Impact of the COVID-19 pandemic on cardiac arrest systems of care.
Impact of the COVID-19 pandemic on cardiac arrest systems of care.
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DOI：
10.1097/mcc.0000000000000817
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发表时间：
2021-06-01
影响因子：
3.3
通讯作者：
Perman SM
中科院分区：
文献类型：
--
作者：
Kovach CP;Perman SM
引起 2019 冠状病毒病 (COVID-19) 的严重急性呼吸综合征冠状病毒 2 病毒的出现，导致世界卫生组织于 2020 年 3 月 11 日宣布全球大流行。截至 2021 年 2 月 6 日，223 个国家已有超过 1.05 亿人感染，已有 2,290,488 人死亡。结果，紧急医疗服务和医院系统经历了前所未有的医疗保健服务重新配置。在此，我们回顾了 COVID-19 大流行对院外心脏骤停 (OHCA) 流行病学和护理系统的影响。据报道，受疫情严重影响的地区 OHCA 发病率有所上升，复苏成功率较低，死亡率有所上升。 COVID-19 通过增加疾病严重程度、减少获得护理的机会以及重塑紧急医疗响应和以医院为基础的医疗保健系统和政策，对患者的治疗结果产生了重大影响。这场流行病对复苏的态度产生了负面影响，并给医疗服务提供者带来了因医疗资源稀缺而引发的新道德困境。 COVID-19 大流行对心脏骤停的生存链产生了直接、间接、心理社会和伦理影响。
The emergence of severe acute respiratory syndrome coronavirus 2 virus, which causes coronavirus disease 2019 (COVID-19), led to the declaration of a global pandemic by the World Health Organization on March 11, 2020. As of February 6, 2021, over 105 million persons have been infected in 223 countries and there have been 2,290,488 deaths. As a result, emergency medical services and hospital systems have undergone unprecedented healthcare delivery reconfigurations. Here, we review the effects of the COVID-19 pandemic on out-of-hospital cardiac arrest (OHCA) epidemiology and systems of care. Areas severely affected by the pandemic have reported increased incidence of OHCA, lower rates of successful resuscitation, and increased mortality. COVID-19 has significantly impacted patient outcomes through increased disease severity, decreased access to care, and the reshaping of emergency medical response and hospital-based healthcare systems and policies. The pandemic has negatively influenced attitudes toward resuscitation and challenged providers with novel ethical dilemmas provoked by the scarcity of healthcare resources. The COVID-19 pandemic has had direct, indirect, psychosocial, and ethical impacts on the cardiac arrest chain of survival.