Temporal trends of presumed cardiac origin out-of-hospital cardiac arrest incidence in Guangzhou, southern China: A 10-year consecutive analysis
Background: Despite the rising disease mortality rates, there is a dearth of studies on the incidence and trends of out-of-hospital cardiac arrests (OHCA) in China. This study aims to investigate the incidence and temporal trends of presumed cardiac origin OHCA in Guangzhou, Southern China, from 201...
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| Language: | English |
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Elsevier
2025-03-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520425000207 |
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| author | Tianqi Yang Cai Wen Yan Zhang Yanjun Xu Junpeng Liu Zhenzhou Li Shuangming Li Na Peng Hao Wu Li Li Tao Yu |
| author_facet | Tianqi Yang Cai Wen Yan Zhang Yanjun Xu Junpeng Liu Zhenzhou Li Shuangming Li Na Peng Hao Wu Li Li Tao Yu |
| author_sort | Tianqi Yang |
| collection | DOAJ |
| description | Background: Despite the rising disease mortality rates, there is a dearth of studies on the incidence and trends of out-of-hospital cardiac arrests (OHCA) in China. This study aims to investigate the incidence and temporal trends of presumed cardiac origin OHCA in Guangzhou, Southern China, from 2011 to 2020. Methods and results: In this population-based retrospective cohort study, pre-hospital data from the Guangzhou Emergency Medical Service (GZ-EMS) from 2011 to 2020 were analyzed. Crude incidence rates and age-standardized incidence rates (ASIRs) were calculated respectively. ASIRs were calculated using the 2000 national census population as the standard population. The Joinpoint software was used to calculate the Annual Percent Change (APC) and Average Annual Percent Change (AAPC) in the incidence of OHCA over the study period. From 2011 to 2020, 44,375 EMS-assessed OHCAs of presumed cardiac origin were recorded. Overall, the crude incidence rate of OHCA was 53.1 per 100,000 on average. AAPC was 7.0% (95% CI: 4.3%–9.8%). Age-standardized incidence rate(ASIR) was 38.4 per 100,000 on average, with an average annual increase of 4.8% (95% CI: 2.4%–7.3%). The crude and ASIR of OHCA increased in men, while the ASIR changed more moderately in women. The age group of ≥80 years had the highest rate of increase. The 20–29 and 70–79 age groups also demonstrated notable increases. Conclusions: From 2011 to 2020, Guangzhou experienced a notable upward trend in both crude and ASIR of OHCA, with significant variations observed across gender and age demographics. This trend calls for a deeper investigation into the underlying factors. |
| format | Article |
| id | doaj-art-34ed6868344143ec854c2c8d9a435586 |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-34ed6868344143ec854c2c8d9a4355862025-02-09T05:01:30ZengElsevierResuscitation Plus2666-52042025-03-0122100883Temporal trends of presumed cardiac origin out-of-hospital cardiac arrest incidence in Guangzhou, southern China: A 10-year consecutive analysisTianqi Yang0Cai Wen1Yan Zhang2Yanjun Xu3Junpeng Liu4Zhenzhou Li5Shuangming Li6Na Peng7Hao Wu8Li Li9Tao Yu10Department of Emergency Medicine Sun Yat-sen Memorial Hospital of Sun Yat-sen University Guangzhou ChinaDepartment of Emergency Medicine Sun Yat-sen Memorial Hospital of Sun Yat-sen University Guangzhou ChinaDepartment of Emergency Medicine Sun Yat-sen Memorial Hospital of Sun Yat-sen University Guangzhou ChinaDepartment of Emergency Medicine Sun Yat-sen Memorial Hospital of Sun Yat-sen University Guangzhou ChinaEmergency Department of Huizhou Municipal Central Hospital Huizhou ChinaDepartment of Emergency Medicine Sun Yat-sen Memorial Hospital of Sun Yat-sen University Guangzhou ChinaGuangzhou Emergency Medical Service Main Command Centre Guangzhou ChinaDepartment of Emergency People’s