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7% vs 9.6%; p=0.45) (aOR=1.19, 95% confidence interval 0.57-2.51, p=0.65). This contrasts with a significant reduction in survival to hospital discharge reported in Victoria. In WA, with a relatively low incidence of COVID-19, OHCA incidence and survival was not significantly different during the initial wave of the COVID-19 pandemic compared to the three previous years. Our study suggests that OHCA survival may be more closely related to the incidence of COVID-19 in the community, rather than COVID-19 restrictions per se. In WA, with a r