WinCOVID registry. Demographic and clinical characteristics, overall survival, COVID-19 related data, as well as personal protective equipment (PPE) and resuscitation techniques used during the COVID-19 outbreak were evaluated and compared with outcomes from a 2018 historical cohort (n=158). Results Among the interventions, high-level PPE was introduced and standard cardiopulmonary resuscitation was changed to chest compressions using mechanical devices. All OHCA patients were treated as confirmed or suspicious for COVID-19 regardless of symptoms. Furthermore, complete or partial closures of emergency centers and the number of medical personnel requiring self-isolation decreased in response to the introduction of isolated resuscitation units. However, the adjusted odds ratio and 95% confidence intervals for survival discharge and favorable neurologic outcome were 0.51 (0.25–0.97) and 0.45 (0.21–1.07) compared with those in the 2018 historical cohort. Conclusions Responses to the COVID-19 pandemic included changes to current PPE strategies and introduction of isolated resuscitation units; the latter intervention reduced the number of unexpected closures and quarantines of emergency resources early on during the COVID-19 outbreak. Given the possibility of future outbreaks, we need to have revised resuscitation strategies and the capacity to commandeer emergency resources for OHCA patients.
has issue date
2020-06-25
(
xsd:dateTime
)
bibo:doi
10.1016/j.resplu.2020.100015
has license
els-covid
sha1sum (hex)
378c9bf5f71c07723ee1db069aec484c303f3a1c
schema:url
https://doi.org/10.1016/j.resplu.2020.100015
resource representing a document's title
Preparedness of personal protective equipment and implementation of new CPR strategies for patients with out-of-hospital cardiac arrest in the COVID-19 era
has PubMed Central identifier
PMC7315986
resource representing a document's body
covid:378c9bf5f71c07723ee1db069aec484c303f3a1c#body_text
is
schema:about
of
named entity 'healthcare providers'
named entity 'Methods'
named entity 'personal protective equipment (PPE)'
named entity 'registry'
named entity 'cohort'
named entity 'Era'
named entity 'Journal'
named entity 'Preparedness'
named entity 'PPE'
named entity 'Strategies'
named entity 'patients'
named entity 'personal protective equipment'
named entity 'COVID-19'
named entity 'conducted'
named entity 'Background'
named entity 'clinical characteristics'
named entity 'observational study'
named entity 'South Korea'
named entity 'CPR'
named entity 'cardiac arrest'
named entity 'COVID'
named entity 'CPR'
named entity 'CPR'
named entity 'mobile intensive care unit'
named entity 'Daegu'
named entity 'medical history'
named entity 'OHCA'
named entity 'prehospital'
named entity 'infectious diseases'
named entity 'EMS'
named entity 'prehospital'
named entity 'COVID-19'
named entity 'neurologic'
named entity 'long-term care'
named entity 'CPR'
named entity 'CPR'
named entity 'OHCA'
named entity 'respiratory droplets'
named entity 'cardiac arrest'
named entity 'defibrillation'
named entity 'infection'
named entity 'OHCA'
named entity 'primary care clinic'
named entity 'PPE'
named entity 'dead on arrival'
named entity 'high-quality'
named entity 'virus'
named entity 'airway'
named entity 'epidemiologic'
named entity 'prevent the spread'
named entity 'cardiopulmonary resuscitation'
named entity 'CPR'
named entity 'CPR'
named entity '0.51'
named entity 'physical examination'
named entity 'PPE'
named entity 'virus transmission'
named entity 'asymptomatic carriers'
named entity 'CPR'
named entity 'EMCs'
named entity 'healthcare personnel'
named entity '95% CI'
named entity 'CPR'
named entity 'epidemic'
named entity 'SARS'
named entity 'Healthcare workers'
named entity 'infection'
named entity 'cardiovascular'
named entity 'CPR'
named entity 'cardiac arrest'
named entity 'epidemic'
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