scholarly journals High Incidence and Mortality of Out-of-Hospital Cardiac Arrest on Traditional Holiday in South Korea

2019 ◽  
Vol 49 (10) ◽  
pp. 945 ◽  
Author(s):  
Joon-myoung Kwon ◽  
Ki-Hyun Jeon ◽  
Hyue Mee Kim ◽  
Min Jeong Kim ◽  
Sungmin Lim ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
South Korea ◽  
Incidence And Mortality ◽  
High Incidence ◽  
Hospital Cardiac Arrest

Abstract 116: Temporal Trends and Hospital-level Variation in the Incidence and 30-day Mortality of In-Hospital Cardiac Arrest within the Veterans Health Administration

2015 ◽  
Vol 8 (suppl_2) ◽  
Author(s):  
Steven M Bradley ◽  
Kyle M Kepreos ◽  
Paul S Chan ◽  
Theodore J Iwashyna ◽  
Brahmajee K Nallamothu
Keyword(s):  
Cardiac Arrest ◽  
Veterans Health Administration ◽  
Mortality Rates ◽  
Veterans Health ◽  
Health Administration ◽  
Level Variation ◽  
Hospital Level ◽  
Incidence And Mortality ◽  
Hospital Cardiac Arrest ◽  
Median Rate

Background: Improving the quality of in-hospital cardiac arrest (IHCA) care within the Veterans Health Administration (VHA) has received significant attention. Yet there are no national VHA data on the incidence and mortality outcomes of IHCA to guide or evaluate these efforts. We sought to determine overall trends and hospital-level variation in the incidence and 30-day mortality of IHCA within the VHA. Methods: Among 2,731,295 patients hospitalized at 115 VHA hospitals between 2008 and 2012, we defined IHCA using specific ICD-9 procedure codes for cardiac arrest and cardiopulmonary resuscitation. Among patients suffering IHCA, we used the VA Vital Status file to identify 30-day mortality from hospital admission. A severity of illness score was used to account for case-mix and determined from a logistic multivariate adaptive regression spline (MARS) model fit to our mortality outcome with covariates for age, race, gender, admission diagnosis category, 29 comorbid conditions, and 11 lab values drawn within 24 hours of admission. Hospital-level IHCA incidence and 30-day mortality rates were compared using empirical Bayes random effects estimates from multi-level regression models after risk- and reliability-adjustment. Results: 8,565 (0.3%) patients suffered IHCA between 2008 and 2012 and there was no significant trend in the rate of IHCA over this time period. The hospital-level incidence of IHCA varied and was statistically significantly higher than the median rate at 38 (34%) hospitals and significantly lower at 24 (21%) hospitals (Figure A, p<0.05 without adjustment for multiple comparisons). Among patients suffering IHCA, the overall 30-day mortality rate was 68.6% and the risk-adjusted 30-day mortality rate decreased from 71.2% in 2008 to 66.1% in 2012 (p for trend <0.01). Hospital-level 30-day mortality was significantly higher than the median rate at 5 (4%) hospitals and significantly lower at 7 (6%) hospitals (Figure B). Conclusions: Within the VHA, the incidence of IHCA has remained stable while 30-day mortality has improved. However, hospital-level variation in IHCA incidence and mortality rates suggest variation in care processes related to IHCA and a target for future investigation to improve patient outcomes.

Abstract 229: What is the Real Incidence of Out-Of-Hospital Cardiac Arrest in Norway

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Ingvild B Tjelmeland ◽  
Morten Larsen ◽  
Eirik Skogvoll ◽  
Jo Kramer-Johansen
Keyword(s):  
Cardiac Arrest ◽  
Data Collection ◽  
National Registry ◽  
Population Incidence ◽  
Ambulance Dispatch ◽  
High Incidence ◽  
Close Relationship ◽  
Low Incidence ◽  
Study Sites ◽  
Hospital Cardiac Arrest

