Wed. Apr 14th, 2021

Detroit A new study shows that the metropolitan area saw a significant increase in emergency calls for cardiac arrest and on the part of patients who died before being brought to hospital during the early months of the COVID-19 epidemic.

The increase in calls for out-of-hospital cardiac arrest occurred disproportionately between 85 and older people, black people and residents of nursing homes and similar facilities. the study, Published on Wednesday at the JAMA Network Open.

Researchers from the Michigan Department of Health and Human Services, Michigan State University And this University of Cincinnati Investigated data on emergency calls tied to nontraumatic cardiac arrest occurring outside a hospital in three counties in southeast Michigan – Macomb, Oakland And Wayne – Between January 1 and May 31 of both 2019 and 2020.

Their findings show that the number of calls from March 23 to May 31 of 2010 increased by 40% from the same time period in 2019, and increased by age and racial groups.

For 2019, 1,162 out-of-hospital cardiac arrest calls were identified. Among them, 38.8% were for people between the ages of 65 and 84 – accounting for the highest share among age groups – while 53.9% were for whites. During the same time period in 2020, there were 1,854 calls – 39.6% were for people aged 65 to 84 and 46.8% were for whites.

Photos: Coronavirus in Detroit

Riders wear protective masks during an outbreak of COVID-19 while waiting for a bus in Detroit, Wednesday, April 8, 2020.  Detroit buses will have surgical masks available for riders starting Wednesday, a new precaution the city is taking from the new Coronavirus.  (AP Photo / Paul Sankya)

The share of calls for black patients, meanwhile, increased from 30.4% in 2019 to 39.1% in 2020, while for 85 and older, the share increased from 14.7% to 18.4%. A higher share was also tied to nursing homes and similar facilities in 2020, the analysis says: 22% in 2020 compared to 18.8% in 2019.

The study shows that the report Italy, France And New York has shown significant growth in hospital cardiac arrest calls “in areas with significant COVID-19 bureaus.” The data Shows Macomb, Oakland and Wayne counties account for about a third of coronovirus cases Michigan Overall.

According to the analysis, beginning in March 2020, there was a “significant increase” in the incidence of calls for out-of-hospital cardiac arrest over the previous year.

The study noted, “The spike in OHCAs lags slightly behind, but closely shows the epidemic curve of COVID-19 (which represents the date of symptom onset for confirmed cases) during the same period.”

Additionally the study showed that these patients were 53% less likely to receive an advanced airway device, such as via intubation, compared to 2019 in 2020. The proportion of patients dying in the area also increased by 42%, with 53.3% of patients. Dying in 2019 compared to 75.5% in 2020.

The number of deaths increased from 619 to 1,400 year after year.

The study noted that it is unclear whether increases in hospitalized cardiac arrest and deaths are directly associated with COVID-19 infection, whether they were an indirect effect of the epidemic related to the use of emergency medical services. Past research, For example, a drop in emergency room visits has been shown to have issues such as heart attacks and strokes during the epidemic, suggesting people may need immediate medical care out of fear of coronovirus infection or other causes.

In the new study, researchers noted that their data came from preharbs records, and did not address definite causes of death for patients.

The study noted, “Further investigations are needed to characterize the underlying events of these associations in order to design interventions to mitigate the effects of the ongoing COVID-19 pandemic.”

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