Epidemiology and Surveillance
Split ViewerPublic Health Weekly Report 2021; 14(7): 346-357
Published online February 10, 2021
© The Korea Disease Control and Prevention Agency
Incidences of Sudden Cardiac Arrest in Korea, 2019
An Juyeon1, Kweon Sanghui1, Yoon Hajung2
1Division of Injury Prevention and Control, Bureau of Health Hazard Response, Korea Disease Control and Prevention Agency (KDCA)
2Division of Chronic Disease Investigation, Chungcheong Regional Center for Disease Control and Prevention (RCDC), KDCA
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 2019, 30,782 cases of sudden cardiac arrest in out-of-hospitals were happened in Korea. The rate of men was 64.6%, and 51.5% of the cases were 70 years of age and over.The cases of Gyeonggi, 6,848 was the highest of those of cities and provinces, and the Seoul 4,424, Gyeongnam 2,167, and Gyeongbuk 2,157 were followed. The survival rate and brain function recovery rate were 8.7 % and 5.4 %, respectively. Despite the continued increase since 2006, these rates were still low. The rate of cardiopulmonary resuscitation by bystander had been also increased, the higher survival rate was examined in the cases with cardiopulmonary resuscitation by bystander. It could be a useful evidence that cardiopulmonary resuscitation should be performed on patients with sudden cardiac arrest.
Key words Cardiac arrest, Survival rate, Cardiopulmonary resuscitation by bystander
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Table 1. Occurrence of sudden cardiac arrest in paramedic transfer* and survey† Characteristics 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 119 paramedic transfer Hospitals 812 757 708 742 757 739 712 661 644 590 556 536 492 476 Persons 19,480 20,353 21,905 24,442 25,909 26,382 27,823 29,356 30,309 30,771 29,832 29,262 30,539 30,782 Survey of medical record Completed hospitals 616 619 634 623 644 585 593 575 566 547 505 514 477 458 Rate of completion (%) 75.9 81.8 89.5 84.0 85.1 79.2 83.3 87.0 87.9 92.7 90.8 95.9 97.0 96.2 Completed persons 16,348 18,060 20,091 22,667 24,479 24,902 26,531 28,170 29,282 29,959 28,963 28,629 30,179 30,279 Rate of completion (%) 83.9 88.7 91.7 92.7 94.5 94.4 95.4 96.0 96.6 97.4 97.1 97.8 98.8 98.4 * 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
† among the cases of 119 paramedic transfers of sudden cardiac arrest, cases completed with the survey of medical record in transferred hospitals
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Table 2. Cases of sudden cardiac arrest by sex and age in 2019 Sex·Age Cases Proportion (%) Cases per 100,000 population* Total 30,782 (100.0) 60.0 Sex Men 19,873 (64.6) 77.6 Women 10,906 (35.4) 42.4 Unknown 3 (0.0) - Age (years) 0-39 2,758 (9.0) 11.9 40-49 2,389 (7.8) 28.7 50-59 4,532 (14.7) 53.2 60-69 5,253 (17.1) 86.9 70 and over 15,843 (51.5) 300.4 Unknown 7 (0.0) - * estimated population in 2019, Commissioner of Statistics Korea
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Table 3. Cases of sudden cardiac arrest by city and province in 2019 Cities and provinces* Number of cases Cases per 100,000 population† Cities and provinces Number of cases Cases per 100,000 population Total 30,782 60.0 Gyeonggi 6,848 52.5 Seoul 4,424 46.2 Gangwon 1,476 96.6 Busan 1,999 59.0 Chungguk 1,350 84.9 Daegu 1,294 53.2 Chungnam 1,738 82.3 Incheon 1,548 52.9 Jeonbuk 1,381 76.0 Gwangju 647 44.7 Jeonnam 1,658 89.0 Daejeon 739 50.2 Gyeongbuk 2,157 81.3 Ulsan 624 54.5 Gyeongnam 2,167 64.7 Sejong 105 32.2 Jeju 627 94.5 * based on the location of the occurrence
† estimated population in 2019, Commissioner of Statistics Korea
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Figure 1. Changes in sudden cardiac arrest incidence per 100,000 population
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Figure 2. Changes in survival rate* of sudden cardiac arrest
* discharged alive
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Figure 3. Changes in brain function recovery rate* of sudden cardiac arrest
* brain function recovered enough to enable daily life
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Figure 4. Survival rates* of sudden cardiac arrest by city and province† in 2019
* discharged alive
† based on the location of the occurrence
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Figure 5. Changes in rate of cardiac pulmonary resuscitation by bystander*
* cardiac pulmonary resuscitation performed by public bystander excluding paramedics and medical staff before arriving at the hospitals
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Figure 6. Changes in survival rates* of sudden cardiac arrest according to cardiac pulmonary resuscitation by bystander†
* discharged alive
† cardiac pulmonary resuscitation performed by public bystander excluding paramedics and medical staff before arriving at the hospitals
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Figure 7. Rate of cardiac pulmonary resuscitation by bystander* by city and province† in 2019
* cardiac pulmonary resuscitation performed by public bystander excluding paramedics and medical staff before arriving at the hospitals
† based on the location of the occurrence
- 질병관리청소방청. 2006-2019 급성심장정지조사 통계 (2020).
