The impact of the COVID-19 pandemic on resuscitation attempts, bystander CPR and survival outcomes in Australia and New Zealand: A binational population-based, Epistry study
Aim: This study aims to assess the impact of the COVID-19 pandemic on out-of-hospital cardiac arrest (OHCA) incidence, bystander cardiopulmonary resuscitation (CPR), EMS resuscitation attempts and survival across Australia and New Zealand. Method: Data were extracted for all OHCAs patients attended...
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| Language: | English |
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Elsevier
2025-03-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520425000311 |
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| author | Stuart Howell Ziad Nehme Stephen Ball Tan Doan Judith Finn Emma Bosley Steven Faddy Bridget Dicker Andy Swain Peter Cameron Melanie Thorrowgood Andrew Thomas Samuel Perillo Mike McDermott Matt Green Nicole Packham Ashanti Dantanarayana Joe Cuthbertson Janet Bray |
| author_facet | Stuart Howell Ziad Nehme Stephen Ball Tan Doan Judith Finn Emma Bosley Steven Faddy Bridget Dicker Andy Swain Peter Cameron Melanie Thorrowgood Andrew Thomas Samuel Perillo Mike McDermott Matt Green Nicole Packham Ashanti Dantanarayana Joe Cuthbertson Janet Bray |
| author_sort | Stuart Howell |
| collection | DOAJ |
| description | Aim: This study aims to assess the impact of the COVID-19 pandemic on out-of-hospital cardiac arrest (OHCA) incidence, bystander cardiopulmonary resuscitation (CPR), EMS resuscitation attempts and survival across Australia and New Zealand. Method: Data were extracted for all OHCAs patients attended by emergency medical services (EMS) between 2017 and 2021 from the Aus-ROC OHCA Epistry (Epidemiological registry). Logistic regression was used to explore differences between the pre-COVID-19 (January 1, 2017 to March 15, 2020) and COVID-19 (March 16, 2020 to December 31, 2021) periods for bystander CPR, EMS-attempted resuscitation, survival to hospital arrival (event survival) and survival to hospital discharge/30 days. Results: The incidence of OHCA increased during COVID-19 in Australia and New Zealand, although this varied regionally. When compared to the pre-COVID-19 period, COVID-19 was associated with a significant increase in the odds of an EMS-attempted resuscitation in Queensland (adjusted odds ratio (aOR) = 1.19; 95%CI: 1.01–1.40, p = 0.03) and Western Australia (aOR = 1.26; 95%CI: 1.03–1.54, p = 0.02). The COVID-19 period was associated with a decrease in survival to hospital arrival in Australia overall (aOR = 0.91; 95% CI:0.83–0.99, p = 0.04), and by region in Victoria (aOR = 0.74; 95% CI:0.63–0.87, p < 0.01) and Tasmania (aOR = 0.48; 95% CI:0.25–0.91, p = 0.02), and with a decrease in survival to hospital discharge/30 days in Australia (aOR = 0.82; 95% CI:0.70–0.96, p = 0.01), and by region in Victoria (aOR = 0.70; 95% CI:0.54–0.91, p < 0.01) and South Australia (aOR = 0.61; 95% CI:0.37–0.99, p = 0.04). There were no significant changes in survival during COVID-19 in New Zealand. Conclusion: Regional variations were observed with respect to the associations of COVID-19 with resuscitation attempts and OHCA survival. |
| format | Article |
| id | doaj-art-d65cb8752e2e4074b0ac318a3caccc26 |
| institution | DOAJ |
| issn | 2666-5204 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-d65cb8752e2e4074b0ac318a3caccc262025-08-20T03:00:50ZengElsevierResuscitation Plus2666-52042025-03-012210089410.1016/j.resplu.2025.100894The impact of the COVID-19 pandemic on resuscitation attempts, bystander CPR and survival outcomes in Australia and New Zealand: A binational population-based, Epistry studyStuart Howell0Ziad Nehme1Stephen Ball2Tan Doan3Judith Finn4Emma Bosley5Steven Faddy6Bridget Dicker7Andy Swain8Peter Cameron9Melanie Thorrowgood10Andrew Thomas11Samuel Perillo12Mike McDermott13Matt Green14Nicole Packham15Ashanti Dantanarayana16Joe Cuthbertson17Janet Bray18School of Public Health and Preventive Medicine, Monash University, Victoria, Australia; Corresponding author.School of Public Health and Preventive Medicine, Monash University, Victoria, Australia; Department of Paramedicine, Monash University, Victoria, Australia; Ambulance Victoria, Victoria, AustraliaPrehospital, Resuscitation and Emergency Care Research Unit (PRECRU), Curtin University, Western Australia, Australia; St John Western Australia, Western Australia, AustraliaQueensland Ambulance Service, Queensland, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Victoria, Australia; Prehospital, Resuscitation and Emergency Care Research Unit (PRECRU), Curtin University, Western Australia, Australia; St John Western Australia, Western Australia, Australia; School of Medicine (Emergency Medicine), University of Western Australia, AustraliaQueensland Ambulance Service, Queensland, Australia; School of