https://doi.org/10.4081/ecj.2022.10436

Out of hospital cardiac arrest during COVID-19 pandemic: A retrospective study from north east of Italy

Vol. 18 No. 3 (2022)
Submitted: 1 March 2022
Accepted: 12 July 2022
Published: 27 September 2022
Out-of-hospital cardiac arrest, COVID-19, return of spontaneous circulation, bystanders cardiopulmonary resuscitation
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Authors

Andrea Breglia
andrea.breglia@aulss8.veneto.it
Emergency Department, Cazzavillan Hospital, Arzignano, Italy.
Marco Stefano Ruggeri
Emergency Department, Cazzavillan Hospital, Arzignano, Italy.
Pietro Pettenella
Emergency Department, Cazzavillan Hospital, Arzignano, Italy.
Renato Ippolito
Emergency Department, Padua University Hospital, Padua, Italy.
Claudio Fossa
Emergency Department, Cazzavillan Hospital, Arzignano, Italy.
Mirko Zanatta
Emergency Department, San Lorenzo Hospital, Valdagno, Italy.

The novel coronavirus disease 2019 (COVID-19) outbreak affected the epidemiology and the outcomes of Out-Of Hospital Cardiac Arrest (OHCA). We performed a retrospective observational study in the Western district of Vicenza (Veneto, Italy) to evaluate patients affected by non-traumatic OHCA and we analyzed epidemiological and clinical characteristics associated with sustained Return Of Spontaneous Circulation (ROSC). We collected 114 cases from January 2019 to May 2021 and we compared data of the pre-pandemic period (2019) with the pandemic one (2020-2021). During the pandemic we found an increase of bystander CPR, of OHCA with a cardiac cause and of shockable presenting rhythms. All these observations weren’t associated with an increase of sustained ROSC, which could be determined by both the reorganization of the health care system with the reduction of medical screenings and by the interruption of training courses reducing the efficacy of cardiopulmonary resuscitation. On the other hand, the higher percentage of presenting shockable rhythm reinforces the importance of bystander rule and of short time to start CPR.

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How to Cite

Breglia, A., Ruggeri, M. S., Pettenella, P., Ippolito, R., Fossa, C., & Zanatta, M. (2022). Out of hospital cardiac arrest during COVID-19 pandemic: A retrospective study from north east of Italy. Emergency Care Journal, 18(3). https://doi.org/10.4081/ecj.2022.10436

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