Purpose of the study: The Norwegian Cardiac Arrest Registry (NorCAR) is a mandatory national registry of resuscitation attempts that monitors the population incidence, care and outcome for cardiac arrest. Previously, substantial differences in the number of included patients per 100 000 inhabitants were observed in some “atypical” health trusts (HT). It was not known if this is a problem with data collection or reflected genuine population differences. The purpose of this study was to identify all patients that fill NorCAR’s inclusion criteria among these HTs, by imposing consistent methods for data collection. Materials and methods: The registry implemented consistent, standardised and rigorous data collection methods including targeted audits in four “atypical” health trusts, two with a high and two with a low reported population incidence. Registrations from January to March 2019 was compared with similar results from 2018. Results: In 2018, the observed nationwide annual incidence of out-of-hospital cardiac arrest was 64 per 100 000 inhabitants, varying from 40 to 102. At the four study sites the observed population incidence was stable among HT with high incidence (88 and 110) but apparently increased in the two HTs with previous low incidence after implementation of standardised collection method (from 48 to 56, and 46 to 54). Conclusions: The previously “atypical” low incidence probably reflected a problem with data collection. To achieve full coverage of the population, all data collectors need to collect data using the same method with a concise and thorough investigation of ambulance-, air ambulance-, dispatch-, and hospital records. Data collectors need to have a close relationship with ambulance and dispatch, and constant reminders and feedback on reported results are important. Implementing a new method for data collection takes time, and results need to be evaluated over time.

Out-of-Hospital Cardiac Arrest Locations in a Rural Community: Where Should We Place AEDs?

2004 ◽  
Vol 19 (04) ◽  
pp. 352-355 ◽  
Author(s):  
Marc E. Portner ◽  
Marc L. Pollack ◽  
Steven K. Schirk ◽  
Melissa K. Schlenker
Keyword(s):  
Cardiac Arrest ◽  
Rural Community ◽  
Residential Areas ◽  
Study Objective ◽  
Automated External Defibrillators ◽  
The Past ◽  
Extended Care ◽  
High Incidence ◽  
Care Facilities ◽  
Hospital Cardiac Arrest

AbstractEarly defibrillation improves survival for patients suffering cardiac arrest from ventricular fibrillation (VF) or ventricular tachycardia (VT). Automated external defibrillators (AEDs) should be placed in locations in which there is a high incidence of out-of-hospital cardiac arrest (OOHCA). The study objective was to identify high-risk, rural locations that might benefit from AED placement. A retrospective review of OOHCA in a rural community during the past 5.5 years was conducted. The OOHCAs that occurred in non-residential areas were categorized based on location. Nine hundred, forty OOHCAs occurred during the study period of which 265 (28.2%) happened in non-residential areas. Of these, 127 (47.9%) occurred in healthcare-related locations, including 104 (39.2%) in extended care facilities. No location used in this study had more than two OOHCAs. Most (52.1%) non-residential OOHCAs occurred as isolated events in 146 different locations. Almost half of the OOHCAs that occurred in non-residential areas took place in healthcare-related facilities suggesting that patients at these locations may benefit from AED placement. First responders with AEDs are likely to have the greatest impact in a rural community.

scholarly journals A multidisciplinary approach for improving the outcome of out-of-hospital cardiac arrest in South Korea

2020 ◽  
Vol 27 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Gi Woon Kim ◽  
Dong Keon Lee ◽  
Bo Ra Kang ◽  
Won Jung Jeong ◽  
Choung Ah Lee ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
South Korea ◽  
Multidisciplinary Approach ◽  
Hospital Cardiac Arrest

540 Variability in Potential Causal Factors Between “Cardiotoxic” Neighbourhoods With High Incidence of Out-of-Hospital Cardiac Arrest

2012 ◽  
Vol 28 (5) ◽  
pp. S300-S301
Author(s):  
K.S. Allan ◽  
J. Ray ◽  
P. Gozdyra ◽  
A. Kiss ◽  
L. Morrison ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Causal Factors ◽  
High Incidence ◽  
Hospital Cardiac Arrest

scholarly journals Impact of a public awareness campaign on out-of-hospital cardiac arrest incidence and mortality rates

2016 ◽  
pp. ehw500 ◽  
Author(s):  
Ziad Nehme ◽  
Emily Andrew ◽  
Stephen Bernard ◽  
Harry Patsamanis ◽  
Peter Cameron ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Public Awareness ◽  
Mortality Rates ◽  
Awareness Campaign ◽  
Public Awareness Campaign ◽  
Incidence And Mortality ◽  
Hospital Cardiac Arrest

scholarly journals Impact of the COVID-19 outbreak on adult out-of-hospital cardiac arrest outcomes in Daegu, South Korea: an observational study

2021 ◽  
Vol 8 (2) ◽  
pp. 137-144
Author(s):  
Jae Yun Ahn ◽  
Hyun Wook Ryoo ◽  
Jae Wan Cho ◽  
Jung Ho Kim ◽  
Sang-Hun Lee ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Observational Study ◽  
South Korea ◽  
Hospital Cardiac Arrest
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