The 10-Year Trend of Out-of-hospital Cardiac Arrests: a Korean Nationwide Population-Based Study
- Authors
- Roh, Seung-Young; Choi, Jong-Il; Park, Sang Hyun; Kim, Yun Gi; Shim, Jaemin; Kim, Jin-Seok; Han, Kyung Do; Kim, Young-Hoon
- Issue Date
- 10월-2021
- Publisher
- KOREAN SOC CARDIOLOGY
- Keywords
- Out-of-hospital cardiac arrest; Death; sudden; cardiac; Heart arrest; Mortality; Korea
- Citation
- KOREAN CIRCULATION JOURNAL, v.51, no.10, pp.866 - 874
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- KOREAN CIRCULATION JOURNAL
- Volume
- 51
- Number
- 10
- Start Page
- 866
- End Page
- 874
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/136227
- DOI
- 10.4070/kcj.2021.0127
- ISSN
- 1738-5520
- Abstract
- Background and Objectives: It is crucial to understand the exact public health burden of out of-hospital cardiac arrest (OHCA) cases; this is presently unknown since sufficient episodes are not reported in registry studies. We aimed to evaluate the epidemiologic features and outcomes of non-traumatic OHCA. Methods: During January 2008 to December 2017, we enrolled 387,665 patients who had been assigned a code for sudden cardiac arrest or had undergone cardiopulmonary resuscitation in the emergency room using the Korean National Health Insurance Service database. Those whose arrest was of non-cardiac origin were excluded. Results: The incidence of OHCA per 100,000 patients increased steadily from 48.2 in 2008 to, 53.8 in 2011, 60.1 in 2014, and 66.7 in 2017, with a 1-year survival rate of 8.2%. Age and sex adjusted mortality rates showed a decreasing trend. The hazard ratio was 1.0015 in 2009, 0.9865 in 2012, 0.9769 in 2015, and 0.9629 in 2017 (p for trend <0.0001), with coronary artery disease related OHCA accounting for 59.8% of the total. Subgroups with coronary artery disease-related OHCA were more likely to be older and have a higher prevalence of all related comorbidities, excluding malignancy, than those with non-coronary artery disease-related OHCA. Conclusions: This nationwide population-based study showed that the incidence of OHCA in Korea had increased during the last decade. The post OHCA 1-year mortality rate showed a poor outcome but improved gradually.
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Collections - Graduate School > Department of Biomedical Sciences > 1. Journal Articles
- College of Medicine > Department of Medical Science > 1. Journal Articles
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