Did Lockdown Influence Bystanders’ Willingness To Perform Cardiopulmonary Resuscitation? A Worldwide Registry-Based Perspective
Date
Authors
Tjelmeland, Ingvild BM
Wnent, Jan
Masterson, Siobhan
Kramer-Johansen, Jo
Eng Hock Ong, Marcus
Smith, Karen
Skogvoll, Eirik
Lefering, Rolf
Lynn Lim, Shir
Liu, Nan
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier BV
Abstract
AIM: Bystander cardiopulmonary resuscitation (CPR) significantly increases the survival rate after out-of-hospital cardiac arrest. Using population-based registries, we investigated the impact of lockdown due to Covid-19 on the provision of bystander CPR, taking background changes over time into consideration. METHODS: Using a registry network, we invited all registries capable of delivering data from 1. January 2017 to 31. December 2020 to participate in this study. We used negative binominal regression for the analysis of the overall results. We also calculated the rates for bystander CPR. For every participating registry, we analysed the incidence per 100000 inhabitants of bystander CPR and EMS-treated patients using Poisson regression, including time trends. RESULTS: Twenty-six established OHCA registries reported 742 923 cardiac arrest patients over a four-year period covering 1.3 billion person-years. We found large variations in the reported incidence between and within continents. There was an increase in the incidence of bystander CPR of almost 5% per year. The lockdown in March/April 2020 did not impact this trend. The increase in the rate of bystander CPR was also seen when analysing data on a continental level. We found large variations in incidence of bystander CPR before and after lockdown when analysing data on a registry level. CONCLUSION: There was a steady increase in bystander CPR from 2017 to 2020, not associated with an increase in the number of ambulance-treated cardiac arrest patients. We did not find an association between lockdown and bystanders' willingness to start CPR before ambulance arrival, but we found inconsistent patterns of changes between registries.Description
Keywords
Lockdown, bystander CPR group, 32 Biomedical and Clinical Sciences, 3202 Clinical Sciences, 42 Health Sciences, Cardiovascular, Heart Disease, Cardiovascular, 1103 Clinical Sciences, 1110 Nursing, 1117 Public Health and Health Services, Emergency & Critical Care Medicine, 3202 Clinical sciences, 4205 Nursing, 4206 Public health
Source
Resuscitation, ISSN: 1873-1570 (Print); 1873-1570 (Online), Elsevier BV, 109764-. doi: 10.1016/j.resuscitation.2023.109764
Publisher's version
Rights statement
© 2023 The Author(s). Published by Elsevier B.V. This is an open access article distributed under the terms of the Creative Commons CC-BY license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. You are not required to obtain permission to reuse this article.