Impact of SARS-CoV-2 on extra-hospital cardiac arrest

Q4 Medicine Revue Medicale de Bruxelles Pub Date : 2022-01-01 DOI:10.30637/2022.21-010
P. Domont, S. Debaize, S. Curac
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Abstract

Introduction : The pandemic caused by the SARS-CoV-2 virus has affected nearly 240 million people around the world. This pandemic has had a great impact on individual and collective clinical practice. Objective : Impact of SARS-CoV-2 on out-of-hospital cardiac arrest (OCAH), through gender, context, initial rhythm, survival and neurological recovery. Design, settings, and participants : A retrospective analysis of a cohort of OCAH patients who were treated by the mobile emergency and intensive care unit (MICU) of the Erasme hospital - University clinics of Brussels was conducted. All interventions concerning an OCAH, from 01/01/2019 to 12/31/2019, reflecting a non-pandemic period and from 01/01/2020 to 12/31/2020, reflecting a period of SARSCoV-2 pandemic were analyzed. Main results : This study shows an increase in the male/ female ratio, as well as an increase in the number of OCAH. During the second wave, more than half of OCAHs had a suspected respiratory etiology. This period indicate an increase in ventricular fibrillation, as well as better autonomy and neurological sequelae, despite the statistical tests between a non-pandemic and a pandemic SARS-CoV-2 period were not significant. Conclusion : This retrospective cohort of patients who used MICU of HE-CUB during a non-pandemic and a pandemic period, highlights the impact of SARS-CoV-2 in absolute numbers on OCAH.
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新冠肺炎对院外心脏骤停的影响
由SARS-CoV-2病毒引起的大流行已影响到全球近2.4亿人。这次大流行对个人和集体临床实践产生了巨大影响。目的:SARS-CoV-2通过性别、环境、初始节律、生存和神经恢复对院外心脏骤停(OCAH)的影响。设计、设置和参与者:对在布鲁塞尔Erasme医院-大学诊所的流动急诊和重症监护病房(MICU)治疗的OCAH患者队列进行了回顾性分析。分析了2019年1月1日至2019年12月31日反映非大流行时期和2020年1月1日至2020年12月31日反映SARSCoV-2大流行时期的所有与OCAH有关的干预措施。主要结果:本研究显示男性/女性比例增加,以及OCAH数量增加。在第二波中,超过一半的OCAHs有疑似呼吸道病因。这一时期表明心室颤动的增加,以及更好的自主性和神经系统后遗症,尽管非大流行和大流行SARS-CoV-2时期之间的统计测试并不显著。结论:在非大流行和大流行期间使用HE-CUB MICU的患者的回顾性队列,突出了SARS-CoV-2对OCAH的绝对数量影响。
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来源期刊
Revue Medicale de Bruxelles
Revue Medicale de Bruxelles Medicine-Medicine (all)
CiteScore
0.10
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0.00%
发文量
10
期刊介绍: Des articles originaux et de synthèse, des cas cliniques et anatomopathologiques, des actualités thérapeutiques, des comptes rendus de symposia, des imageries, une rubrique consacrée à l"histoire de la médecine, des annonces de prix, ainsi que le programme de réunions scientifiques et sociales, des nominations récentes, des propositions d"emploi, etc.
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