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Vol 9, No 1 (2024)
Original article
Published online: 2024-02-15
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A systematic review and meta-analysis of the impact of the pandemic on dispatcher-assisted cardiopulmonary resuscitation

Artur Krawczyk1, Krzysztof Kurek2, Michal Pruc13, Francesco Chirico4, Damian Swieczkowski5, Jacek Kubica6, Zofia Zadorozna7, Murat Yıldırım89, Lukasz Szarpak21011, Karol Bielski13
DOI: 10.5603/mrj.98508
·
Medical Research Journal 2024;9(1):75-81.
Affiliations
  1. Outcomes Research Unit, Polish Society of Disaster Medicine, Warsaw, Poland
  2. Department of Clinical Research and Development, LUXMED Group, Warsaw, Poland
  3. Department of Public Health, International European University, Kyiv, Ukraine
  4. Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
  5. Department of Toxicology, Faculty of Pharmacy, Medical University of Gdansk, Gdansk, Poland
  6. Interventional Cardiology and Cardiovascular Medicine Research, Department of Cardiology and Internal Medicine, Nicolaus Copernicus University, Bydgoszcz, Poland
  7. Students Research Club, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
  8. Department of Psychology, Agri Ibrahim Cecen University, Agri, Turkey
  9. Graduate Studies and Research, Lebanese American University, Beirut, Lebanon
  10. Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA
  11. Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland

open access

Vol 9, No 1 (2024)
ORIGINAL ARTICLES
Published online: 2024-02-15

Abstract

Introduction: The influence of the COVID-19 pandemic on the incidence and effectiveness of dispatcher-assisted
cardiopulmonary resuscitation (DA-CPR) in the context of out-of-hospital cardiac arrests (OHCA)
remains an area of ambiguity and requires further elucidation. The study aims to conduct a systematic
review and meta-analysis of the DA-CPR among pre- vs. during COVID-19 periods.

Material and methods: This search was conducted in accordance with the Preferred Reporting Items for
Systematic Reviews and Meta-Analyses (PRISMA) statement. A systematic review of the current literature
was performed to identify articles that evaluated the impact of the pandemic on DA-CPR. English-language
literature was searched up to December 11, 2023, in three databases, including MEDLINE (via PubMed),
Embase, and the Cochrane Library.

Results: Six studies with 605,354 patients (431,308 patients with OHCA from before the pandemic period
and 174,046 OHCA patients from the COVID-19 pandemic period) were included. Pooled analysis
showed that DA-CPR before and during the COVID-19 period varied and amounted to 61.4% vs. 62.4%,
respectively (OR = 0.94; 95% CI: 0.90 to 0.99; p = 0.02). Moreover, dispatchers recognized cardiac arrest
by phone in 61.8% of cases in the pre-pandemic period as well as in the pandemic period (OR = 0.98;
95%CI: 0.95 to 1.01; p = 0.17).

Conclusions: This systematic review and meta-analysis suggest the resilience and adaptability of emergency
response systems in maintaining DA-CPR effectiveness despite the challenges posed by the pandemic.

Abstract

Introduction: The influence of the COVID-19 pandemic on the incidence and effectiveness of dispatcher-assisted
cardiopulmonary resuscitation (DA-CPR) in the context of out-of-hospital cardiac arrests (OHCA)
remains an area of ambiguity and requires further elucidation. The study aims to conduct a systematic
review and meta-analysis of the DA-CPR among pre- vs. during COVID-19 periods.

Material and methods: This search was conducted in accordance with the Preferred Reporting Items for
Systematic Reviews and Meta-Analyses (PRISMA) statement. A systematic review of the current literature
was performed to identify articles that evaluated the impact of the pandemic on DA-CPR. English-language
literature was searched up to December 11, 2023, in three databases, including MEDLINE (via PubMed),
Embase, and the Cochrane Library.

Results: Six studies with 605,354 patients (431,308 patients with OHCA from before the pandemic period
and 174,046 OHCA patients from the COVID-19 pandemic period) were included. Pooled analysis
showed that DA-CPR before and during the COVID-19 period varied and amounted to 61.4% vs. 62.4%,
respectively (OR = 0.94; 95% CI: 0.90 to 0.99; p = 0.02). Moreover, dispatchers recognized cardiac arrest
by phone in 61.8% of cases in the pre-pandemic period as well as in the pandemic period (OR = 0.98;
95%CI: 0.95 to 1.01; p = 0.17).

Conclusions: This systematic review and meta-analysis suggest the resilience and adaptability of emergency
response systems in maintaining DA-CPR effectiveness despite the challenges posed by the pandemic.

Full Text:

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Keywords

dispatcher-assisted cardiopulmonary resuscitation; DA-CPR; out-of-hospital cardiac arrest; COVID-19; SARS-CoV-2

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About this article
Title

A systematic review and meta-analysis of the impact of the pandemic on dispatcher-assisted cardiopulmonary resuscitation

Journal

Medical Research Journal

Issue

Vol 9, No 1 (2024)

Article type

Original article

Pages

75-81

Published online

2024-02-15

Page views

102

Article views/downloads

58

DOI

10.5603/mrj.98508

Bibliographic record

Medical Research Journal 2024;9(1):75-81.

Keywords

dispatcher-assisted cardiopulmonary resuscitation
DA-CPR
out-of-hospital cardiac arrest
COVID-19
SARS-CoV-2

Authors

Artur Krawczyk
Krzysztof Kurek
Michal Pruc
Francesco Chirico
Damian Swieczkowski
Jacek Kubica
Zofia Zadorozna
Murat Yıldırım
Lukasz Szarpak
Karol Bielski

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