Liberation Army General Hospital of Southern Theatre Command Guangzhou ChinaDepartment of Emergency Medicine Sun Yat-sen Memorial Hospital of Sun Yat-sen University Guangzhou ChinaDepartment of Emergency Medicine Sun Yat-sen Memorial Hospital of Sun Yat-sen University Guangzhou ChinaDepartment of Emergency Medicine Sun Yat-sen Memorial Hospital of Sun Yat-sen University Guangzhou China; Corresponding author at: Department of Emergency Medicine, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, 107 Yanjiang Xi Road, Guangzhou City, Guangdong Province, China.Background: Despite the rising disease mortality rates, there is a dearth of studies on the incidence and trends of out-of-hospital cardiac arrests (OHCA) in China. This study aims to investigate the incidence and temporal trends of presumed cardiac origin OHCA in Guangzhou, Southern China, from 2011 to 2020. Methods and results: In this population-based retrospective cohort study, pre-hospital data from the Guangzhou Emergency Medical Service (GZ-EMS) from 2011 to 2020 were analyzed. Crude incidence rates and age-standardized incidence rates (ASIRs) were calculated respectively. ASIRs were calculated using the 2000 national census population as the standard population. The Joinpoint software was used to calculate the Annual Percent Change (APC) and Average Annual Percent Change (AAPC) in the incidence of OHCA over the study period. From 2011 to 2020, 44,375 EMS-assessed OHCAs of presumed cardiac origin were recorded. Overall, the crude incidence rate of OHCA was 53.1 per 100,000 on average. AAPC was 7.0% (95% CI: 4.3%–9.8%). Age-standardized incidence rate(ASIR) was 38.4 per 100,000 on average, with an average annual increase of 4.8% (95% CI: 2.4%–7.3%). The crude and ASIR of OHCA increased in men, while the ASIR changed more moderately in women. The age group of ≥80 years had the highest rate of increase. The 20–29 and 70–79 age groups also demonstrated notable increases. Conclusions: From 2011 to 2020, Guangzhou experienced a notable upward trend in both crude and ASIR of OHCA, with significant variations observed across gender and age demographics. This trend calls for a deeper investigation into the underlying factors.http://www.sciencedirect.com/science/article/pii/S2666520425000207Out-of-hospital cardiac arrestIncidenceTemporal trends |
| spellingShingle | Tianqi Yang Cai Wen Yan Zhang Yanjun Xu Junpeng Liu Zhenzhou Li Shuangming Li Na Peng Hao Wu Li Li Tao Yu Temporal trends of presumed cardiac origin out-of-hospital cardiac arrest incidence in Guangzhou, southern China: A 10-year consecutive analysis Resuscitation Plus Out-of-hospital cardiac arrest Incidence Temporal trends |
| title | Temporal trends of presumed cardiac origin out-of-hospital cardiac arrest incidence in Guangzhou, southern China: A 10-year consecutive analysis |
| title_full | Temporal trends of presumed cardiac origin out-of-hospital cardiac arrest incidence in Guangzhou, southern China: A 10-year consecutive analysis |
| title_fullStr | Temporal trends of presumed cardiac origin out-of-hospital cardiac arrest incidence in Guangzhou, southern China: A 10-year consecutive analysis |
| title_full_unstemmed | Temporal trends of presumed cardiac origin out-of-hospital cardiac arrest incidence in Guangzhou, southern China: A 10-year consecutive analysis |
| title_short | Temporal trends of presumed cardiac origin out-of-hospital cardiac arrest incidence in Guangzhou, southern China: A 10-year consecutive analysis |
| title_sort | temporal trends of presumed cardiac origin out of hospital cardiac arrest incidence in guangzhou southern china a 10 year consecutive analysis |
| topic | Out-of-hospital cardiac arrest Incidence Temporal trends |
| url | http://www.sciencedirect.com/science/article/pii/S2666520425000207 |
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