TY - JOUR
T1 - Use and coverage of automated external defibrillators according to location in out-of-hospital cardiac arrest
AU - Sarkisian, Laura
AU - Mickley, Hans
AU - Schakow, Henrik
AU - Gerke, Oke
AU - Starck, Simon Michael
AU - Jensen, Jonas Junghans
AU - Møller, Jacob Eifer
AU - Jørgensen, Gitte
AU - Henriksen, Finn Lund
N1 - Copyright © 2021 Elsevier B.V. All rights reserved.
PY - 2021/5
Y1 - 2021/5
N2 - AIMS: To evaluate 1) the relative use of automated external defibrillators (AEDs) at different types of AED locations 2) the percentage of AEDs crossing location types during OHCA before use 3) the AED coverage distance at different types of AED locations, and 4) the 30-day-survival in different subgroups.METHODS: From 2014-2018, AEDs used by bystanders during out-of-hospital cardiac arrest (OHCA) in the Region of Southern Denmark were collected. Data regarding registered AEDs was retrieved from the national AED-network. The OHCA site and AED placement was categorized into; 1) Residential; 2) Public; 3) Nursing home, 4) Company/workplace; 5) Institution; 6) Health clinic and 7) Sports facility/recreational. To evaluate 30-day-survival, groups 4-7 were pooled into one Mixed group.RESULTS: In total 509 OHCAs were included. There was high relative usage of AEDs from public places, nursing homes, health clinics and sports facilities, and low relative usage from companies/workplaces, residential areas and institutions. Of AEDs used during residential OHCAs 39% were collected from public places. AEDs placed in residential areas and public places had a coverage of 575 m (IQR 130-1300) and 270 m (IQR5-550), respectively. Thirty-day- survival in public, residential and mixed groups were 49%, 14% and 67%, respectively.CONCLUSION: The relative use of AEDs from public places, nursing homes, sports facilities and health clinics was high, and AEDs used during OHCA in residential areas were most frequently collected from public places. AEDs placed in both residential areas and public places may have a wider coverage area than proposed in current literature.
AB - AIMS: To evaluate 1) the relative use of automated external defibrillators (AEDs) at different types of AED locations 2) the percentage of AEDs crossing location types during OHCA before use 3) the AED coverage distance at different types of AED locations, and 4) the 30-day-survival in different subgroups.METHODS: From 2014-2018, AEDs used by bystanders during out-of-hospital cardiac arrest (OHCA) in the Region of Southern Denmark were collected. Data regarding registered AEDs was retrieved from the national AED-network. The OHCA site and AED placement was categorized into; 1) Residential; 2) Public; 3) Nursing home, 4) Company/workplace; 5) Institution; 6) Health clinic and 7) Sports facility/recreational. To evaluate 30-day-survival, groups 4-7 were pooled into one Mixed group.RESULTS: In total 509 OHCAs were included. There was high relative usage of AEDs from public places, nursing homes, health clinics and sports facilities, and low relative usage from companies/workplaces, residential areas and institutions. Of AEDs used during residential OHCAs 39% were collected from public places. AEDs placed in residential areas and public places had a coverage of 575 m (IQR 130-1300) and 270 m (IQR5-550), respectively. Thirty-day- survival in public, residential and mixed groups were 49%, 14% and 67%, respectively.CONCLUSION: The relative use of AEDs from public places, nursing homes, sports facilities and health clinics was high, and AEDs used during OHCA in residential areas were most frequently collected from public places. AEDs placed in both residential areas and public places may have a wider coverage area than proposed in current literature.
KW - Ambulatory Care Facilities
KW - Cardiopulmonary Resuscitation
KW - Defibrillators
KW - Electric Countershock
KW - Emergency Medical Services
KW - Environment
KW - Humans
KW - Nursing Homes
KW - Out-of-Hospital Cardiac Arrest/therapy
UR - http://www.scopus.com/inward/record.url?scp=85101772431&partnerID=8YFLogxK
U2 - 10.1016/j.resuscitation.2021.01.040
DO - 10.1016/j.resuscitation.2021.01.040
M3 - Journal article
C2 - 33581227
SN - 0300-9572
VL - 162
SP - 112
EP - 119
JO - Resuscitation
JF - Resuscitation
ER -