- 질병관리본부. 의무기록조사 지침 및 사례집: 2019 급성심장정지조사 (2020).
- 질병관리본부대한심폐소생협회. 2015 한국형 심폐소생술 가이드라인. 2016.
- 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.
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Public Health Weekly Report 2021; 14(7): 346-357
Published online February 10, 2021
Copyright © The Korea Disease Control and Prevention Agency.
Incidences of Sudden Cardiac Arrest in Korea, 2019
An Juyeon1, Kweon Sanghui1, Yoon Hajung2
1Division of Injury Prevention and Control, Bureau of Health Hazard Response, Korea Disease Control and Prevention Agency (KDCA)
2Division of Chronic Disease Investigation, Chungcheong Regional Center for Disease Control and Prevention (RCDC), 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 2019, 30,782 cases of sudden cardiac arrest in out-of-hospitals were happened in Korea. The rate of men was 64.6%, and 51.5% of the cases were 70 years of age and over.The cases of Gyeonggi, 6,848 was the highest of those of cities and provinces, and the Seoul 4,424, Gyeongnam 2,167, and Gyeongbuk 2,157 were followed. The survival rate and brain function recovery rate were 8.7 % and 5.4 %, respectively. Despite the continued increase since 2006, these rates were still low. The rate of cardiopulmonary resuscitation by bystander had been also increased, the higher survival rate was examined in the cases with cardiopulmonary resuscitation by bystander. It could be a useful evidence that cardiopulmonary resuscitation should be performed on patients with sudden cardiac arrest.
Keywords: Cardiac arrest, Survival rate, Cardiopulmonary resuscitation by bystander
Body
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Occurrence of sudden cardiac arrest in paramedic transfer* and survey† Characteristics 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 119 paramedic transfer Hospitals 812 757 708 742 757 739 712 661 644 590 556 536 492 476 Persons 19,480 20,353 21,905 24,442 25,909 26,382 27,823 29,356 30,309 30,771 29,832 29,262 30,539 30,782 Survey of medical record Completed hospitals 616 619 634 623 644 585 593 575 566 547 505 514 477 458 Rate of completion (%) 75.9 81.8 89.5 84.0 85.1 79.2 83.3 87.0 87.9 92.7 90.8 95.9 97.0 96.2 Completed persons 16,348 18,060 20,091 22,667 24,479 24,902 26,531 28,170 29,282 29,959 28,963 28,629 30,179 30,279 Rate of completion (%) 83.9 88.7 91.7 92.7 94.5 94.4 95.4 96.0 96.6 97.4 97.1 97.8 98.8 98.4 * 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.
† among the cases of 119 paramedic transfers of sudden cardiac arrest, cases completed with the survey of medical record in transferred hospitals.
-
Cases of sudden cardiac arrest by sex and age in 2019 Sex·Age Cases Proportion (%) Cases per 100,000 population* Total 30,782 (100.0) 60.0 Sex Men 19,873 (64.6) 77.6 Women 10,906 (35.4) 42.4 Unknown 3 (0.0) - Age (years) 0-39 2,758 (9.0) 11.9 40-49 2,389 (7.8) 28.7 50-59 4,532 (14.7) 53.2 60-69 5,253 (17.1) 86.9 70 and over 15,843 (51.5) 300.4 Unknown 7 (0.0) - * estimated population in 2019, Commissioner of Statistics Korea.
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Cases of sudden cardiac arrest by city and province in 2019 Cities and provinces* Number of cases Cases per 100,000 population† Cities and provinces Number of cases Cases per 100,000 population Total 30,782 60.0 Gyeonggi 6,848 52.5 Seoul 4,424 46.2 Gangwon 1,476 96.6 Busan 1,999 59.0 Chungguk 1,350 84.9 Daegu 1,294 53.2 Chungnam 1,738 82.3 Incheon 1,548 52.9 Jeonbuk 1,381 76.0 Gwangju 647 44.7 Jeonnam 1,658 89.0 Daejeon 739 50.2 Gyeongbuk 2,157 81.3 Ulsan 624 54.5 Gyeongnam 2,167 64.7 Sejong 105 32.2 Jeju 627 94.5 * based on the location of the occurrence.
† estimated population in 2019, Commissioner of Statistics Korea.
