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Epidemiology and Surveillance

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Public Health Weekly Report 2020; 13(2): 77-90

Published online January 9, 2020

© The Korea Disease Control and Prevention Agency

Key Findings of the Sudden Cardiac Arrest (SCA) Survey from 2006 to 2018

Yoon Hajung, Park soojung, An juyeon, Lee yeonkyeng

Division of Chronic Disease Control, Center for Disease Prevention, KCDC

*교신저자 : yeonkyenglee@cdc.go.kr, 043-719-7380

This is an Open Access aritcle distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Sections

In 2008, in cooperation with the Korean National Fire Agency (NFA), the Korea Centers for Disease Control and Prevention (KCDC) launched the ‘Sudden Cardiac Arrest (SCA) Survey’ to measure the incidence and survival rate of SCAs. Subsequently, the KCDC published annual SCA statistics. This report found that from 2006 to 2018 there were, on average, 30,000 cases of SCAs per year. This report’s findings further indicated that the standardized incidence (per 100,000 people) increased from 39.3 in 2006 to 39.7 in 2018; the survival of SCA patients increased 3.7 fold from 2.3% in 2006 to 8.6% in 2018; the neurological recovery rate increased 8.5 fold from 0.6% in 2006 to 5.1% in 2018; and bystander cardiopulmonary resuscitation (CPR) rates and the rate of return of spontaneous circulation (ROSC) before hospital arrival, two indices closely related to survival rates, increased. Lastly, this report found that the annual SCA survey highlighted both positive and negative aspects of the current status of SCA in Korea. On the positive side, there was a nationwide improvement in SCA survival, and on the negative side, regional disparity widened. Consequently, the aim of this report was to promote local community-based activities for the improved survival of SCA patients.

Key words Cardiac arrest, Survival rate, Bystander cardiopulmonary resuscitation

Sections
Table 1. General status of sudden cardiac arrest (SCA) occurrence (2006-2018) Unit: cases, per 100,000 people, %
Types2006200720082009201020112012201320142015201620172018
Case19,48020,35321,90524,44225,90926,38227,82329,35630,30930,77129,83229,26230,539
Incidence (Standardized)*39.339.741.444.445.144.244.745.445.144.241.539.439.7
Proportion of people aged 70 years and over38.739.140.441.244.445.947.547.549.250.149.550.251.4
Proportion of people where ‘disease’ is a cause56.254.671.670.071.370.771.771.472.473.774.875.275.1

* Incidence (Standardized): Adjusted to compensate for variations in population composition in each year and region, by using a standard population (2005 future estimated population, Statistics Korea [KOSTAT])

Table 2. Current status of main indices in sudden cardiac arrests (SCAs) Unit: %
Indices2006200720082009201020112012201320142015201620172018
Survival rate(Crude)2.32.62.53.33.34.14.44.84.86.37.68.78.6
(Standardized*)(2.3)(2.6)(2.6)(3.4)(3.4)(4.3)(4.7)(5.2)(5.3)(7.1)(8.7)(10.0)(10.0)
Rate of neurological recovery(Crude)0.60.70.81.00.91.61.82.32.73.64.25.15.1
(Standardized*)(0.6)(0.7)(0.8)(1.0)(1.0)(1.7)(2.0)(2.6)(3.1)(4.2)(5.0)(6.1)(6.1)

* Adjusted to compensate for different population composition in each year and region, by using the patients population that suffered the sudden cardiac arrest in 2006

※ From 2015, the result of follow-up studies that confirmed the survival of patients transferred from the emergency room to other hospitals, has been reflected on the statistics

