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Epidemiology and Surveillance

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Public Health Weekly Report 2021; 14(51): 3630-3641

Published online December 16, 2021

© The Korea Disease Control and Prevention Agency

Incidences of Sudden Cardiac Arrest in the Republic of Korea, 2020

Sanghui Kweon

Division of Injury Prevention and Control, Bureau of Health Hazard Response, Korea Disease Control and Prevention Agency (KDCA)

Abstract

Go to

The Korea Sudden Cardiac Arrest Survey has been conducted annually, which could support to make and evaluate policy for the prevention and treatment of sudden cardiac arrest. Based on the first aid activity log of 2020, 31,652 cases of out-of-hospital sudden cardiac arrest occurred in the Republic of Korea. The rate of sudden cardiac arrest in men was 64.0%, and 52.5% of the cases were among individuals 70 years of age and over. There were 7,282 cases in Gyeonggi, which the highest number among cities and provinces, followed by Seoul (4,387 cases), Gyeongnam (2,350 cases), and Gyeongbuk (2,257 cases). The survival rate and brain function recovery rate were 7.5 % and 4.9 %, respectively. Despite the continued increase since 2006, the survival rate and brain function recovery rate of 2020 were lower than those of 2019, which could be affected by the pandemic of the coronavirus disease 2019. The rate of cardiopulmonary resuscitation by bystander had been also increased, the higher survival rate was obeserved in cases with cardiopulmonary resuscitation by bystanders. It could be a useful evidence that cardiopulmonary resuscitation should be performed on patients experiencing sudden cardiac arrest.

Key words Cardiac arrest, Survival rate, Cardiopulmonary resuscitation by bystander, Coronavirus disease 2019

Go to
Table 1. Occurrence of sudden cardiac arrest in paramedic transfera and surveyb
Characteristics20062007200820092010201120122013
119 Paramedic transferHospitals812757708742757739712661
Persons19,48020,35321,90524,44225,90926,38227,82329,356
Survey of medical recordCompleted hospitals616619634623644585593575
Rate of completion (%)75.981.889.584.085.179.283.387.0
Completed persons16,34818,06020,09122,66724,47924,90226,53128,170
Rate of completion (%)83.988.791.792.794.594.495.496.0
Characteristics2014201520162017201820192020
119 Paramedic transferHospitals644590556536492476454
Persons30,30930,77129,83229,26230,53930,78231,652
Survey of medical recordCompleted hospitals566547505514477458446
Rate of completion (%)87.992.790.895.997.096.298.2
Completed persons29,28229,95928,96328,62930,17930,27931,417
Rate of completion (%)96.697.497.197.898.898.499.3

a Based on the first aid activity log, cases with ‘cardiac arrest’ or ‘respiratory arrest’ as the main symptoms, or with ‘resuscitation’ or ‘use of an automated external defibrillator (AED)’ in treatment

b Among the cases of 119 paramedic transfers of sudden cardiac arrest, cases completed with the survey of medical record in transfered hospitals

Table 2. Cases of sudden cardiac arrest by sex and age in 2020
Sex·ageCasesProportion (%)Cases per 100,000 populationa
Total31,652(100.0)61.6
SexMen20,249)(64.0)79.1
Women11,399(36.0)44.3
Unknown-b-b-
Age (years)0~9324(1.0)8.0
10~19325(1.0)6.7
20~29834(2.6)12.3
30~391,227(3.9)17.7
40~492,378(7.5)28.8
50~594,402(13.9)51.6
60~695,538(17.5)86.0
70~797,261(22.9)201.5
80 and over9,358(29.6)493.6
Unknown-b-b-

