Characteristics and Outcomes of Pediatric and Adult Non-Traumatic Out-Of-Hospital Cardiac Arrest (OHCA) in Southern Philippines Medical Center (SPMC) in COVID-19 Pandemic
Abstract
This study aimed to describe the clinical, pre-hospital, and epidemiological characteristics and survival of Pediatric and Adult Non-Traumatic Out-Of-Hospital Cardiac Arrest (OHCA) in Southern Philippines Medical Center (SPMC) during the time of the COVID- 19 pandemic. Data extracted from the cardiac arrest registry form derived from the Pan-Asian Resuscitation Outcomes Study (PAROS) Clinical Research Network (CRN) based on Utstein standard data elements from March 2020 – December 2020 were used. Return of spontaneous circulation, survival–to–discharge, and CPC were the primary outcomes. Descriptive statistics and correlational analysis were used. 177 pediatric (13%) and adult (87%) OHCA patients were received in the ED, with a median age of 52 years, 69% were males. 68% were witnessed arrest, 80% happened at their residences. 75% were transported with private vehicle, and 11% were EMS facilitated. 62% attempted resuscitation en route, with 8% receiving shock advice, 0% receiving advance airway and drugs. Only 0.5% ROSC at the scene. 10% were transported with resuscitation and 90% without attempt. All OHCA received were pulseless, no spontaneous breathing despite ongoing resuscitation from prehospital transport. Only 1 patient sustained ROSC, admitted to ICU but expired on his 6th post-arrest hour. Correlations were not calculated for the hospital outcome variables as there were no sufficient data. Indirect effects contributed to the deranged OHCA incidences which we share the same with other countries. While this pandemic continues to challenge the EMS, it needs a second look that will rebuild the old and solid chain of survival.
Copyright (c) 2023 Kenneth Doya Nonesa
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