Containment: the number of cardiac arrests and the death rate exploded

The number of cardiac arrests has doubled in the Paris region at the peak of the Covid-19 epidemic, according to a study published in the journal The Lancet Public Health.

Researchers from the Cardiovascular Research Center of Paris (Inserm / University of Paris) noted, based on the Ile-de-France register, that while the number of cardiac arrests has been stable for nine years in Paris and its suburbs (6, 8 million inhabitants), it doubled during the first six weeks of confinement (from March 17 to April 26). At the same time, the survival rate on arrival at the hospital was halved: it went from 22.8% in normal times to 12.8% over the period studied.

“The patient profile is the same as usual [2/3 d’hommes, autour de 69 ans]”, Eloi Marijon, who conducted the study with his colleague Nicole Karam, in collaboration with Daniel Jost (Paris Fire Brigade) told AFP. The big difference with a normal period is that more than 90 % of the arrests took place at home, where the witnesses – most often the family – practiced much less a cardiac massage than the colleagues in the company, some of whom are trained in first aid. , help was often longer to arrive despite the empty roads.

About a third of the excess death observed is directly associated with Covid-19, according to the researchers. To explain the other two-thirds, several hypotheses are put forward (saturation of the healthcare system, poorly or not accessible city medicine, stress, etc.). “This increase in the incidence of out-of-hospital cardiac arrests highlights collateral deaths, which are not taken into account in the Covid-19 death statistics”, underline the authors for whom this should be taken into account in the future in public health strategies.

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