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Highlights from AHA Heart and Stroke Statistics 2022 Update

The National Institutes of Health and the American Heart Association annually report the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors. The American Heart Association’s latest report, Heart and Stroke Statistics – 2022 Updatehighlighted that cardiac arrest remains a public health crisis.

Report Highlights

Regardless of being a leading cause of death, there are no standards for monitoring the incidence and outcomes of cardiac arrest. Thus, registries and clinical trials provide the best estimates, such as the Resuscitation Outcomes Consortium (ROC), 2005-2015, and the ongoing Cardiac Arrest Registry to Enhance Survival (CARES).

  • There are more than 356,000 out-of-hospital cardiac arrests (OHCA) in the United States each year, about 90% fatal.
  • EMS-assessed non-traumatic OHCA in people of any age is estimated to be 356,461, or about 1,000 people a day. Survival to hospital discharge after EMS-treated cardiac arrest drops to roughly 10%.
  • Based on CARES data from 2021, the location of adult out-of-hospital cardiac arrests was most often a home (73.9%), followed by public settings (15.1%) and nursing homes (10.9%). For children, most often was at home (87.5%), followed by a public place (12.2%)

Affects of the Pandemic

  • Studies also show that the COVID pandemic had multiple effects on the incidence of out-of-hospital cardiac arrests. In New York City, between March 1-April 25, 2020, the incidence of OHCA attended by EMS tripled compared with the same period in 2019. 
  • CARES registry data shows increased delays to initiation of CPR for OHCA and reduced survival overlapping with the time of the pandemic. There was a decline in the frequency of shockable rhythms, incidences happening in public locations, and bystanders’ AED use. Despite this, there was no substantial alteration in the commonness of bystander CPR.

CPR and AED Awareness

  • A survey containing 9,022 people reported CPR training was 18%, and having CPR training at some point was 65%. CPR training was lower in Hispanic/Latinos, elderly, people with less formal education, and lower-income groups.
  • According to CARES 2020 data, bystanders performed CPR in 40.8% of OCHAs. States with the highest bystander CPR rates include:
    • Alaska (72%)
    • Washington (56.3%)
    • Oregon (56%)
    • Vermont (53.8%)
  • Bystanders were less likely to initiate CPR in low-income Black or predominately Hispanic neighborhoods than high-income White neighborhoods.
  • Bystanders used AEDs in 5.8% of OHCAs and provided a shock in 1.3% of OHCAs.
  • In 2020, an AED in 9% of cases. States with the highest rates of bystander AED use include
    • Nebraska – 16.3%
    • Oregon – 13.5%
    • Washington – 10.9%
    • Pennsylvania – 10.3%

Recovery

  • Cardiac arrest survivors experience multiple medical problems, including impaired consciousness and cognitive deficits.
  • Recovery continues for at least the first 12 months in children and 6 to 12 months after OHCA in adults.
  • One hundred forty-one people who survived hospitalization after SCA suffered the following:
    • Severe fatigue – 52%
    • Post-traumatic stress symptoms – 28%
    • Anxiety and depression – 15%
    • Severe cognitive deficits – 13%
  • Subjective symptoms declined over time, although 10-22% had cognitive impairments after 12 months.
  • 72% of those individuals returned to work after 12 months.
  • Among 195 caregivers of survivors, 25% experienced anxiety, and 14% experienced depression.

 Sources

  • AHA Journals. “Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association.” https://www.ahajournals.org. 25 March 2022.

Written by BlaireWritten by Blaire Czarniecki
Customer Service Director

Blaire graduated from the University of Tennessee with a Bachelor of Science in Human Ecology- Child and Family Studies. She has been in the Automated External Defibrillator (AED) industry for over eight years and is the Director of Customer Service. Blaire is also an American Red Cross certified CPR/AED/First Aid Instructor, highly trained by each manufacturer on their specific AEDs, and knowledgeable regarding ALL State AED regulations and legislation.“Every day I come to work, I know I am playing a part in saving someone’s life. I’m passionate about these devices and am always looking for new and innovative ways to spread awareness and knowledge about Sudden Cardiac Arrest (SCA). I look forward to the day when everywhere I go, I will see an AED—when SCA will no longer take any lives.”

Last updated March 25th, 2022