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Table 2 Prehospital demographics and treatments of patients before and after the COVID-19 pandemic

From: Impact of the COVID-19 pandemic on prehospital and in-hospital treatment and outcomes of patients after out-of-hospital cardiac arrest: a Japanese multicenter cohort study

Variable

Pre-pandemic

(n = 2015)

Post-pandemic

(n = 5023)

p-value

Witnessed by layperson

802/1947

(53.2)

1866/4706

(54.5)

0.51

Witnessed by EMS

110/1947

(5.6)

274/4706

(39.7)

 

Bystander CPR

842/1926

(43.7)

2118/4671

(45.3)

0.23

Bystander AED

41/1857

(2.2)

117/4499

(2.6)

0.36

Initial rhythm confirmed by EMS

    

0.13

 VF

150/1912

(7.8)

338/4587

(7.4)

 

 Pulseless VT

10/1912

(0.5)

12/4587

(0.3)

 

 PEA

466/1912

(24.4)

1056/4587

(23.0)

 

 Asystole

1146/1912

(59.9)

2881/4587

(62.8)

 

 Others

140/1912

(7.3)

300/4587

(6.5)

 

Rhythm change during transportation

     

 to VF

120/1757

(6.8)

321/4390

(7.3)

0.51

 to pulseless VT

23/1730

(1.3)

42/4361

(1.0)

0.21

 to PEA

350/1776

(19.7)

909/4406

(20.6)

0.41

 to asystole

450/1815

(24.8)

1126/4442

(25.3)

0.65

 to others

139/1737

(8.0)

287/4317

(6.6)

0.06

Prehospital treatment by EMS

     

 Defibrillation

234/1977

(11.8)

562/4673

(12.0)

0.83

 Intravenous access

745/1957

(38.1)

1920/4279

(40.6)

0.05

 Epinephrine

581/1948

(29.8)

1508/4717

(32.0)

0.09

 Bag valve mask

317/1731

(18.3)

707/3922

(18.7)

0.80

Advanced airway management by EMS

    

< 0.01

 Supraglottic airway device

898/1858

(25.8)

2095/4537

(46.2)

 

 Tracheal intubation

114/1858

(6.1)

425/4537

(9.4)

 

Mechanical chest compression

186/2015

(9.2)

574/5023

(11.4)

0.01

EMS response time, minutes

7.0

(5.0–9.0)

8.0

(6.0–10.0)

< 0.11

EMS scene time, minutes

14.0

(10.0–19.0)

15.0

(11.0–19.0)

0.21

EMS transport time, minutes

10.0

(7.0–15.0)

11.0

(7.0–16.0)

< 0.01

EMS call-to-hospital time, minutes

33.0

(27.0–40.0)

35.0

(29.0–43.0)

< 0.01

Rapid response car/helicopter

185/2015

(9.2)

319/5023

(6.4)

< 0.01

 Epinephrine

151/152

(99.3)

261/263

(99.2)

0.91

 Amiodarone

10/152

(6.6)

22/263

(8.4)

0.51

 Tracheal intubation

122/172

(70.9)

240/305

(78.7)

0.05

  1. Data are shown as the number of positive observations/total number of observations (%) or as median (interquartile range). For each variable, the number of missing observations can be obtained as the difference between the total number of patients in each group and the total number of observations
  2. EMS, emergency medical services; CPR, cardiopulmonary resuscitation; AED, automated external defibrillation; VF, ventricular fibrillation; VT, ventricular tachycardia; PEA, pulseless electrical activity