a Estimated population in 2019, Commissioner of Statistics Korea

b Not presented under 10 cases

Table 3. Cases of sudden cardiac arrest by city and province in 2020
Cities and provincesaNumber of casesCases per 100,000 populationbCities and provincesaNumber of casesCases per 100,000 populationb
Total31,65261.6Gyeonggi7,28255.1
Seoul4,38746.0Gangwon1,37890.1
Busan2,09262.1Chungguk1,28680.9
Daegu1,34055.6Chungnam1,76983.9
Incheon1,68457.6Jeonbuk1,40578.1
Gwangju64044.3Jeonnam1,65589.6
Daejeon72049.3Gyeongbuk2,25785.6
Ulsan63656.0Gyeongnam2,35070.5
Sejong11733.7Jeju65498.0

a Based on the location of the occurrence

b Estimated population in 2020, Commissioner of Statistics Korea

Figure 1. Changes in sudden cardiac arrest incidence per 100,000 population

Figure 2. Changes in survival ratea of sudden cardiac arrest patients
a Discharged alive

Figure 3. Changes in brain function recovery ratea of sudden cardiac arrest patients
a Brain function recovered enough to enable daily life

Figure 4. Survival ratesa of sudden cardiac arrest by city and provinceb in 2020
a Discharged alive
b Based on the location of the occurrence

Figure 5. Changes in rate of cardiopulmonary resuscitation by bystandersa
a cardiopulmonary resuscitation performed by a bystander excluding paramedics and medical staff before arriving at the hospital

Figure 6. Rate of cardiopulmonary resuscitation by bystandersa by city and provinceb in 2019
a cardiopulmonary resuscitation performed by a bystander excluding paramedics and medical staff before arriving at the hospital
b Based on the location of the occurrence

References

Go to
  1. 질병관리청소방청. 2006-2019 급성심장정지조사 통계 (2020).
  2. 질병관리청 (2021). 의무기록조사 지침 및 사례집: 2020 급성심장정지조사.
  3. 질병관리청대한심폐소생협회 (2021). 2020 한국형 심폐소생술 가이드라인.
  4. Kragholm K, Wissenberg M, Mortensen RN, et al. Bystander Efforts and 1-Year Outcomes in Out-of-Hospital Cardiac Arrest. N Engl J Med 2017;376:1737-1747.
    Pubmed CrossRef

Epidemiology and Surveillance

Public Health Weekly Report 2021; 14(51): 3630-3641

Published online December 16, 2021

Copyright © The Korea Disease Control and Prevention Agency.

Incidences of Sudden Cardiac Arrest in the Republic of Korea, 2020

Sanghui Kweon

Division of Injury Prevention and Control, Bureau of Health Hazard Response, Korea Disease Control and Prevention Agency (KDCA)

Abstract

The Korea Sudden Cardiac Arrest Survey has been conducted annually, which could support to make and evaluate policy for the prevention and treatment of sudden cardiac arrest. Based on the first aid activity log of 2020, 31,652 cases of out-of-hospital sudden cardiac arrest occurred in the Republic of Korea. The rate of sudden cardiac arrest in men was 64.0%, and 52.5% of the cases were among individuals 70 years of age and over. There were 7,282 cases in Gyeonggi, which the highest number among cities and provinces, followed by Seoul (4,387 cases), Gyeongnam (2,350 cases), and Gyeongbuk (2,257 cases). The survival rate and brain function recovery rate were 7.5 % and 4.9 %, respectively. Despite the continued increase since 2006, the survival rate and brain function recovery rate of 2020 were lower than those of 2019, which could be affected by the pandemic of the coronavirus disease 2019. The rate of cardiopulmonary resuscitation by bystander had been also increased, the higher survival rate was obeserved in cases with cardiopulmonary resuscitation by bystanders. It could be a useful evidence that cardiopulmonary resuscitation should be performed on patients experiencing sudden cardiac arrest.

