Abstract 149: Annual and Lifetime Economic Productivity Loss Due to Adult Out-of-hospital Cardiac Arrest in the United States

Abstract

Objective: To estimate the annual and lifetime economic productivity loss due to adult out-of-hospital cardiac arrest (OHCA) in the United States (U.S.) over a 5-year study period between 2013-2018. Methods: All adult (age≥ 18 years) non-traumatic EMS-treated OHCA with complete data for age, sex, race, and survival outcomes from the CARES database for the most recently available 5-year period were included. Annual and lifetime labor productivity values, based on age and gender, were obtained from previously published national economic data. Productivity losses for OHCA events were calculated by year. Productivity losses for survivors were assigned by cerebral performance category score (CPC): CPC 1 and 2 = 0% productivity loss; CPC 3-5 = 100% productivity loss. Sensitivity analyses were performed assigning CPC 2 varying productivity losses (0-100%). Lifetime productivity values assumed 1% annual growth and 3% discount rate. Productivity data are presented in U.S. dollars and adjusted for inflation based on 2016 values. Results were extrapolated to the annual U.S. population. Results: A total of 338,492 (96.5%) cases met inclusion criteria. The mean annual and lifetime productivity losses per OHCA in 2018 were $48,224 and $638,947 respectively. Total annual and lifetime productivity losses for the study population in 2018 were $3.8 billion and $50.6 billion, respectively. Sensitivity analyses assigning CPC 2 varying productivity losses yielded similar findings. Males had a much larger lifetime productivity loss to approximately age 65 years compared to females (FIGURE 1). For the U.S. population in 2018, the total annual and lifetime productivity losses due to OHCA were $11.3 billion and $150.2 billion, respectively. Conclusion: Adult non-traumatic OHCA events are associated with significant annual and lifetime economic productivity losses and should be the focus of public health resources to improve preventative measures and survival outcomes.