MétaCan
Menu
Back to cohort
Record W4414695934 · doi:10.1016/j.resplu.2025.101118

The impact of the COVID-19 pandemic on bystander CPR and AED rates in Canada

2025· article· en· W4414695934 on OpenAlex
Ian E. Blanchard, Ehsan Ghamarian, Jeanine Zotzman, KN Dainty, Alexis Cournoyer, Fuad Alnaji, TCY Chan, Sheldon Cheskes, Steve Lin, Sean van Diepen, Michael Austin, Shannon Leduc, Michelle Welsford, Ritin Mohindra, François de Champlain, Morgan E. Davis, Janet R. Nicholson, C D G Keown-Stoneman, Chau Truong, Ian R. Drennan, Brian Grunau

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
fundA Canadian funder is recorded on the work.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueResuscitation Plus · 2025
Typearticle
Languageen
FieldMedicine
TopicCardiac Arrest and Resuscitation
Canadian institutionsSunnybrook HospitalSunnybrook Health Science CentrePublic Health OntarioMcGill UniversityCentre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-MontréalLondon Health Sciences CentreMcMaster UniversityOttawa HospitalUniversity of AlbertaOttawa Public HealthChildren's Hospital of Eastern OntarioUniversité de MontréalCentres Intégré Universitaires de Santé et de Services SociauxSante MontrealSt. Michael's HospitalNorth York General HospitalSt. Paul's HospitalWestern UniversityUniversity of TorontoMcGill University Health CentreSchwartz/Reisman Emergency Medicine InstituteUniversity of OttawaHôpital du Sacré-Cœur de MontréalHôpital Maisonneuve-RosemontUniversity of CalgaryAlberta Health Services
FundersHeart and Stroke Foundation of Canada
KeywordsBystander effectPandemicCoronavirus disease 2019 (COVID-19)2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

Abstract

fetched live from OpenAlex

To evaluate whether the COVID-19 pandemic was associated with changes in bystander CPR and automated external defibrillator (AED) application in Canada. We included adult emergency medical services (EMS)-treated out-of-hospital cardiac arrests (OHCAs) from the Canadian national cardiac arrest registry. The outcomes were bystander CPR and AED application. We fit adjusted piecewise linear segmented logistic regression models to estimate whether the peri-COVID period (February 2020-December 2021), in comparison to pre-COVID (January 2018-January 2020), was associated with a change in the odds of bystander CPR and AED application. We also examined subgroups of private and public only OHCAs. Among the 24,410 OHCAs, the median age was 65 years (IQR 50,77), with 7,822 (32%) females. In the pre-COVID (n=11,271) and peri-COVID (n=13,139) periods, 6,244 (55%) and 7,924 (60%) cases received bystander CPR (+4.9% difference, 95% CI 3.7, 6.2), and 502 (4.5%) and 432 (3.3%) were treated with bystander AEDs (-1.2% difference, 95% CI -1.7, -0.68) respectively. The peri-COVID period was associated with an increased odds of bystander CPR (aOR 1.15; 95% CI 1.03, 1.27) and a decreased odds of bystander AED application (aOR 0.65; 95% CI 0.48, 0.86). This appears to be driven by increases in private-setting bystander CPR (aOR 1.19; 95% CI 1.06, 1.33) and decreases in public-setting AED use (aOR 0.59; 95% CI 0.40, 0.88). The COVID-19 pandemic was associated with an increase in bystander CPR and a decrease in bystander AED application.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.248
Threshold uncertainty score0.717

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.021
GPT teacher head0.336
Teacher spread0.314 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it