Keywords: Cardiac arrest, Survival rate, Cardiopulmonary resuscitation by bystander, Coronavirus disease 2019

Body

Occurrence of sudden cardiac arrest in paramedic transfera and surveyb
Characteristics20062007200820092010201120122013
119 Paramedic transferHospitals812757708742757739712661
Persons19,48020,35321,90524,44225,90926,38227,82329,356
Survey of medical recordCompleted hospitals616619634623644585593575
Rate of completion (%)75.981.889.584.085.179.283.387.0
Completed persons16,34818,06020,09122,66724,47924,90226,53128,170
Rate of completion (%)83.988.791.792.794.594.495.496.0
Characteristics2014201520162017201820192020
119 Paramedic transferHospitals644590556536492476454
Persons30,30930,77129,83229,26230,53930,78231,652
Survey of medical recordCompleted hospitals566547505514477458446
Rate of completion (%)87.992.790.895.997.096.298.2
Completed persons29,28229,95928,96328,62930,17930,27931,417
Rate of completion (%)96.697.497.197.898.898.499.3

a Based on the first aid activity log, cases with ‘cardiac arrest’ or ‘respiratory arrest’ as the main symptoms, or with ‘resuscitation’ or ‘use of an automated external defibrillator (AED)’ in treatment.

b Among the cases of 119 paramedic transfers of sudden cardiac arrest, cases completed with the survey of medical record in transfered hospitals.

Cases of sudden cardiac arrest by sex and age in 2020
Sex·ageCasesProportion (%)Cases per 100,000 populationa
Total31,652(100.0)61.6
SexMen20,249)(64.0)79.1
Women11,399(36.0)44.3
Unknown-b-b-
Age (years)0~9324(1.0)8.0
10~19325(1.0)6.7
20~29834(2.6)12.3
30~391,227(3.9)17.7
40~492,378(7.5)28.8
50~594,402(13.9)51.6
60~695,538(17.5)86.0
70~797,261(22.9)201.5
80 and over9,358(29.6)493.6
Unknown-b-b-

a Estimated population in 2019, Commissioner of Statistics Korea.

b Not presented under 10 cases.

Cases of sudden cardiac arrest by city and province in 2020
Cities and provincesaNumber of casesCases per 100,000 populationbCities and provincesaNumber of casesCases per 100,000 populationb
Total31,65261.6Gyeonggi7,28255.1
Seoul4,38746.0Gangwon1,37890.1
Busan2,09262.1Chungguk1,28680.9
Daegu1,34055.6Chungnam1,76983.9
Incheon1,68457.6Jeonbuk1,40578.1
Gwangju64044.3Jeonnam1,65589.6
Daejeon72049.3Gyeongbuk2,25785.6
Ulsan63656.0Gyeongnam2,35070.5
Sejong11733.7Jeju65498.0

a Based on the location of the occurrence.

b Estimated population in 2020, Commissioner of Statistics Korea.

Figure 1. Changes in sudden cardiac arrest incidence per 100,000 population

Figure 2. Changes in survival ratea of sudden cardiac arrest patients
a Discharged alive

Figure 3. Changes in brain function recovery ratea of sudden cardiac arrest patients
a Brain function recovered enough to enable daily life

Figure 4. Survival ratesa of sudden cardiac arrest by city and provinceb in 2020
a Discharged alive
b Based on the location of the occurrence

Figure 5. Changes in rate of cardiopulmonary resuscitation by bystandersa
a cardiopulmonary resuscitation performed by a bystander excluding paramedics and medical staff before arriving at the hospital

Figure 6. Rate of cardiopulmonary resuscitation by bystandersa by city and provinceb in 2019
a cardiopulmonary resuscitation performed by a bystander excluding paramedics and medical staff before arriving at the hospital
b Based on the location of the occurrence

Fig 1.

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Figure 1.Changes in sudden cardiac arrest incidence per 100,000 population
Public Health Weekly Report 2021; 14: 3630-3641

Fig 2.

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Figure 2.Changes in survival ratea of sudden cardiac arrest patients
a Discharged alive
Public Health Weekly Report 2021; 14: 3630-3641

Fig 3.

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Figure 3.Changes in brain function recovery ratea of sudden cardiac arrest patients
a Brain function recovered enough to enable daily life
Public Health Weekly Report 2021; 14: 3630-3641

Fig 4.

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Figure 4.Survival ratesa of sudden cardiac arrest by city and provinceb in 2020
a Discharged alive
b Based on the location of the occurrence
Public Health Weekly Report 2021; 14: 3630-3641

Fig 5.

