Cardiac arrest & resuscitation

The risks of out-of-hospital cardiac arrest and mortality on public holidays and weekends: A time-series study

ResuscitationPublished Time-series study

Authors' conclusion

Public holidays and weekends were associated with increased risk of OHCA and mortality, particularly for traditional holidays such as Chinese New Year and Hari Raya Puasa.

Study context

Population
Nationally reported out-of-hospital cardiac arrest (OHCA) cases in a multi-ethnic Asian population, Singapore, 1 April 2010 to 31 December 2021
Participants
28,660 OHCA cases
Comparison
Public holidays and weekends vs non-public holidays and weekdays
  • Public holidayn = 948
  • Weekendn = 8,459
Outcome
Risk of OHCA and mortality
Methodological detailsnationwide
  • Nationwide

Main finding

As reported in the abstract

Public holiday vs Non-public holiday · OHCA, Lag 0; SE 0.035
adjusted RR 1.104; P = 0.004
Public holiday vs Non-public holiday · OHCA, Lag 1; SE 0.035
adjusted RR 1.072; P = 0.046
Public holiday vs Non-public holiday · mortality; SE 0.036
adjusted RR 1.107; P = 0.004
Weekend vs Weekdays · OHCA; SE 0.013
adjusted RR 1.047; P = 0.001
Weekend vs Weekdays · mortality; SE 0.014
adjusted RR 1.044; P = 0.002

Further findings

Proportion of OHCA by holiday and day of week

%

Chinese New Year over 2 days
20.4
Hari Raya Puasa
10.3
Saturday
15.0
Sunday
14.5
Monday
14.5

Original publication

The risks of out-of-hospital cardiac arrest and mortality on public holidays and weekends: A time-series study. Resuscitation. Published 5 August 2025. doi:10.1016/j.resuscitation.2025.110749

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