Table 3. Disparities in sudden cardiac arrest (SCA) survey main indices (2006-2018) Unit: %, %p
IndicesValues2006200720082009201020112012201320142015201620172018
Bystander Cardiopulmonay resuscitation (CPR) rate (%)Total--1.92.73.45.06.99.112.914.116.821.023.5
Seoul--3.15.57.312.317.419.826.223.629.635.837.0
Busan--1.61.71.64.64.87.09.911.213.316.517.1
Daegu--1.63.04.15.56.19.612.918.323.633.434.3
Incheon--2.44.95.36.26.98.014.613.016.614.717.8
Gwangju--0.91.41.52.83.84.410.18.28.111.414.6
Daejeon--1.51.72.33.94.69.116.214.420.823.826.8
Ulsan--1.61.31.64.94.77.38.114.920.718.715.0
Sejong------3.82.62.67.113.413.722.8
Gyeonggi--2.22.74.05.16.88.512.616.318.925.328.9
Gangwon--2.12.83.73.44.18.411.715.216.218.518.3
Chungbuk--0.91.11.72.43.95.97.09.013.913.120.2
Chungnam--1.51.22.83.34.46.69.38.412.118.117.6
Jeonbuk--2.22.12.43.64.28.011.411.39.716.318.4
Jeonnam--1.51.31.21.13.24.26.46.36.18.912.6
Gyeongbuk--0.91.01.01.42.84.24.68.18.010.013.6
Gyeongnam--0.61.81.33.24.76.28.29.711.515.118.1
Jeju--1.42.51.93.55.48.511.717.917.016.619.6
Rate of return of spontaneous circulation before hospital arrival (%)Total0.91.11.21.91.83.13.53.74.25.16.97.67.8
Seoul1.21.31.52.62.02.84.14.55.06.27.78.78.7
Busan0.90.81.72.32.03.04.65.15.66.710.211.511.0
Daegu1.30.40.61.62.23.63.34.74.35.69.08.38.2
Incheon0.31.11.91.82.03.83.33.85.05.57.59.68.2
Gwangju0.20.82.01.62.45.23.84.25.64.59.49.011.1
Daejeon0.41.11.41.23.03.93.15.64.84.37.38.58.0
Ulsan0.31.60.82.53.44.04.94.36.44.79.38.68.6
Sejong------3.53.86.27.515.315.313.1
Gyeonggi1.31.41.31.91.83.03.93.44.65.88.49.28.9
Gangwon1.80.51.01.82.32.42.42.34.24.05.15.35.6
Chungbuk1.31.10.62.11.03.32.13.43.03.04.74.86.1
Chungnam0.81.40.41.51.04.43.02.52.32.65.86.37.4
Jeonbuk0.60.60.51.51.64.13.74.74.44.74.15.75.6
Jeonnam0.71.61.01.61.82.52.72.32.44.13.04.56.0
Gyeongbuk0.91.01.11.50.91.72.42.72.23.64.44.25.0
Gyeongnam0.40.40.81.81.42.52.52.93.24.65.15.76.5
Jeju0.71.21.22.61.64.95.53.93.35.15.14.94.2
Survival rate (%)Total(Crude)2.32.62.53.33.34.14.44.84.86.37.68.78.6
(Standardized)2.32.62.63.43.44.34.75.25.37.18.710.010.0
Seoul3.95.04.96.46.38.38.89.28.69.811.412.712.1
Busan0.62.02.03.53.64.54.45.35.77.69.19.99.0
Daegu2.21.31.72.42.43.74.76.15.45.17.08.08.2
Incheon4.33.94.54.14.05.85.36.75.87.28.211.39.7
Gwangju3.22.03.14.64.04.12.94.63.97.69.210.311.6
Daejeon4.43.94.24.28.16.66.87.97.37.18.49.89.8
Ulsan1.41.90.52.74.43.33.83.04.56.410.911.49.8
Sejong------5.32.63.72.211.99.010.9
Gyeonggi3.03.42.83.73.34.04.84.85.76.88.210.18.9
Gangwon3.22.41.92.94.13.13.63.84.54.76.16.26.5
Chungbuk1.71.21.42.01.53.02.53.82.83.95.36.27.1
Chungnam0.30.70.71.20.72.52.61.91.93.56.16.77.0
Jeonbuk1.12.41.21.52.13.02.94.43.24.85.16.56.4
Jeonnam0.91.41.41.41.21.71.61.21.14.44.75.17.1
Gyeongbuk0.70.61.11.31.11.61.41.81.33.44.34.15.0
Gyeongnam0.20.51.91.81.11.62.12.32.64.55.56.77.2
Jeju1.42.71.83.22.83.54.63.63.67.46.25.86.2
Neurological recovery rate (%)Total(Crude)0.60.70.81.00.91.61.82.32.73.64.25.15.1
(Standardized)0.60.70.81.01.01.72.02.63.14.25.06.16.1
Seoul0.81.61.51.71.62.93.33.94.95.86.07.17.5
Busan0.00.40.31.20.81.92.23.03.14.65.35.64.7
Daegu1.10.00.91.11.22.22.33.93.73.75.45.34.9
Incheon1.01.10.81.31.42.12.23.03.83.84.55.65.3
Gwangju0.20.60.91.10.62.11.62.22.23.74.86.46.0
Daejeon1.61.51.40.31.42.91.93.83.33.94.04.36.0
Ulsan0.61.10.31.02.10.92.31.52.64.06.28.66.3
Sejong------1.82.63.70.09.36.38.0
Gyeonggi0.80.80.90.91.01.32.12.42.83.84.65.85.4
Gangwon1.40.90.61.71.41.11.02.12.52.52.53.24.1
Chungbuk0.40.30.31.00.61.00.71.41.82.53.13.64.1
Chungnam0.00.30.00.30.11.11.20.80.91.92.94.03.9
Jeonbuk0.20.10.30.40.41.41.22.02.22.73.34.83.6
Jeonnam0.20.10.70.20.30.40.50.60.42.32.03.33.8
Gyeongbuk0.20.10.30.60.50.60.90.90.82.32.72.72.7
Gyeongnam0.10.20.50.50.40.71.11.51.82.73.14.44.5
Jeju0.51.40.91.71.22.82.72.02.24.63.73.53.8

