Characteristics and outcomes of pediatric and adult non-traumatic out-of-hospital cardiac arrest during the COVID-19 pandemic: Descriptive study
- Author:
Kenneth Doya Nonesa
1
;
John Michael Hega
1
;
Faith Joan Mesa-Gaerlan
1
Author Information
- Publication Type:Journal Article
- Keywords: Emergency response; Defibrillation
- MeSH: Resuscitation; Ambulances
- From: Southern Philippines Medical Center Journal of Health Care Services 2023;9(2):1-
- CountryPhilippines
- Language:English
-
Abstract:
Background:Due to the COVID-19 pandemic, health care for patients who experienced out-of-hospital cardiac arrest (OHCA) has been suboptimal.
Objective:To describe the demographic, clinical, and logistical characteristics of patients who experienced OHCA during the peak of the COVID-19 pandemic.
Design:Descriptive study.
Participants:136 males and 58 females, aged 8 days to 89 years old, who experienced OHCA and were subsequently sent to the emergency department of Southern Philippines Medical Center (SPMC).
Setting:Southern Philippines Medical Center, Davao City, March 15 to December 31, 2020.
Main outcome measures:Demographic, clinical, and logistical characteristics of patients.
Main results:Of the 194 patients, 149 (76.80%) experienced OHCA at home. Among them, 42 (21.65%) received initial CPR at the scene, with 36 (85.71%) of these procedures performed by ambulance crews. Only one (0.52%) patient received automated extracorporeal defibrillation performed by a bystander. There were 147 (75.77%) patients who were transported by private vehicles. The average times for dispatch, response and turnaround of the emergency medical services (EMS) were 8 minutes, 19 minutes, and 56 minutes, respectively. Of the 194 patients, 176 (90.72%) were transported without ongoing resuscitation. Upon arrival at the emergency department, 184 (94.84%) patients had unknown arrest rhythm. Only one (0.52%) patient had a return of spontaneous circulation and was admitted to the ICU. All the other patients expired within 10 to 15 minutes upon arriving at the emergency department.
Conclusion:In this study, most OHCAs happened at home, with few receiving CPR at the scene, primarily from ambulance crews. The average EMS response time was 19 minutes. Most patients were transported from the scene without ongoing resuscitation, and had an unknown arrest rhythm upon arrival at the emergency department. All patients expired shortly after arriving at the emergency department.
