Trends in In-Hospital Cardiopulmonary Resuscitation from 2010 through 2019: A Nationwide Cohort Study in South Korea.

Tak Kyu Oh,In-Ae Song,You Hwan Jo

doi:10.3390/jpm12030377

Abstract

We aimed to examine recent trends in in-hospital cardiopulmonary resuscitation in South Korea from 2010 to 2019. A population-based sample of all adult patients who experienced in-hospital cardiopulmonary resuscitation between 1 January 2010 and 31 December 2019, was included. In all, 298,676 patients who received in-hospital cardiopulmonary resuscitation were included in the survival analysis. In 2010, 60.7 per 100,000 adults experienced in-hospital cardiopulmonary resuscitation. A similar rate was observed until 2015. The rate increased to 83.5 per 100,000 adults in 2016 and gradually increased to 92.1 per 100,000 adults in 2019. Among all patients, 78,783 (26.2%) were discharged alive after in-hospital cardiopulmonary resuscitation. The 6-month and 1-year survival rates were 9.8% and 8.7%, respectively. In 2010, the mean total cost of hospitalization was USD 5822.80 (United States Dollar) (standard deviation; SD: USD 7493.4), which increased to USD 7886.20 (SD: USD 13,071.6) in 2019. The rate of in-hospital cardiopulmonary resuscitation and cost of care have significantly increased since 2010, while the 6-month and 1-year rates of survival post in-hospital resuscitation remain low.

Highlights

Academic Editor: Hyesun GwakIn-hospital cardiac arrest (IHCA) is an acute and critical event that can cause death in any hospitalized patient [1]
Cardiopulmonary resuscitation (CPR) is a life-saving procedure that is required for patients who have a cardiac arrest event, and in-hospital CPR (ICPR) should be performed for patients with IHCA [4]
There have been no detailed reports on recent trends regarding prevalence, mortality, factors associated with hospital mortality in South Korea, clinical characteristics, or associated costs for patients who receive ICPR

Summary

Introduction

Academic Editor: Hyesun GwakIn-hospital cardiac arrest (IHCA) is an acute and critical event that can cause death in any hospitalized patient [1]. In South Korea, the prevalence of IHCA was 2.46 per 1000 admissions in 2009, according to the National Representative. In the United States, the incidence of ICPR has increased, and the overall survival rate was 30.4% from 2007 to 2012 among non-elderly (18–64 years) patients [5]. Another epidemiologic study reported that, in the United States, 18.3% of elderly patients (≥65 years) survived to discharge after ICPR. In South Korea, according to the National Representative Patient Sample database, there were 5919 ICPR cases from 2003 to 2013, and the live discharge rate was 11.7% [6]. There have been no detailed reports on recent trends regarding prevalence, mortality, factors associated with hospital mortality in South Korea, clinical characteristics, or associated costs for patients who receive ICPR

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