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Figure 1. Changes in sudden cardiac arrest incidence per 100,000 population
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Figure 2. Changes in survival rate* of sudden cardiac arrest
* discharged alive
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Figure 3. Changes in brain function recovery rate* of sudden cardiac arrest
* brain function recovered enough to enable daily life
-
Figure 4. Survival rates* of sudden cardiac arrest by city and province† in 2019
* discharged alive
† based on the location of the occurrence
-
Figure 5. Changes in rate of cardiac pulmonary resuscitation by bystander*
* cardiac pulmonary resuscitation performed by public bystander excluding paramedics and medical staff before arriving at the hospitals
-
Figure 6. Changes in survival rates* of sudden cardiac arrest according to cardiac pulmonary resuscitation by bystander†
* discharged alive
† cardiac pulmonary resuscitation performed by public bystander excluding paramedics and medical staff before arriving at the hospitals
-
Figure 7. Rate of cardiac pulmonary resuscitation by bystander* by city and province† in 2019
* cardiac pulmonary resuscitation performed by public bystander excluding paramedics and medical staff before arriving at the hospitals
† based on the location of the occurrence
Fig 1.
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Fig 2.
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* discharged alive
Fig 3.
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* brain function recovered enough to enable daily life
Fig 4.
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* discharged alive
† based on the location of the occurrence
Fig 5.
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* cardiac pulmonary resuscitation performed by public bystander excluding paramedics and medical staff before arriving at the hospitals
Fig 6.
Download
* discharged alive
† cardiac pulmonary resuscitation performed by public bystander excluding paramedics and medical staff before arriving at the hospitals
Fig 7.
Download
* cardiac pulmonary resuscitation performed by public bystander excluding paramedics and medical staff before arriving at the hospitals
† based on the location of the occurrence
-
Occurrence of sudden cardiac arrest in paramedic transfer* and survey† Characteristics 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 119 paramedic transfer Hospitals 812 757 708 742 757 739 712 661 644 590 556 536 492 476 Persons 19,480 20,353 21,905 24,442 25,909 26,382 27,823 29,356 30,309 30,771 29,832 29,262 30,539 30,782 Survey of medical record Completed hospitals 616 619 634 623 644 585 593 575 566 547 505 514 477 458 Rate of completion (%) 75.9 81.8 89.5 84.0 85.1 79.2 83.3 87.0 87.9 92.7 90.8 95.9 97.0 96.2 Completed persons 16,348 18,060 20,091 22,667 24,479 24,902 26,531 28,170 29,282 29,959 28,963 28,629 30,179 30,279 Rate of completion (%) 83.9 88.7 91.7 92.7 94.5 94.4 95.4 96.0 96.6 97.4 97.1 97.8 98.8 98.4 * 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.
† among the cases of 119 paramedic transfers of sudden cardiac arrest, cases completed with the survey of medical record in transferred hospitals.
-
Cases of sudden cardiac arrest by sex and age in 2019 Sex·Age Cases Proportion (%) Cases per 100,000 population* Total 30,782 (100.0) 60.0 Sex Men 19,873 (64.6) 77.6 Women 10,906 (35.4) 42.4 Unknown 3 (0.0) - Age (years) 0-39 2,758 (9.0) 11.9 40-49 2,389 (7.8) 28.7 50-59 4,532 (14.7) 53.2 60-69 5,253 (17.1) 86.9 70 and over 15,843 (51.5) 300.4 Unknown 7 (0.0) - * estimated population in 2019, Commissioner of Statistics Korea.
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Cases of sudden cardiac arrest by city and province in 2019 Cities and provinces* Number of cases Cases per 100,000 population† Cities and provinces Number of cases Cases per 100,000 population Total 30,782 60.0 Gyeonggi 6,848 52.5 Seoul 4,424 46.2 Gangwon 1,476 96.6 Busan 1,999 59.0 Chungguk 1,350 84.9 Daegu 1,294 53.2 Chungnam 1,738 82.3 Incheon 1,548 52.9 Jeonbuk 1,381 76.0 Gwangju 647 44.7 Jeonnam 1,658 89.0 Daejeon 739 50.2 Gyeongbuk 2,157 81.3 Ulsan 624 54.5 Gyeongnam 2,167 64.7 Sejong 105 32.2 Jeju 627 94.5 * based on the location of the occurrence.
† estimated population in 2019, Commissioner of Statistics Korea.
References
- 질병관리청소방청. 2006-2019 급성심장정지조사 통계 (2020).
- 질병관리본부. 의무기록조사 지침 및 사례집: 2019 급성심장정지조사 (2020).
- 질병관리본부대한심폐소생협회. 2015 한국형 심폐소생술 가이드라인. 2016.
- 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.
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