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Anaesth Crit Care Pain Med. 2019 Apr;38(2):131-135. doi: 10.1016/j.accpm.2018.04.006. Epub 2018 Apr 21.

Epidemiology of out-of-hospital cardiac arrest: A French national incidence and mid-term survival rate study.

Author information

1
Department of Public Health EA2694, University of Lille, 42, rue Ambroise-Paré, 59120 Loos, France.
2
French national out-of-hospital cardiac arrest registry, RéAC, 59000 Lille, France.
3
RESCUE (Réseau Cardiologie Medecine d'Urgence) Network, Hussel Hospital, 38200 Vienne, France.
4
Department of Emergency Medicine, Assistance publique-Hôpitaux de Paris (AP-HP), Lariboisière Hospital, 75010 Paris, France.
5
Department of Public Health EA2694, University of Lille, 42, rue Ambroise-Paré, 59120 Loos, France; Department of Emergency Medicine, SAMU 59, Lille University hospital, 59000 Lille, France.
6
Inserm U942, Department of emergency medicine, hôpital Avicenne, AP-HP, Paris 13 University, 93000 Bobigny, France.
7
SAMU 69, Lyon University Hospital, Claude Bernard University, 69003 Lyon, France.
8
Department of Public Health EA2694, University of Lille, 42, rue Ambroise-Paré, 59120 Loos, France. Electronic address: herve.hubert@univ-lille2.fr.
9
Research Group on the French national out-of-hospital cardiac arrest registry, RéAC, 59000 Lille, France.

Abstract

Out-of-hospital cardiac arrest (OHCA) is considered an important public health issue but its incidence has not been examined in France. The aim of this study is to define the incidence of OHCA in France and to compare this to other neighbouring countries. Data were extracted from the French OHCA registry. Only exhaustive centres during the period from January 1, 2013, to September 30, 2014 were included. All patients were included, regardless of their age and cause of OHCA. The participating centres covered about 10% of the French population. The study involved 6918 OHCA. The median age was 68 years, with 63% of males. Paediatric population (<15years) represented 1.8%. The global incidence of OHCA was 61.5 per 100,000 inhabitants per year in the total population corresponding to approximately 46,000 OHCA per year. In the adult population, we found an incidence of 75.3 cases per 100,000 inhabitants per year. In adults, the incidences were 100.3 and 52.7 in males and females, respectively. Most (75%) OHCA occurred at home and were due to medical causes (88%). Half of medical OHCA had cardiovascular causes. Survival rates at 30 days was 4.9% [4.4; 5.4] and increased to 10.4% [9.1; 11.7] when resuscitation was immediately performed by bystander at patient's collapse. The incidence and survival at 30 days of OHCA in France appeared similar to that reported in other European countries. Compared to other causes of deaths in France, OHCA is one of the most frequent causes, regardless of the initial pathology.

KEYWORDS:

Cardiac arrest; France; Incidence; Out-of-hospital; Survival

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