Epidemiology and Outcomes in Out-of-hospital Cardiac Arrest: A Report from the NEDIS-Based Cardiac Arrest Registry in Korea

• DOI: 10.3346/jkms.2015.30.1.95
• Publication Date: 2014-12-25T21:30:24Z
• Authors: Hyuk Jun Yang; Gi Woon Kim; Hyun Kim; Jin Seong Cho; Tai Ho Rho; Han Deok Yoon; Mi Jin Lee
• Keywords: Chain of survival

Sudden cardiac death (SCD) is a significant issue affecting national health policies. The National Emergency Department Information System for Cardiac Arrest (NEDIS-CA) consortium managed prospective registry of out-of-hospital arrest (OHCA) at the emergency department (ED) level. We analyzed NEDIS-CA data from 29 participating hospitals January 2008 to July 2009. primary outcomes were incidence OHCA and final survival discharge. Factors influencing assessed as secondary outcomes. implementation advanced management (drugs, endotracheal intubation) post-cardiac care (therapeutic hypothermia, coronary intervention) was also investigated. A total 4,156 resuscitation-attempted OHCAs included, which 401 (9.6%) patients survived discharge 79 (1.9%) discharged with good neurologic During study period, there 1,662,470 ED visits in participant hospitals; therefore, estimated number CAs 1 per 400 (0.25%). improving included younger age, witnessed collapse, onset public place, shockable rhythm pre-hospital setting, applied resuscitation care. found that active multidisciplinary efforts influenced improvement rate. Resuscitation by witnesses improved short-term (return spontaneous circulation, admission) but did not increase Strategies are required reinforce chain high-quality cardiopulmonary Korea.