Table 4. Results of Sudden Cardiac Arrest (SCA) Main Indices and their Disparities among City Types (2006-2018)
IndicesCity types2006200720082009201020112012201320142015201620172018
Bystander Cardiopulmonay resuscitation (CPR) rate (%)Local districts of Seoul City--3.15.57.312.317.419.826.223.629.635.837.0
Local districts of metropolitan cities*--1.92.83.55.06.48.812.815.217.722.024.6
Cities with less than 300,000 people--1.71.11.72.34.35.510.411.415.919.920.5
Urban rural consolidated cities--1.31.52.02.73.45.47.39.010.213.518.1
Counties--1.11.21.41.82.84.46.47.79.512.414.1
Rate of return of spontaneous circulation before Hospital arrival (%)Local districts of Seoul City1.21.31.52.62.02.84.14.55.06.27.78.78.7
Local districts of metropolitan cities*0.91.01.31.91.93.43.64.14.55.58.28.88.6
Cities with less than 300,000 people0.91.50.91.82.12.23.73.04.25.66.19.39.2
Urban rural consolidated cities0.91.01.01.71.62.92.92.93.43.94.95.56.1
Counties0.71.00.91.61.23.03.02.83.13.64.74.85.8
Survival rate (%)Local districts of Seoul City(Crude)3.95.04.96.46.38.38.89.28.69.811.412.712.1
(Standardized)4.05.04.96.56.58.59.39.99.811.212.914.314.3
Local districts of metropolitan cities*(Crude)2.93.02.93.83.84.65.05.75.66.88.49.99.0
(Standardized)2.82.92.93.83.94.75.26.06.17.59.210.910.2
Cities with less than 300,000 people(Crude)1.31.72.33.63.13.83.43.94.26.87.49.29.2
(Standardized)1.31.62.43.62.93.73.54.14.68.68.511.010.5
Urban rural consolidated cities(Crude)1.01.11.41.61.61.82.22.12.24.35.56.27.1
(Standardized)1.01.11.41.71.62.02.42.32.45.16.67.68.6
Counties(Crude)0.30.60.50.70.71.41.31.31.33.03.94.35.2
(Standardized)0.30.60.50.80.81.61.41.61.53.74.65.16.3
Neurological recovery rate (%)Local districts of Seoul City(Crude)0.81.61.51.71.62.93.33.94.95.86.07.17.5
(Standardized)0.91.61.61.71.63.03.54.45.96.87.18.39.2
Local districts of metropolitan cities*(Crude)0.70.80.81.11.11.82.22.83.24.04.95.65.2
(Standardized)0.70.80.81.11.11.92.43.03.44.55.56.56.1
Cities with less than 300,000 people(Crude)0.70.61.21.11.11.31.21.81.83.33.25.15.2
(Standardized)0.80.51.31.11.01.21.21.92.14.64.06.36.4
Urban rural consolidated cities(Crude)0.30.30.40.60.60.71.01.11.32.22.73.94.2
(Standardized)0.40.30.40.70.60.81.21.31.52.63.54.95.2
Counties(Crude)0.10.10.20.30.30.60.50.80.81.92.12.93.1
(Standardized)0.10.10.20.40.40.70.61.01.12.52.63.73.8

* Local districts of Metropolitan cities, cites with more than 300,000 population, or local districts of cities with more than 500,000 population

* Region with the highest values in the year Region with the lowest values in the year

Figure 1. Sudden cardiac arrest (SCA) survey system

Figure 2. Sudden cardiac arrest (SCA) trends

Figure 3. Trends in survival rates and neurological recovery rates

Figure 4. Trends in bystander CPR rates and return of spontaneous circulation (ROSC) before hospital arrival rates

References

Sections
  1. Bryan McNally, et al. CARES: Cardiac Arrest Registry to Enhance Survival. Annals of emergency medicine. 2009;54(5):674-683, e2.
    Pubmed CrossRef
  2. Kunihiro Mashiko, et al. An outcome study of out-of-hospital cardiac arrest using the Utstein template-a Japanese experience. Resuscitation. 2002;55:241-246.
    Pubmed CrossRef
  3. 질병관리본부. 2006-2018 급성심장정지조사 통계. 2019.
  4. Ro YS, et al. Public awareness and self-efficacy of cardiopulmonary resuscitation in communities and outcomes of out-of-hospital cardiac arrest: A multi-level analysis. Resuscitation. 2016;102:17-24.
    Pubmed CrossRef
  5. 질병관리본부. 2008~2018 지역건강통계 한눈에 보기. 2019.

Epidemiology and Surveillance

Public Health Weekly Report 2020; 13(2): 77-90

Published online January 9, 2020

Copyright © The Korea Disease Control and Prevention Agency.

