Use and coverage of automated external defibrillators according to location in out-of-hospital cardiac arrest

RESUSCITATION

卷:162

Article

Sarkisian, Laura^1,2  Mickley, Hans¹  Schakow, Henrik³  Gerke, Oke^4,5  Starck, Simon Michael¹  Jensen, Jonas Junghans¹  Moller, Jacob Eifer¹  Jorgensen, Gitte³  Henriksen, Finn Lund¹ 

[1] Odense Univ Hosp, Dept Cardiol, Res Unit Cardiol, JB Winslows Vej 4, DK-5000 Odense C, Denmark

[2] Odense Univ Hosp, Odense Patient Data Explorat Network, OPEN, Odense, Denmark

[3] Emergency Med Serv, Damhaven 12, DK-7100 Vejle, Denmark

[4] Odense Univ Hosp, Dept Nucl Med, JB Winslows Vej 4, DK-5000 Odense C, Denmark

[5] Univ Southern Denmark, Dept Clin Res, Res Unit Clin Physiol & Nucl Med, JB Winslows Vej 19, DK-5000 Odense C, Denmark

关键词: Out-of-hospital cardiac arrest;    OHCA;    Automated external;    Defibrillator;    AED;    Bystander;    Defibrillation;    Coverage;   

DOI  :  10.1016/j.resuscitation.2021.01.040

来源: Elsevier

【 摘 要 】

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-daysurvival, 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.

【 授权许可】

Free