Clinical Sciences, Queensland University of Technology, Queensland, AustraliaNSW Ambulance, New South Wales, AustraliaHato Hone St John New Zealand, Auckland, New Zealand; Auckland University of Technology, Auckland, New ZealandWellington Free Ambulance, Wellington, New ZealandSchool of Public Health and Preventive Medicine, Monash University, Victoria, Australia; Emergency and Trauma Centre, The Alfred, Melbourne, Victoria, AustraliaSA Ambulance Service, South Australia, AustraliaSt John Ambulance NT, Northern Territory, AustraliaACT Ambulance, Australian Capital Territory, AustraliaAmbulance Tasmania, Tasmania, AustraliaAmbulance Tasmania, Tasmania, AustraliaNSW Ambulance, New South Wales, AustraliaAmbulance Victoria, Victoria, AustraliaSt John Western Australia, Western Australia, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Victoria, Australia; Prehospital, Resuscitation and Emergency Care Research Unit (PRECRU), Curtin University, Western Australia, AustraliaAim: This study aims to assess the impact of the COVID-19 pandemic on out-of-hospital cardiac arrest (OHCA) incidence, bystander cardiopulmonary resuscitation (CPR), EMS resuscitation attempts and survival across Australia and New Zealand. Method: Data were extracted for all OHCAs patients attended by emergency medical services (EMS) between 2017 and 2021 from the Aus-ROC OHCA Epistry (Epidemiological registry). Logistic regression was used to explore differences between the pre-COVID-19 (January 1, 2017 to March 15, 2020) and COVID-19 (March 16, 2020 to December 31, 2021) periods for bystander CPR, EMS-attempted resuscitation, survival to hospital arrival (event survival) and survival to hospital discharge/30 days. Results: The incidence of OHCA increased during COVID-19 in Australia and New Zealand, although this varied regionally. When compared to the pre-COVID-19 period, COVID-19 was associated with a significant increase in the odds of an EMS-attempted resuscitation in Queensland (adjusted odds ratio (aOR) = 1.19; 95%CI: 1.01–1.40, p = 0.03) and Western Australia (aOR = 1.26; 95%CI: 1.03–1.54, p = 0.02). The COVID-19 period was associated with a decrease in survival to hospital arrival in Australia overall (aOR = 0.91; 95% CI:0.83–0.99, p = 0.04), and by region in Victoria (aOR = 0.74; 95% CI:0.63–0.87, p < 0.01) and Tasmania (aOR = 0.48; 95% CI:0.25–0.91, p = 0.02), and with a decrease in survival to hospital discharge/30 days in Australia (aOR = 0.82; 95% CI:0.70–0.96, p = 0.01), and by region in Victoria (aOR = 0.70; 95% CI:0.54–0.91, p < 0.01) and South Australia (aOR = 0.61; 95% CI:0.37–0.99, p = 0.04). There were no significant changes in survival during COVID-19 in New Zealand. Conclusion: Regional variations were observed with respect to the associations of COVID-19 with resuscitation attempts and OHCA survival.http://www.sciencedirect.com/science/article/pii/S2666520425000311Out-of-hospital cardiac arrestRegistryEmergency medical servicesCOVID-19 |
| spellingShingle | Stuart Howell Ziad Nehme Stephen Ball Tan Doan Judith Finn Emma Bosley Steven Faddy Bridget Dicker Andy Swain Peter Cameron Melanie Thorrowgood Andrew Thomas Samuel Perillo Mike McDermott Matt Green Nicole Packham Ashanti Dantanarayana Joe Cuthbertson Janet Bray The impact of the COVID-19 pandemic on resuscitation attempts, bystander CPR and survival outcomes in Australia and New Zealand: A binational population-based, Epistry study Resuscitation Plus Out-of-hospital cardiac arrest Registry Emergency medical services COVID-19 |
| title | The impact of the COVID-19 pandemic on resuscitation attempts, bystander CPR and survival outcomes in Australia and New Zealand: A binational population-based, Epistry study |
| title_full | The impact of the COVID-19 pandemic on resuscitation attempts, bystander CPR and survival outcomes in Australia and New Zealand: A binational population-based, Epistry study |
| title_fullStr | The impact of the COVID-19 pandemic on resuscitation attempts, bystander CPR and survival outcomes in Australia and New Zealand: A binational population-based, Epistry study |
| title_full_unstemmed | The impact of the COVID-19 pandemic on resuscitation attempts, bystander CPR and survival outcomes in Australia and New Zealand: A binational population-based, Epistry study |
| title_short | The impact of the COVID-19 pandemic on resuscitation attempts, bystander CPR and survival outcomes in Australia and New Zealand: A binational population-based, Epistry study |
| title_sort | impact of the covid 19 pandemic on resuscitation attempts bystander cpr and survival outcomes in australia and new zealand a binational population based epistry study |
| topic | Out-of-hospital cardiac arrest Registry Emergency medical services COVID-19 |
| url | http://www.sciencedirect.com/science/article/pii/S2666520425000311 |
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