Key Findings of the Sudden Cardiac Arrest (SCA) Survey from 2006 to 2018

Yoon Hajung, Park soojung, An juyeon, Lee yeonkyeng

Division of Chronic Disease Control, Center for Disease Prevention, KCDC

Correspondence to:*교신저자 : yeonkyenglee@cdc.go.kr, 043-719-7380

This is an Open Access aritcle distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In 2008, in cooperation with the Korean National Fire Agency (NFA), the Korea Centers for Disease Control and Prevention (KCDC) launched the ‘Sudden Cardiac Arrest (SCA) Survey’ to measure the incidence and survival rate of SCAs. Subsequently, the KCDC published annual SCA statistics. This report found that from 2006 to 2018 there were, on average, 30,000 cases of SCAs per year. This report’s findings further indicated that the standardized incidence (per 100,000 people) increased from 39.3 in 2006 to 39.7 in 2018; the survival of SCA patients increased 3.7 fold from 2.3% in 2006 to 8.6% in 2018; the neurological recovery rate increased 8.5 fold from 0.6% in 2006 to 5.1% in 2018; and bystander cardiopulmonary resuscitation (CPR) rates and the rate of return of spontaneous circulation (ROSC) before hospital arrival, two indices closely related to survival rates, increased. Lastly, this report found that the annual SCA survey highlighted both positive and negative aspects of the current status of SCA in Korea. On the positive side, there was a nationwide improvement in SCA survival, and on the negative side, regional disparity widened. Consequently, the aim of this report was to promote local community-based activities for the improved survival of SCA patients.

Keywords: Cardiac arrest, Survival rate, Bystander cardiopulmonary resuscitation

Body

General status of sudden cardiac arrest (SCA) occurrence (2006-2018) Unit: cases, per 100,000 people, %
Types2006200720082009201020112012201320142015201620172018
Case19,48020,35321,90524,44225,90926,38227,82329,35630,30930,77129,83229,26230,539
Incidence (Standardized)*39.339.741.444.445.144.244.745.445.144.241.539.439.7
Proportion of people aged 70 years and over38.739.140.441.244.445.947.547.549.250.149.550.251.4
Proportion of people where ‘disease’ is a cause56.254.671.670.071.370.771.771.472.473.774.875.275.1

* Incidence (Standardized): Adjusted to compensate for variations in population composition in each year and region, by using a standard population (2005 future estimated population, Statistics Korea [KOSTAT]).

Current status of main indices in sudden cardiac arrests (SCAs) Unit: %
Indices2006200720082009201020112012201320142015201620172018
Survival rate(Crude)2.32.62.53.33.34.14.44.84.86.37.68.78.6
(Standardized*)(2.3)(2.6)(2.6)(3.4)(3.4)(4.3)(4.7)(5.2)(5.3)(7.1)(8.7)(10.0)(10.0)
Rate of neurological recovery(Crude)0.60.70.81.00.91.61.82.32.73.64.25.15.1
(Standardized*)(0.6)(0.7)(0.8)(1.0)(1.0)(1.7)(2.0)(2.6)(3.1)(4.2)(5.0)(6.1)(6.1)

* Adjusted to compensate for different population composition in each year and region, by using the patients population that suffered the sudden cardiac arrest in 2006.

※ From 2015, the result of follow-up studies that confirmed the survival of patients transferred from the emergency room to other hospitals, has been reflected on the statistics.

