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Table 2 Characteristics of out-of-hospital cardiac arrest of pre-COVID-19 and COVID-19 outbreak groups

From: Impact of the COVID-19 outbreak on out-of-hospital cardiac arrest management and outcomes in a low-resource emergency medical service system: a perspective from Thailand

Characteristics

Total

(N = 691)

n (%)

Pre-COVID-19 outbreak (2019)

(n = 341)

n (%)

COVID-19 outbreak (2020)

(n = 350)

n (%)

P value

Age, mean (SD), years

63.07 (18.9)

62.7 (18.5)

63.4 (19.4)

0.387

Age > 65 years

352 (50.9)

164 (48.1)

188 (53.7)

0.140

Male

418 (60.5)

210 (61.6)

208 (59.4)

0.562

Past medicine history

 Heart disease

122 (17.7)

52 (15.2)

70 (20)

0.102

 Diabetes

161 (23.3)

79 (23.2)

82 (23.4)

0.935

 Hypertension

232 (33.6)

113 (33.1)

119 (34)

0.810

 Respiratory

51 (7.4)

28 (8.2)

23 (6.6)

0.410

 Hyperlipidemia

73 (10.6)

27 (7.9)

46 (13.1)

0.025

 Stroke

49 (7.1)

20 (5.9)

29 (8.3)

0.215

 Others

266 (38.5)

132 (38.7)

134 (38.3)

0.909

 Unknown

142 (20.5)

78 (22.9)

64 (18.3)

0.136

EMS utilized

515 (74.5)

254 (74.5)

261 (74.6)

0.980

Location

   

0.155

 Home residence

498 (72.1)

239 (70.1)

259 (74)

 

 Public location

127 (18.4)

62 (18.2)

65 (18.6)

 

 Others

66 (9.6)

40 (11.7)

26 (7.4)

 

Arrest witnessed (missing = 63)

403 (64.2)

199 (65.7)

204 (62.8)

0.448

Bystander CPR (missing = 63)

252 (40.1)

133 (43.9)

119 (36.6)

0.063

Bystander using public AED (missing = 147)

29 (5.3)

14 (5.2)

15 (5.5)

0.865

First arrest rhythm (missing = 26)

   

0.083

 Asystole

381 (57.3)

188 (57.5)

193 (57.1)

 

 Ventricular fibrillation

65 (9.8)

26 (8)

39 (11.5)

 

 Ventricular tachycardia

5 (0.8)

3 (0.9)

2 (0.6)

 

 Pulseless electrical activity

133 (20.0)

71 (21.7)

62 (18.3)

 

 Unknown shockable rhythm

15 (2.3)

12 (3.7)

3 (0.9)

 

 Unknown unshockable rhythm

17 (2.6)

6 (1.8)

11 (3.3)

 

 Unknown

49 (7.4)

21 (6.4)

28 (8.3)

 

First arrest rhythm groups, n (%) (missing = 26)

   

0.629

 Shockable rhythm group

85 (12.8)

41 (12.5)

44 (13)

 

 Unshockable rhythm group

531 (79.8)

265 (81)

266 (78.7)

 

 Unknown

49 (7.4)

21 (6.4)

28 (8.3)

 

Cause of arrest (missing = 127)

   

0.208

 Presumed cardiac etiology

320 (56.7)

165 (61.1)

155 (52.7)

 

 Respiratory

140 (24.8)

62 (23)

78 (26.5)

 

 Electrocution

10 (1.8)

6 (2.2)

4 (1.4)

 

 Drowning

2 (0.4)

1 (0.4)

1 (0.3)

 

 Others

92 (16.3)

36 (13.3)

56 (19)

 

Post arrest care (missing = 39)

 Emergency PCI performed

15 (2.3)

9 (2.7)

6 (1.9)

0.462

 Hypothermia therapy initiated

5 (0.8)

4 (1.2)

1 (0.3)

0.187

 ECMO therapy initiated

6 (0.9)

2 (0.6)

4 (1.2)

0.395

  1. Abbreviations: AED automatic external defibrillator, COVID-19 coronavirus disease 2019, CPR cardiopulmonary resuscitation, ECMO extracorporeal membrane oxygenation, EMS emergency medical service, PCI percutaneous coronary intervention, SD standard deviation