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학술저널
저자정보
Seung-Young Roh (Korea University College of Medicine and Korea University Medical Center) Jong-Il Choi (Korea University College of Medicine and Korea University Medical Center) Sang Hyun Park (Catholic University of Korea) Yun Gi Kim (Korea University College of Medicine and Korea University Medical Center) Jaemin Shim (Korea University College of Medicine and Korea University Medical Center) Jin-Seok Kim (Korea University College of Medicine and Korea University Medical Center) Kyung Do Han (Soongsil University) Young-Hoon Kim (Korea University College of Medicine and Korea University Medical Center)
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.51 No.10
발행연도
2021.10
수록면
866 - 874 (9page)
DOI
https://doi.org/10.4070/kcj.2021.0127

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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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