Impact of population aging on the presentation of out‐of‐hospital cardiac arrest in the Pan Asian Resuscitation Outcomes Study
Impact of population aging on the presentation of out‐of‐hospital cardiac arrest in the Pan Asian Resuscitation Outcomes Study
复制标题
泛亚复苏结果研究中人口老龄化对院外心脏骤停表现的影响
DOI：
10.1002/ams2.430
复制
发表时间：
2019
影响因子：
1.6
通讯作者：
Ong Marcus Eng Hock
中科院分区：
文献类型：
--
作者：
Tagami Takashi;Tanaka Hideharu;Shin Sang Do;Ma Matthew Huei‐Ming;Ko Patrick Chow‐in;Karim Sarah;Khruekarnchana Pairoj;Naroo Ghulam Yasin;Ong Marcus Eng Hock
随着人口老龄化，它可能会影响心源性院外心脏骤停（OHCA）患者的特征和结局。本研究旨在评估心源性OHCA的年龄发病率和人口老龄化之间的关系。MethodsThis是泛亚复苏结局研究（帕罗斯）数据库的事后分析。人口老年抚养比（即老年人/非老年人）的数据提取自公开来源（联合国和世界卫生组织）。结果我们分析了2009年至2013年期间来自7个帕罗斯国家的40，872例OHCA病例。我们发现OHCA患者的人口老年抚养比与老年/非老年比率之间存在显著相关性（r= 0.92，P = 0.003）。非老年OHCA患者和老年OHCA患者的30天生存率的风险差异与人口老年抚养比之间存在显著相关性（r= 0.89，P = 0.007）。随着社会老龄化，这对规划和提供紧急服务产生了影响。
AimAs 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.MethodsThis 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).ResultsWe 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).ConclusionsOur 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.