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

Korean Circulation Journal 2019년 49권 10호 p.945 ~ 956
 ( Kwon Joon-Myoung ) - Mediplex Sejong Hospital Department of Emergency Medicine

 ( Jeon Ki-Hyun ) - Mediplex Sejong Hospital Department of Internal Medicine
 ( Kim Hyue-Mee ) - Mediplex Sejong Hospital Department of Internal Medicine
 ( Kim Min-Jeong ) - Mediplex Sejong Hospital Department of Internal Medicine
 ( Lim Sung-Min ) - Mediplex Sejong Hospital Department of Internal Medicine
 ( Kim Kyung-Hee ) - Mediplex Sejong Hospital Department of Internal Medicine
 ( Song Pil-Sang ) - Mediplex Sejong Hospital Department of Internal Medicine
 ( Park Jin-Sik ) - Mediplex Sejong Hospital Department of Internal Medicine
 ( Choi Rak-Kyeong ) - Mediplex Sejong Hospital Department of Internal Medicine
 ( Oh Byung-Hee ) - Mediplex Sejong Hospital Department of Internal Medicine

Abstract


Background and Objectives: This study aimed to confirm the effects of traditional holidays on the incidence and outcomes of out-of-hospital cardiac arrest (OHCA) in South Korea.

Methods: We studied 95,066 OHCAs of cardiac cause from a nationwide, prospective study from the Korea OHCA Registry from January 2012 to December 2016. We compared the incidence of OHCA, in-hospital mortality, and neurologic outcomes between traditional holidays, Seollal (Lunar New Year's Day) and Chuseok (Korean Thanksgiving Day), and other day types (weekday, weekend, and public holiday).

Results: OHCA occurred more frequently on traditional holidays than on the other days. The median OHCA incidence were 51.0 (interquartile range [IQR], 44.0?58.0), 53.0 (IQR, 46.0?60.5), 52.5 (IQR, 45.3?59.8), and 60.0 (IQR, 52.0?69.0) cases/day on weekday, weekend, public holiday, and traditional holiday, respectively (p<0.001). The OHCA occurred more often at home rather than in public place, lesser bystander cardiopulmonary resuscitation (CPR) was performed, and the rate of cessation of CPR within 20 minutes without recovery of spontaneous circulation was higher on traditional holiday. After multivariable adjustment, traditional holiday was associated with higher in-hospital mortality (adjusted hazard ratio [HR], 1.339; 95% confidence interval [CI], 1.058?1.704; p=0.016) but better neurologic outcomes (adjusted HR, 0.503; 95% CI, 0.281?0.894; p=0.020) than weekdays.

Conclusions: The incidence of OHCAs was associated with day types in a year. It occurred more frequently on traditional holidays than on other day types. It was associated with higher in-hospital mortality and favorable neurologic outcomes than weekday.

키워드

Epidemiology; Out-of-hospital cardiac arrest; Mortality; Heart arrest
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