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Figure 5.Changes in rate of cardiopulmonary resuscitation by bystandersa
a cardiopulmonary resuscitation performed by a bystander excluding paramedics and medical staff before arriving at the hospital
Public Health Weekly Report 2021; 14: 3630-3641

Fig 6.

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Figure 6.Rate of cardiopulmonary resuscitation by bystandersa by city and provinceb in 2019
a cardiopulmonary resuscitation performed by a bystander excluding paramedics and medical staff before arriving at the hospital
b Based on the location of the occurrence
Public Health Weekly Report 2021; 14: 3630-3641
Occurrence of sudden cardiac arrest in paramedic transfera and surveyb
Characteristics20062007200820092010201120122013
119 Paramedic transferHospitals812757708742757739712661
Persons19,48020,35321,90524,44225,90926,38227,82329,356
Survey of medical recordCompleted hospitals616619634623644585593575
Rate of completion (%)75.981.889.584.085.179.283.387.0
Completed persons16,34818,06020,09122,66724,47924,90226,53128,170
Rate of completion (%)83.988.791.792.794.594.495.496.0
Characteristics2014201520162017201820192020
119 Paramedic transferHospitals644590556536492476454
Persons30,30930,77129,83229,26230,53930,78231,652
Survey of medical recordCompleted hospitals566547505514477458446
Rate of completion (%)87.992.790.895.997.096.298.2
Completed persons29,28229,95928,96328,62930,17930,27931,417
Rate of completion (%)96.697.497.197.898.898.499.3

a Based on the first aid activity log, cases with ‘cardiac arrest’ or ‘respiratory arrest’ as the main symptoms, or with ‘resuscitation’ or ‘use of an automated external defibrillator (AED)’ in treatment.

b Among the cases of 119 paramedic transfers of sudden cardiac arrest, cases completed with the survey of medical record in transfered hospitals.
Cases of sudden cardiac arrest by sex and age in 2020
Sex·ageCasesProportion (%)Cases per 100,000 populationa
Total31,652(100.0)61.6
SexMen20,249)(64.0)79.1
Women11,399(36.0)44.3
Unknown-b-b-
Age (years)0~9324(1.0)8.0
10~19325(1.0)6.7
20~29834(2.6)12.3
30~391,227(3.9)17.7
40~492,378(7.5)28.8
50~594,402(13.9)51.6
60~695,538(17.5)86.0
70~797,261(22.9)201.5
80 and over9,358(29.6)493.6
Unknown-b-b-

a Estimated population in 2019, Commissioner of Statistics Korea.

b Not presented under 10 cases.
Cases of sudden cardiac arrest by city and province in 2020
Cities and provincesaNumber of casesCases per 100,000 populationbCities and provincesaNumber of casesCases per 100,000 populationb
Total31,65261.6Gyeonggi7,28255.1
Seoul4,38746.0Gangwon1,37890.1
Busan2,09262.1Chungguk1,28680.9
Daegu1,34055.6Chungnam1,76983.9
Incheon1,68457.6Jeonbuk1,40578.1
Gwangju64044.3Jeonnam1,65589.6
Daejeon72049.3Gyeongbuk2,25785.6
Ulsan63656.0Gyeongnam2,35070.5
Sejong11733.7Jeju65498.0

a Based on the location of the occurrence.

b Estimated population in 2020, Commissioner of Statistics Korea.

References

  1. 질병관리청소방청. 2006-2019 급성심장정지조사 통계 (2020).
  2. 질병관리청 (2021). 의무기록조사 지침 및 사례집: 2020 급성심장정지조사.
  3. 질병관리청대한심폐소생협회 (2021). 2020 한국형 심폐소생술 가이드라인.
  4. Kragholm K, Wissenberg M, Mortensen RN, et al. Bystander Efforts and 1-Year Outcomes in Out-of-Hospital Cardiac Arrest. N Engl J Med 2017;376:1737-1747.
    Pubmed CrossRef

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