Disparities in sudden cardiac arrest (SCA) survey main indices (2006-2018) Unit: %, %p
IndicesValues2006200720082009201020112012201320142015201620172018
Bystander Cardiopulmonay resuscitation (CPR) rate (%)Total--1.92.73.45.06.99.112.914.116.821.023.5
Seoul--3.15.57.312.317.419.826.223.629.635.837.0
Busan--1.61.71.64.64.87.09.911.213.316.517.1
Daegu--1.63.04.15.56.19.612.918.323.633.434.3
Incheon--2.44.95.36.26.98.014.613.016.614.717.8
Gwangju--0.91.41.52.83.84.410.18.28.111.414.6
Daejeon--1.51.72.33.94.69.116.214.420.823.826.8
Ulsan--1.61.31.64.94.77.38.114.920.718.715.0
Sejong------3.82.62.67.113.413.722.8
Gyeonggi--2.22.74.05.16.88.512.616.318.925.328.9
Gangwon--2.12.83.73.44.18.411.715.216.218.518.3
Chungbuk--0.91.11.72.43.95.97.09.013.913.120.2
Chungnam--1.51.22.83.34.46.69.38.412.118.117.6
Jeonbuk--2.22.12.43.64.28.011.411.39.716.318.4
Jeonnam--1.51.31.21.13.24.26.46.36.18.912.6
Gyeongbuk--0.91.01.01.42.84.24.68.18.010.013.6
Gyeongnam--0.61.81.33.24.76.28.29.711.515.118.1
Jeju--1.42.51.93.55.48.511.717.917.016.619.6
Rate of return of spontaneous circulation before hospital arrival (%)Total0.91.11.21.91.83.13.53.74.25.16.97.67.8
Seoul1.21.31.52.62.02.84.14.55.06.27.78.78.7
Busan0.90.81.72.32.03.04.65.15.66.710.211.511.0
Daegu1.30.40.61.62.23.63.34.74.35.69.08.38.2
Incheon0.31.11.91.82.03.83.33.85.05.57.59.68.2
Gwangju0.20.82.01.62.45.23.84.25.64.59.49.011.1
Daejeon0.41.11.41.23.03.93.15.64.84.37.38.58.0
Ulsan0.31.60.82.53.44.04.94.36.44.79.38.68.6
Sejong------3.53.86.27.515.315.313.1
Gyeonggi1.31.41.31.91.83.03.93.44.65.88.49.28.9
Gangwon1.80.51.01.82.32.42.42.34.24.05.15.35.6
Chungbuk1.31.10.62.11.03.32.13.43.03.04.74.86.1
Chungnam0.81.40.41.51.04.43.02.52.32.65.86.37.4
Jeonbuk0.60.60.51.51.64.13.74.74.44.74.15.75.6
Jeonnam0.71.61.01.61.82.52.72.32.44.13.04.56.0
Gyeongbuk0.91.01.11.50.91.72.42.72.23.64.44.25.0
Gyeongnam0.40.40.81.81.42.52.52.93.24.65.15.76.5
Jeju0.71.21.22.61.64.95.53.93.35.15.14.94.2
Survival rate (%)Total(Crude)2.32.62.53.33.34.14.44.84.86.37.68.78.6
(Standardized)2.32.62.63.43.44.34.75.25.37.18.710.010.0
Seoul3.95.04.96.46.38.38.89.28.69.811.412.712.1
Busan0.62.02.03.53.64.54.45.35.77.69.19.99.0
Daegu2.21.31.72.42.43.74.76.15.45.17.08.08.2
Incheon4.33.94.54.14.05.85.36.75.87.28.211.39.7
Gwangju3.22.03.14.64.04.12.94.63.97.69.210.311.6
Daejeon4.43.94.24.28.16.66.87.97.37.18.49.89.8
Ulsan1.41.90.52.74.43.33.83.04.56.410.911.49.8
Sejong------5.32.63.72.211.99.010.9
Gyeonggi3.03.42.83.73.34.04.84.85.76.88.210.18.9
Gangwon3.22.41.92.94.13.13.63.84.54.76.16.26.5
Chungbuk1.71.21.42.01.53.02.53.82.83.95.36.27.1
Chungnam0.30.70.71.20.72.52.61.91.93.56.16.77.0
Jeonbuk1.12.41.21.52.13.02.94.43.24.85.16.56.4
Jeonnam0.91.41.41.41.21.71.61.21.14.44.75.17.1
Gyeongbuk0.70.61.11.31.11.61.41.81.33.44.34.15.0
Gyeongnam0.20.51.91.81.11.62.12.32.64.55.56.77.2
Jeju1.42.71.83.22.83.54.63.63.67.46.25.86.2
Neurological recovery rate (%)Total(Crude)0.60.70.81.00.91.61.82.32.73.64.25.15.1
(Standardized)0.60.70.81.01.01.72.02.63.14.25.06.16.1
Seoul0.81.61.51.71.62.93.33.94.95.86.07.17.5
Busan0.00.40.31.20.81.92.23.03.14.65.35.64.7
Daegu1.10.00.91.11.22.22.33.93.73.75.45.34.9
Incheon1.01.10.81.31.42.12.23.03.83.84.55.65.3
Gwangju0.20.60.91.10.62.11.62.22.23.74.86.46.0
Daejeon1.61.51.40.31.42.91.93.83.33.94.04.36.0
Ulsan0.61.10.31.02.10.92.31.52.64.06.28.66.3
Sejong------1.82.63.70.09.36.38.0
Gyeonggi0.80.80.90.91.01.32.12.42.83.84.65.85.4
Gangwon1.40.90.61.71.41.11.02.12.52.52.53.24.1
Chungbuk0.40.30.31.00.61.00.71.41.82.53.13.64.1
Chungnam0.00.30.00.30.11.11.20.80.91.92.94.03.9
Jeonbuk0.20.10.30.40.41.41.22.02.22.73.34.83.6
Jeonnam0.20.10.70.20.30.40.50.60.42.32.03.33.8
Gyeongbuk0.20.10.30.60.50.60.90.90.82.32.72.72.7
Gyeongnam0.10.20.50.50.40.71.11.51.82.73.14.44.5
Jeju0.51.40.91.71.22.82.72.02.24.63.73.53.8

