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Out-of-Hospital Cardiac Arrest Third Leading Cause of DALYs

Out-of-Hospital Cardiac Arrest Third Leading Cause of DALYs

TUESDAY, March 12, 2019 — Disability-adjusted life year (DALY) rates for out-of-hospital cardiac arrest (OHCA) are 1,347 per 100,000 individuals, according to a study published online March 12 in Circulation: Cardiovascular Quality and Outcomes.

Ryan A. Coute, D.O., from the University of Alabama School of Medicine in Birmingham, and colleagues estimated the DALYs following adult nontraumatic, emergency medical services (EMS)-treated OHCA. The sum of years of life lost (YLL) and years lived with disability (YLD) comprised DALYs. Data were included for 59,752 OHCAs.

The researchers found that in 2016, the DALYs for the study population were 1,194,993 (1,194,069 YLL and 923 YLD). For the index year 2016, following adult nontraumatic EMS-treated OHCA in the United States, the estimated total DALYs were 4,354,192 (YLL, 4,350,825 and YLD, 3,365). Per 100,000 population, the rates of OHCA DALYs were 1,347, ranked third behind ischemic heart disease (2,447) and low back and neck pain (1,565).

“Adult nontraumatic OHCA is a leading cause of annual DALYs in the United States and should be a focus of public health policy and resources. The impact of bystander interventions, including cardiopulmonary resuscitation and automated external defibrillation application, are associated with a decrease in OHCA DALYs,” the authors write. “These results highlight the importance of national bystander cardiopulmonary resuscitation and automated external defibrillation education, and should help inform key policy makers, funding agencies, and the public of the significant burden of disease associated with cardiac arrest in the United States.”

Several authors disclosed financial ties to the pharmaceutical and statistical consulting industries.

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Posted: March 2019

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