Out-of-hospital cardiac arrest during the COVID-19 pandemic in Paris, France: a population-based, observational study
Out-of-hospital cardiac arrest during the COVID-19 pandemic in Paris, France: a population-based, observational study
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DOI：
10.1016/s2468-2667(20)30117-1
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发表时间：
2020-08-01
影响因子：
50
通讯作者：
Jouven, Xavier
中科院分区：
文献类型：
--
作者：
Marijon, Eloi;Karam, Nicole;Jouven, Xavier
尽管COVID-19导致的死亡率在很大程度上得到了有力的跟踪，但其通过封锁、生活方式改变和医疗保健系统重组对人口水平的间接影响尚未得到评估。我们的目的是评估发病率和结果的院外心脏骤停（OHCA）在城市地区的大流行期间，与非大流行periods.Methods相比，我们做了一个基于人口的观察性研究，使用数据的非创伤性OHCA（N=30768），系统地收集自2011年5月15日，在巴黎及其郊区，法国，使用巴黎消防队数据库，以及医院数据。我们评估了OHCA的发病率和结果超过6周的大流行期间的成年居民的研究领域。（2020年3月16日至4月26日）与非大流行期间相同周数的3052个周数的平均值（2012-19年第12-17周），OHCA每周最大发病率从每百万居民13.42（95%CI 12.77-14.07）增加到26.64（25.72-27.53）（p
Background Although mortality due to COVID-19 is, for the most part, robustly tracked, its indirect effect at the population level through lockdown, lifestyle changes, and reorganisation of health-care systems has not been evaluated. We aimed to assess the incidence and outcomes of out-of-hospital cardiac arrest (OHCA) in an urban region during the pandemic, compared with non-pandemic periods.Methods We did a population-based, observational study using data for non-traumatic OHCA (N=30768), systematically collected since May 15, 2011, in Paris and its suburbs, France, using the Paris Fire Brigade database, together with in-hospital data. We evaluated OHCA incidence and outcomes over a 6-week period during the pandemic in adult inhabitants of the study area.Findings Comparing the 521 OHCAs of the pandemic period (March 16 to April 26, 2020) to the mean of the 3052 total of the same weeks in the non-pandemic period (weeks 12-17, 2012-19), the maximum weekly OHCA incidence increased from 13.42 (95% CI 12.77-14.07) to 26.64 (25.72-27.53) per million inhabitants (p