Results of Sudden Cardiac Arrest (SCA) Main Indices and their Disparities among City Types (2006-2018)
IndicesCity types2006200720082009201020112012201320142015201620172018
Bystander Cardiopulmonay resuscitation (CPR) rate (%)Local districts of Seoul City--3.15.57.312.317.419.826.223.629.635.837.0
Local districts of metropolitan cities*--1.92.83.55.06.48.812.815.217.722.024.6
Cities with less than 300,000 people--1.71.11.72.34.35.510.411.415.919.920.5
Urban rural consolidated cities--1.31.52.02.73.45.47.39.010.213.518.1
Counties--1.11.21.41.82.84.46.47.79.512.414.1
Rate of return of spontaneous circulation before Hospital arrival (%)Local districts of Seoul City1.21.31.52.62.02.84.14.55.06.27.78.78.7
Local districts of metropolitan cities*0.91.01.31.91.93.43.64.14.55.58.28.88.6
Cities with less than 300,000 people0.91.50.91.82.12.23.73.04.25.66.19.39.2
Urban rural consolidated cities0.91.01.01.71.62.92.92.93.43.94.95.56.1
Counties0.71.00.91.61.23.03.02.83.13.64.74.85.8
Survival rate (%)Local districts of Seoul City(Crude)3.95.04.96.46.38.38.89.28.69.811.412.712.1
(Standardized)4.05.04.96.56.58.59.39.99.811.212.914.314.3
Local districts of metropolitan cities*(Crude)2.93.02.93.83.84.65.05.75.66.88.49.99.0
(Standardized)2.82.92.93.83.94.75.26.06.17.59.210.910.2
Cities with less than 300,000 people(Crude)1.31.72.33.63.13.83.43.94.26.87.49.29.2
(Standardized)1.31.62.43.62.93.73.54.14.68.68.511.010.5
Urban rural consolidated cities(Crude)1.01.11.41.61.61.82.22.12.24.35.56.27.1
(Standardized)1.01.11.41.71.62.02.42.32.45.16.67.68.6
Counties(Crude)0.30.60.50.70.71.41.31.31.33.03.94.35.2
(Standardized)0.30.60.50.80.81.61.41.61.53.74.65.16.3
Neurological recovery rate (%)Local districts of Seoul City(Crude)0.81.61.51.71.62.93.33.94.95.86.07.17.5
(Standardized)0.91.61.61.71.63.03.54.45.96.87.18.39.2
Local districts of metropolitan cities*(Crude)0.70.80.81.11.11.82.22.83.24.04.95.65.2
(Standardized)0.70.80.81.11.11.92.43.03.44.55.56.56.1
Cities with less than 300,000 people(Crude)0.70.61.21.11.11.31.21.81.83.33.25.15.2
(Standardized)0.80.51.31.11.01.21.21.92.14.64.06.36.4
Urban rural consolidated cities(Crude)0.30.30.40.60.60.71.01.11.32.22.73.94.2
(Standardized)0.40.30.40.70.60.81.21.31.52.63.54.95.2
Counties(Crude)0.10.10.20.30.30.60.50.80.81.92.12.93.1
(Standardized)0.10.10.20.40.40.70.61.01.12.52.63.73.8

* Local districts of Metropolitan cities, cites with more than 300,000 population, or local districts of cities with more than 500,000 population.

* Region with the highest values in the year Region with the lowest values in the year.

Figure 1. Sudden cardiac arrest (SCA) survey system

Figure 2. Sudden cardiac arrest (SCA) trends

Figure 3. Trends in survival rates and neurological recovery rates

Figure 4. Trends in bystander CPR rates and return of spontaneous circulation (ROSC) before hospital arrival rates

Fig 1.

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Figure 1.Sudden cardiac arrest (SCA) survey system
Public Health Weekly Report 2020; 13: 77-90

Fig 2.

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Figure 2.Sudden cardiac arrest (SCA) trends
Public Health Weekly Report 2020; 13: 77-90

Fig 3.

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Figure 3.Trends in survival rates and neurological recovery rates
Public Health Weekly Report 2020; 13: 77-90

Fig 4.

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Figure 4.Trends in bystander CPR rates and return of spontaneous circulation (ROSC) before hospital arrival rates
Public Health Weekly Report 2020; 13: 77-90
General status of sudden cardiac arrest (SCA) occurrence (2006-2018) Unit: cases, per 100,000 people, %
Types2006200720082009201020112012201320142015201620172018
Case19,48020,35321,90524,44225,90926,38227,82329,35630,30930,77129,83229,26230,539
Incidence (Standardized)*39.339.741.444.445.144.244.745.445.144.241.539.439.7
Proportion of people aged 70 years and over38.739.140.441.244.445.947.547.549.250.149.550.251.4
Proportion of people where ‘disease’ is a cause56.254.671.670.071.370.771.771.472.473.774.875.275.1

* Incidence (Standardized): Adjusted to compensate for variations in population composition in each year and region, by using a standard population (2005 future estimated population, Statistics Korea [KOSTAT]).
Current status of main indices in sudden cardiac arrests (SCAs) Unit: %
Indices2006200720082009201020112012201320142015201620172018
Survival rate(Crude)2.32.62.53.33.34.14.44.84.86.37.68.78.6
(Standardized*)(2.3)(2.6)(2.6)(3.4)(3.4)(4.3)(4.7)(5.2)(5.3)(7.1)(8.7)(10.0)(10.0)
Rate of neurological recovery(Crude)0.60.70.81.00.91.61.82.32.73.64.25.15.1
(Standardized*)(0.6)(0.7)(0.8)(1.0)(1.0)(1.7)(2.0)(2.6)(3.1)(4.2)(5.0)(6.1)(6.1)

* Adjusted to compensate for different population composition in each year and region, by using the patients population that suffered the sudden cardiac arrest in 2006.

