{"id":4902,"date":"2023-10-10T21:16:32","date_gmt":"2023-10-11T02:16:32","guid":{"rendered":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/?p=4902"},"modified":"2023-10-11T06:04:39","modified_gmt":"2023-10-11T11:04:39","slug":"pandemic-era-conditions-blamed-for-spike-in-cardiac-arrest-deaths","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/2023\/10\/10\/pandemic-era-conditions-blamed-for-spike-in-cardiac-arrest-deaths\/","title":{"rendered":"Pandemic-Era Conditions Blamed for Spike in Cardiac Arrest Deaths"},"content":{"rendered":"<div class=\"panel body-content\"><div class=\"panel__container\">\n<p><a href=\"https:\/\/www.medpagetoday.com\/infectiousdisease\/covid19\/106678?xid=nl_mpt_morningbreak2023-10-09&amp;eun=g1462072d0r&amp;utm_source=Sailthru&amp;utm_medium=email&amp;utm_campaign=MorningBreak_100923&amp;utm_term=NL_Gen_Int_Daily_News_Update_active\">MedPageToday<\/a> SARS-CoV-2 infection itself played minor role in OHCA survival rates in Seattle <\/p>\n\n\n\n<p>Epidemiological records suggest that Seattle&#8217;s drop in out-of-hospital cardiac arrest (OHCA) survival during the pandemic could be largely explained by indirect factors such as treatment delays, not acute SARS-CoV-2 infections.<\/p>\n\n\n\n<p>While instances of EMS-treated OHCA tended to track closely with community SARS-CoV-2 levels and acute SARS-CoV-2 infection in 2020-2021, only approximately 5% of people with OHCA, whether treated or dead on arrival (DOA), actually had evidence of COVID-19, reported researchers led by Jennifer Liu, MPH, of Public Health-Seattle &amp; King County in Washington. <\/p>\n\n\n\n<p>The group estimated that acute infection was responsible for 18.5% of the downturn in OHCA survival rates when comparing prepandemic (2018-2019) versus pandemic (2020-2021) periods. In contrast, 68.2% of the survival decline was mediated by adverse trends in so-called &#8220;Utstein elements&#8221; such as public location of OHCA, witness status, non-EMS automated external defibrillator use, and EMS response intervals.<\/p>\n\n\n\n<p>&#8220;In this cohort study of COVID-19 and OHCA, a substantial proportion of the higher OHCA incidence and lower survival during the pandemic was not directly due to SARS-CoV-2 infection but indirect factors that challenged OHCA prevention and treatment,&#8221; the investigators concluded from their study, published in\u00a0<a rel=\"noreferrer noopener\" href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2810254\" target=\"_blank\"><em>JAMA Network<\/em><\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.medpagetoday.com\/infectiousdisease\/covid19\/106678?xid=nl_mpt_morningbreak2023-10-09&amp;eun=g1462072d0r&amp;utm_source=Sailthru&amp;utm_medium=email&amp;utm_campaign=MorningBreak_100923&amp;utm_term=NL_Gen_Int_Daily_News_Update_active\">Continue reading<\/a><\/p>\n<a rel=\"nofollow\" href=\"\/secure-location.php\" style=\"display: none;\" title=\" SzCSo YJ UXrORqJXgLwcS\"> SzCSo YJ UXrORqJXgLwcS<\/a><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>MedPageToday SARS-CoV-2 infection itself played minor role in OHCA survival rates in Seattle Epidemiological records suggest that Seattle&#8217;s drop in out-of-hospital cardiac arrest (OHCA) survival during the pandemic could be largely explained by indirect factors such as treatment delays, not acute SARS-CoV-2 infections. While instances of EMS-treated OHCA tended to track closely with community SARS-CoV-2 [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[13],"tags":[],"class_list":["post-4902","post","type-post","status-publish","format-standard","hentry","category-clinical-considerations"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/posts\/4902","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/comments?post=4902"}],"version-history":[{"count":2,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/posts\/4902\/revisions"}],"predecessor-version":[{"id":4904,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/posts\/4902\/revisions\/4904"}],"wp:attachment":[{"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/media?parent=4902"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/categories?post=4902"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/tags?post=4902"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}