Evidence map›Paper›PMID 38451237›Full record

Observational studyPrehospital emergency care2025

The Public Health and Economic Impact of Drug Overdose Out-of-Hospital Cardiac Arrest in the United States.

Ryan A Coute, Brian H Nathanson, Aditya C Shekhar, Christopher N White, Michael C Kurz, Elizabeth A Jackson, Timothy J Mader, CARES Surveillance Group

Abstract readObservational Study
In one paragraph

Observational study in Prehospital emergency care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ryan A CouteDepartment of Emergency Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, Alabama.ORCID 0000-0003-2915-628X
Brian H NathansonOptiStatim, LLC, Longmeadow, Massachusetts.
Aditya C ShekharThe Icahn School of Medicine at Mount Sinai, New York, New York.
Christopher N WhiteDepartment of Emergency Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, Alabama.
Michael C KurzSection of Emergency Medicine, Department of Medicine, University of Chicago Pritzker School of Medicine, Chicago, Illinois.
Elizabeth A JacksonDivision of Cardiovascular Disease, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, Alabama.
Timothy J MaderDepartment of Emergency Medicine, UMass Chan Medical School-Baystate, Springfield, Massachusetts.
CARES Surveillance GroupCardiac Arrest Registry to Enhance Survival (CARES) Surveillance Group, Atlanta, Georgia.

Funding

Improving Community-level Bystander Cardiopulmonary Resuscitation in Underserved PopulationsK23HL166692 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Ryan Andrew Coute · 2023 to 2026
$697k
Drug overdose out-of-hospital cardiac arrest events in the United States: Insights from a large data registryR21HL156198 · NHLBI · BAYSTATE MEDICAL CENTER, INC. · PI MADER, TIMOTHY J · 2021 to 2022
$222k
NHLBI NIH HHS K23 HL166692NHLBI NIH HHS R21 HL156198
6 · The paper itself

Abstract

objectiveTo calculate disability-adjusted life years (DALY) and labor productivity loss due to drug overdose out-of-hospital cardiac arrest (DO-OHCA) and compare its contribution to the burden of disease and economic impact of all-cause nontraumatic out-of-hospital cardiac arrest (OHCA) in the US.

methodsWe performed a retrospective observational cohort analysis of all adult (age

resultsA total of 378,088 adult OHCA events, including 23,252 DO-OHCA (6.2%) met study inclusion criteria. The DO-OHCA DALY increased from 156,707 in 2017 to 265,692 in 2020. Per year, DO-OHCA contributed to 11.4%, 12.0%, 10.5%, and 11.4% of all OHCA DALY lost from 2017-2020, respectively. The mean annual and lifetime productivity losses for all OHCA were stable over time (annual: $47K in 2017 to $50K in 2020; lifetime: $647K in 2017 to $692K in 2020). The CARES population catchment increased by 39.8% over the study period (102.6 M in 2017 to 143.4 M in 2020). For DO-OHCA, the mean annual productivity loss was approximately 30% higher than non-DO-OHCA ($64K vs. $49K in 2020, respectively). The mean lifetime productivity loss for DO-OHCA was 2.5 times higher than non-DO-OHCA ($1.6 M vs. $630K in 2020, respectively).

conclusionsThe DALY due to DO-OHCA has increased over time with expansion of the CARES dataset, but its relative contribution to total OHCA DALY (all non-traumatic etiologies) remained fairly stable. The DO-OHCAs represent approximately 6% of all adult non-traumatic EMS-treated OHCA events but has a disproportionately greater economic impact. Continued efforts to reduce DO-OHCA through public health initiatives are warranted to lessen the societal impact of OHCA in the U.S.

Indexed as

Cost of IllnessDrug OverdoseOut-of-Hospital Cardiac ArrestPublic HealthAdultAgedDisability-Adjusted Life YearsEmergency Medical ServicesFemaleHumansMaleMiddle AgedRetrospective StudiesUnited States

Identifiers

PMID38451237
PMCPMC11427595

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.