Three-year trends in out-of-hospital cardiac arrest across the world: Second report from the International Liaison Committee on Resuscitation (ILCOR)

Chika Nishiyama; Tekeyuki Kiguchi; Masashi Okubo; Hajriz Alihodžić; Rabab Al-Araji; Enrico Baldi; Frankie Beganton; Scott Booth; Janet Bray; Erika Christensen; Ruggero Cresta; Judith Finn; Jan-Thorsten Gräsner; Xavier Jouven; Karl B Kern; Ian Maconochie; Siobhán Masterson; Bryan McNally; Jerry P Nolan; Marcus Eng Hock Ong; Gavin D Perkins; Jeong Ho Park; Patrick Ristau; Simone Savastano; Nur Shahidah; Sang Do Shin; Jasmeet Soar; Ingvild Tjelmeland; Martin Quinn; Jan Wnent; Myra H Wyckoff; Taku Iwami

doi:10.1016/j.resuscitation.2023.109757

Three-year trends in out-of-hospital cardiac arrest across the world: Second report from the International Liaison Committee on Resuscitation (ILCOR)

Resuscitation. 2023 May:186:109757. doi: 10.1016/j.resuscitation.2023.109757. Epub 2023 Mar 2.

Authors

Chika Nishiyama¹, Tekeyuki Kiguchi², Masashi Okubo³, Hajriz Alihodžić⁴, Rabab Al-Araji⁵, Enrico Baldi⁶, Frankie Beganton⁷, Scott Booth⁸, Janet Bray⁹, Erika Christensen¹⁰, Ruggero Cresta¹¹, Judith Finn¹², Jan-Thorsten Gräsner¹³, Xavier Jouven¹⁴, Karl B Kern¹⁵, Ian Maconochie¹⁶, Siobhán Masterson¹⁷, Bryan McNally¹⁸, Jerry P Nolan¹⁹, Marcus Eng Hock Ong²⁰, Gavin D Perkins²¹, Jeong Ho Park²², Patrick Ristau¹³, Simone Savastano²³, Nur Shahidah²⁴, Sang Do Shin²², Jasmeet Soar²⁵, Ingvild Tjelmeland²⁶, Martin Quinn²⁷, Jan Wnent¹³, Myra H Wyckoff²⁸, Taku Iwami²⁹

Affiliations

¹ Department of Critical Care Nursing, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
² Department of Preventive Services, Graduate School of Medicine, School of Public Health, Kyoto University, Kyoto, Japan; Critical Care and Trauma Center, Osaka General Medical Center, Osaka, Japan.
³ Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
⁴ Emergency Medical Service, Public Institution Health Centre 'Dr. Mustafa Šehović' and Faculty of Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina.
⁵ Emory University Woodruff Health Sciences Center, Atlanta, GA, USA.
⁶ Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy, Department of Molecular Medicine, Section of Cardiology, University of Pavia, Pavia, Italy.
⁷ Paris Cardiovascular Research Center (PARCC), Paris, France; Paris Sudden Death Expertise Center, Paris, France.
⁸ Warwick Medical School, University of Warwick, Coventry, UK.
⁹ School of Public Health and Preventive Medicine, Monash University, VIC, Australia; School of Nursing, Curtin University, WA, Australia.
¹⁰ Center for Prehospital and Emergency Research, Aalborg University and Aalborg University Hospital, Aalborg, Denmark.
¹¹ Fondazione Ticino Cuore, Lugano, Switzerland; Federazione Cantonale Ticinese Servizi Autoambulanze, Bellinzona, Switzerland.
¹² School of Public Health and Preventive Medicine, Monash University, VIC, Australia; School of Nursing, Curtin University, WA, Australia; Medical School, University of Western Australia, WA, Australia.
¹³ Institute for Emergency Medicine, University Hospital Schleswig-Holstein, Kiel, Germany.
¹⁴ Paris Sudden Death Expertise Center, Paris, France; Department of Cardiology, Georges Pompidou European Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.
¹⁵ Division of Cardiology, University of Arizona, Sarver Heart Center, Tucson, AZ, USA.
¹⁶ Department of Emergency Medicine, Division of Medicine, Imperial College London, London, UK.
¹⁷ Clinical Directorate, HSE National Ambulance Service, Ireland; Discipline of General Practice, National University of Ireland Galway, Ireland.
¹⁸ Department of Emergency Medicine, Emory University School of Medicine and Rollins School of Public Health, Atlanta, GA, USA.
¹⁹ Warwick Medical School, University of Warwick, Coventry and Department of Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK.
²⁰ Department of Emergency Medicine, Singapore General Hospital, Singapore; Health Services & Systems Research, Duke-NUS Medical School, Singapore.
²¹ Warwick Medical School and University Hospitals Birmingham NHS Foundation Trust, UK.
²² Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
²³ Division of Cardiology, Fondazione IRCCS Policlinico San Matteo(3), Pavia, Italy.
²⁴ Department of Emergency Medicine, Singapore General Hospital, Singapore.
²⁵ Intensive Care Medicine, Southmead Hospital, North Bristol NHS Trust, UK.
²⁶ Institute for Emergency Medicine, University Hospital Schleswig-Holstein, Kiel, Germany; Norwegian National Advisory Unit on Prehospital Emergency Medicine (NAKOS), Division of Prehospital Services, Oslo University Hospital, Oslo, Norway; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Norway.
²⁷ Out-of-Hospital Cardiac Arrest Register Steering Group, National Ambulance Service, Health Service Executive, Ireland.
²⁸ Division of Neonatal-Perinatal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
²⁹ Department of Preventive Services, Graduate School of Medicine, School of Public Health, Kyoto University, Kyoto, Japan. Electronic address: [email protected].

PMID: 36868553
DOI: 10.1016/j.resuscitation.2023.109757

Abstract

Background: The International Liaison Committee on Resuscitation (ILCOR) Research and Registries Working Group previously reported data on systems of care and outcomes of out-of-hospital cardiac arrest (OHCA) in 2015 from 16 national and regional registries. To describe the temporal trends with updated data on OHCA, we report the characteristics of OHCA from 2015 through 2017.

Methods: We invited national and regional population-based OHCA registries for voluntary participation and included emergency medical services (EMS)-treated OHCA. We collected descriptive summary data of core elements of the latest Utstein style recommendation during 2016 and 2017 at each registry. For registries that participated in the previous 2015 report, we also extracted the 2015 data.

Results: Eleven national registries in North America, Europe, Asia, and Oceania, and 4 regional registries in Europe were included in this report. Across registries, the estimated annual incidence of EMS-treated OHCA was 30.0-97.1 individuals per 100,000 population in 2015, 36.4-97.3 in 2016, and 40.8-100.2 in 2017. The provision of bystander cardiopulmonary resuscitation (CPR) varied from 37.2% to 79.0% in 2015, from 2.9% to 78.4% in 2016, and from 4.1% to 80.3% in 2017. Survival to hospital discharge or 30-day survival for EMS-treated OHCA ranged from 5.2% to 15.7% in 2015, from 6.2% to 15.8% in 2016, and from 4.6% to 16.4% in 2017.

Conclusion: We observed an upward temporal trend in provision of bystander CPR in most registries. Although some registries showed favourable temporal trends in survival, less than half of registries in our study demonstrated such a trend.

Keywords: Epidemiology; Out-of-hospital cardiac arrest; Registry; Resuscitation; Utstein template.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Cardiopulmonary Resuscitation*
Emergency Medical Services*
Europe / epidemiology
Humans
Out-of-Hospital Cardiac Arrest* / epidemiology
Out-of-Hospital Cardiac Arrest* / therapy
Registries