Open AccessImpact of population aging on the presentation of out‐of‐hospital cardiac arrest in the Pan Asian Resuscitation Outcomes Study
Author(s) -
Tagami Takashi,
Tanaka Hideharu,
Shin Sang Do,
Ma Matthew HueiMing,
Ko Patrick Chowin,
Karim Sarah,
Khruekarnchana Pairoj,
Naroo Ghulam Yasin,
Ong Marcus Eng Hock
Publication year - 2019
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.430
Subject(s) - medicine , incidence (geometry) , population , resuscitation , population ageing , emergency medicine , demography , environmental health , physics , sociology , optics
Aim As a population ages, it can impact on the characteristics and outcomes of cardiogenic out‐of‐hospital cardiac arrest ( OHCA ) patients. This study aimed to evaluate the relationship between the age incidence of cardiogenic OHCA and population aging. Methods This was a post‐hoc analysis of the Pan Asian Resuscitation Outcomes Study ( PAROS ) database. Data on the population old‐age dependency ratio (i.e. elderly/non‐elderly) were extracted from publicly accessible sources (United Nations and World Health Organization). Results We analyzed 40,872 OHCA cases from seven PAROS countries over the period 2009 to 2013. We found significant correlation between the population old‐age dependency ratio and elderly/non‐elderly ratio in OHCA patients ( r = 0.92, P = 0.003). There was a significant correlation between the population old‐age dependency ratio and risk differences of 30‐day survival rates for non‐elderly and elderly OHCA patients ( r = 0.89, P = 0.007). Conclusions Our findings suggest that the proportion of elderly among OHCA patients will increase, and outcomes could increasingly differ between elderly and non‐elderly as a society ages progressively. This has implications for planning and delivery of emergency services as a society ages.