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J Korean Soc Emerg Med > Volume 23(2); 2012 > Article
Journal of The Korean Society of Emergency Medicine 2012;23(2): 168-180.
Incidence and Outcome of Cardiac Arrest in Korea
Mi Jin Lee
Department of Emergency Medicine, School of Medicine, Kyungpook National University, Daegu, Korea. emmam@knu.ac.kr
ABSTRACT
Sudden cardiac death (SCD) remains a major public health issue worldwide. Published reports of out-of-hospital cardiac arrest (OHCA) provide widely variable results. A large number of OHCA cases occur annually and the worldwide survival rate is less than 7~12%. In Korea, the recent standardized incidence rates (SIR) of OHCA was 44.4 per 100,000 persons (24,442 persons experienced OHCA in 2009), a result similar to that reported in other countries. However, the survival-to-discharge rate was 2.4% for Emergency Medical System (EMS)-assessed OHCA and 3.6% for resuscitation-attempted OHCA. Only 0.66~1.6% of survivors were discharged with a good neurological outcome status (cerebral performance category 1 or 2). This result was very poor as compared to those of Resuscitation Outcomes Consortium (ROC) study sites (8.4~11.4%), Europe (10.7%) and Japan (12%). The goal of this review was to better understand the global variability of OHCA outcomes and their determining factors in order to suggest the future direction of resuscitation research and prevention of OHCA in Korea.
Key words: Prehospital, Heart arrest, Resuscitation, Outcome, Survival
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