※ From 2015, the result of follow-up studies that confirmed the survival of patients transferred from the emergency room to other hospitals, has been reflected on the statistics.
Disparities in sudden cardiac arrest (SCA) survey main indices (2006-2018) Unit: %, %p
IndicesValues2006200720082009201020112012201320142015201620172018
Bystander Cardiopulmonay resuscitation (CPR) rate (%)Total--1.92.73.45.06.99.112.914.116.821.023.5
Seoul--3.15.57.312.317.419.826.223.629.635.837.0
Busan--1.61.71.64.64.87.09.911.213.316.517.1
Daegu--1.63.04.15.56.19.612.918.323.633.434.3
Incheon--2.44.95.36.26.98.014.613.016.614.717.8
Gwangju--0.91.41.52.83.84.410.18.28.111.414.6
Daejeon--1.51.72.33.94.69.116.214.420.823.826.8
Ulsan--1.61.31.64.94.77.38.114.920.718.715.0
Sejong------3.82.62.67.113.413.722.8
Gyeonggi--2.22.74.05.16.88.512.616.318.925.328.9
Gangwon--2.12.83.73.44.18.411.715.216.218.518.3
Chungbuk--0.91.11.72.43.95.97.09.013.913.120.2
Chungnam--1.51.22.83.34.46.69.38.412.118.117.6
Jeonbuk--2.22.12.43.64.28.011.411.39.716.318.4
Jeonnam--1.51.31.21.13.24.26.46.36.18.912.6
Gyeongbuk--0.91.01.01.42.84.24.68.18.010.013.6
Gyeongnam--0.61.81.33.24.76.28.29.711.515.118.1
Jeju--1.42.51.93.55.48.511.717.917.016.619.6
Rate of return of spontaneous circulation before hospital arrival (%)Total0.91.11.21.91.83.13.53.74.25.16.97.67.8
Seoul1.21.31.52.62.02.84.14.55.06.27.78.78.7
Busan0.90.81.72.32.03.04.65.15.66.710.211.511.0
Daegu1.30.40.61.62.23.63.34.74.35.69.08.38.2
Incheon0.31.11.91.82.03.83.33.85.05.57.59.68.2
Gwangju0.20.82.01.62.45.23.84.25.64.59.49.011.1
Daejeon0.41.11.41.23.03.93.15.64.84.37.38.58.0
Ulsan0.31.60.82.53.44.04.94.36.44.79.38.68.6
Sejong------3.53.86.27.515.315.313.1
Gyeonggi1.31.41.31.91.83.03.93.44.65.88.49.28.9
Gangwon1.80.51.01.82.32.42.42.34.24.05.15.35.6
Chungbuk1.31.10.62.11.03.32.13.43.03.04.74.86.1
Chungnam0.81.40.41.51.04.43.02.52.32.65.86.37.4
Jeonbuk0.60.60.51.51.64.13.74.74.44.74.15.75.6
Jeonnam0.71.61.01.61.82.52.72.32.44.13.04.56.0
Gyeongbuk0.91.01.11.50.91.72.42.72.23.64.44.25.0
Gyeongnam0.40.40.81.81.42.52.52.93.24.65.15.76.5
Jeju0.71.21.22.61.64.95.53.93.35.15.14.94.2
Survival rate (%)Total(Crude)2.32.62.53.33.34.14.44.84.86.37.68.78.6
(Standardized)2.32.62.63.43.44.34.75.25.37.18.710.010.0
Seoul3.95.04.96.46.38.38.89.28.69.811.412.712.1
Busan0.62.02.03.53.64.54.45.35.77.69.19.99.0
Daegu2.21.31.72.42.43.74.76.15.45.17.08.08.2
Incheon4.33.94.54.14.05.85.36.75.87.28.211.39.7
Gwangju3.22.03.14.64.04.12.94.63.97.69.210.311.6
Daejeon4.43.94.24.28.16.66.87.97.37.18.49.89.8
Ulsan1.41.90.52.74.43.33.83.04.56.410.911.49.8
Sejong------5.32.63.72.211.99.010.9
Gyeonggi3.03.42.83.73.34.04.84.85.76.88.210.18.9
Gangwon3.22.41.92.94.13.13.63.84.54.76.16.26.5
Chungbuk1.71.21.42.01.53.02.53.82.83.95.36.27.1
Chungnam0.30.70.71.20.72.52.61.91.93.56.16.77.0
Jeonbuk1.12.41.21.52.13.02.94.43.24.85.16.56.4
Jeonnam0.91.41.41.41.21.71.61.21.14.44.75.17.1
Gyeongbuk0.70.61.11.31.11.61.41.81.33.44.34.15.0
Gyeongnam0.20.51.91.81.11.62.12.32.64.55.56.77.2
Jeju1.42.71.83.22.83.54.63.63.67.46.25.86.2
Neurological recovery rate (%)Total(Crude)0.60.70.81.00.91.61.82.32.73.64.25.15.1
(Standardized)0.60.70.81.01.01.72.02.63.14.25.06.16.1
Seoul0.81.61.51.71.62.93.33.94.95.86.07.17.5
Busan0.00.40.31.20.81.92.23.03.14.65.35.64.7
Daegu1.10.00.91.11.22.22.33.93.73.75.45.34.9
Incheon1.01.10.81.31.42.12.23.03.83.84.55.65.3
Gwangju0.20.60.91.10.62.11.62.22.23.74.86.46.0
Daejeon1.61.51.40.31.42.91.93.83.33.94.04.36.0
Ulsan0.61.10.31.02.10.92.31.52.64.06.28.66.3
Sejong------1.82.63.70.09.36.38.0
Gyeonggi0.80.80.90.91.01.32.12.42.83.84.65.85.4
Gangwon1.40.90.61.71.41.11.02.12.52.52.53.24.1
Chungbuk0.40.30.31.00.61.00.71.41.82.53.13.64.1
