key: cord-0854698-gkng92ws
authors: Paoli, Andrea; Brischigliaro, Laura; Scquizzato, Tommaso; Favaretto, Andrea; Spagna, Andrea
title: Out-of-hospital cardiac arrest during the COVID-19 pandemic in the Province of Padua, Northeast Italy
date: 2020-07-09
journal: Resuscitation
DOI: 10.1016/j.resuscitation.2020.06.031
sha: 784953187874fbfb7378e310d9aa285033994041
doc_id: 854698
cord_uid: gkng92ws

nan

To the Editor, Authors from Lombardy, Italy [1] , and Paris, France [2] have recently reported an increase in the incidence of out-of-hospital cardiac arrest (OHCA), suggesting a direct or indirect effect of COVID-19. As hypothesized [3] , fewer patients received bystander-initiated cardiopulmonary resuscitation (CPR), and emergency medical services (EMS) arrival time and mortality were higher in both studies. In contrast, OHCA incidence and bystander-CPR in King County, USA remained similar to that of previous years [4] 

When we break down the total arrival time in its main components (call to dispatch, dispatch to departure, and departure to arrival), we found that the culprit interval was the time between the call and EMS departure. In particular, a delay was seen during call taking and dispatch (2.4 Instead, a delay in EMS arrival and a numerical reduction in bystander-CPR rate was observed.

Further research is needed to clarify the direct and indirect effects of COVID-19 on OHCA, with particular attention to regional variations.

All authors do not have conflict of interest to declare.

Andrea Paoli, Laura Brischigliaro, Tommaso Scquizzato, Andrea Favaretto, Andrea

No relationship exists between any of the authors and any commercial entity or product mentioned in this manuscript that might represent a conflict of interest. All authors have no conflict of interests. 

Out-of-Hospital Cardiac Arrest during the Covid-19 Outbreak in Italy

a population-based, observational study. The Lancet Public Health

The other side of novel coronavirus outbreak: Fear of performing cardiopulmonary resuscitation

Prevalence of COVID-19 in Out-of-Hospital Cardiac Arrest: Implications for Bystander CPR

COVID-19 -Mobility Trends Reports -Apple

We thank all the doctors, nurses, ambulance drivers, and volunteers working in the EMS system of the Province of Padua for their strong work during the COVID-19 pandemic.J o u r n a l P r e -p r o o f