Chungnam0.00.30.00.30.11.11.20.80.91.92.94.03.9
Jeonbuk0.20.10.30.40.41.41.22.02.22.73.34.83.6
Jeonnam0.20.10.70.20.30.40.50.60.42.32.03.33.8
Gyeongbuk0.20.10.30.60.50.60.90.90.82.32.72.72.7
Gyeongnam0.10.20.50.50.40.71.11.51.82.73.14.44.5
Jeju0.51.40.91.71.22.82.72.02.24.63.73.53.8
Results of Sudden Cardiac Arrest (SCA) Main Indices and their Disparities among City Types (2006-2018)
IndicesCity types2006200720082009201020112012201320142015201620172018
Bystander Cardiopulmonay resuscitation (CPR) rate (%)Local districts of Seoul City--3.15.57.312.317.419.826.223.629.635.837.0
Local districts of metropolitan cities*--1.92.83.55.06.48.812.815.217.722.024.6
Cities with less than 300,000 people--1.71.11.72.34.35.510.411.415.919.920.5
Urban rural consolidated cities--1.31.52.02.73.45.47.39.010.213.518.1
Counties--1.11.21.41.82.84.46.47.79.512.414.1
Rate of return of spontaneous circulation before Hospital arrival (%)Local districts of Seoul City1.21.31.52.62.02.84.14.55.06.27.78.78.7
Local districts of metropolitan cities*0.91.01.31.91.93.43.64.14.55.58.28.88.6
Cities with less than 300,000 people0.91.50.91.82.12.23.73.04.25.66.19.39.2
Urban rural consolidated cities0.91.01.01.71.62.92.92.93.43.94.95.56.1
Counties0.71.00.91.61.23.03.02.83.13.64.74.85.8
Survival rate (%)Local districts of Seoul City(Crude)3.95.04.96.46.38.38.89.28.69.811.412.712.1
(Standardized)4.05.04.96.56.58.59.39.99.811.212.914.314.3
Local districts of metropolitan cities*(Crude)2.93.02.93.83.84.65.05.75.66.88.49.99.0
(Standardized)2.82.92.93.83.94.75.26.06.17.59.210.910.2
Cities with less than 300,000 people(Crude)1.31.72.33.63.13.83.43.94.26.87.49.29.2
(Standardized)1.31.62.43.62.93.73.54.14.68.68.511.010.5
Urban rural consolidated cities(Crude)1.01.11.41.61.61.82.22.12.24.35.56.27.1
(Standardized)1.01.11.41.71.62.02.42.32.45.16.67.68.6
Counties(Crude)0.30.60.50.70.71.41.31.31.33.03.94.35.2
(Standardized)0.30.60.50.80.81.61.41.61.53.74.65.16.3
Neurological recovery rate (%)Local districts of Seoul City(Crude)0.81.61.51.71.62.93.33.94.95.86.07.17.5
(Standardized)0.91.61.61.71.63.03.54.45.96.87.18.39.2
Local districts of metropolitan cities*(Crude)0.70.80.81.11.11.82.22.83.24.04.95.65.2
(Standardized)0.70.80.81.11.11.92.43.03.44.55.56.56.1
Cities with less than 300,000 people(Crude)0.70.61.21.11.11.31.21.81.83.33.25.15.2
(Standardized)0.80.51.31.11.01.21.21.92.14.64.06.36.4
Urban rural consolidated cities(Crude)0.30.30.40.60.60.71.01.11.32.22.73.94.2
(Standardized)0.40.30.40.70.60.81.21.31.52.63.54.95.2
Counties(Crude)0.10.10.20.30.30.60.50.80.81.92.12.93.1
(Standardized)0.10.10.20.40.40.70.61.01.12.52.63.73.8

* Local districts of Metropolitan cities, cites with more than 300,000 population, or local districts of cities with more than 500,000 population.

* Region with the highest values in the year Region with the lowest values in the year.

References

  1. Bryan McNally, et al. CARES: Cardiac Arrest Registry to Enhance Survival. Annals of emergency medicine. 2009;54(5):674-683, e2.
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  2. Kunihiro Mashiko, et al. An outcome study of out-of-hospital cardiac arrest using the Utstein template-a Japanese experience. Resuscitation. 2002;55:241-246.
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  3. 질병관리본부. 2006-2018 급성심장정지조사 통계. 2019.
  4. Ro YS, et al. Public awareness and self-efficacy of cardiopulmonary resuscitation in communities and outcomes of out-of-hospital cardiac arrest: A multi-level analysis. Resuscitation. 2016;102:17-24.
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  5. 질병관리본부. 2008~2018 지역건강통계 한눈에 보기. 2019.

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