Results from Austria's nationwide public access defibrillation (ANPAD) programme collected over 2 years

Fleischhackl, Roman; Roessler, Bernhard; Domanovits, Hans; Singer, Florian; Fleischhackl, Sabine; Foitik, G.; Czech, Gerald; Mittlböck, Martina; Malzer, Reinhard; Eisenburger, Philip; Hoerauf, Klaus

doi:10.1016/j.resuscitation.2007.11.019

Cited by 49 publications

(39 citation statements)

References 20 publications

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“…2,3,9,[11][12][13][14]19,33 As in our study, a recent Canadian study reported the majority of AEDs were placed in offices and schools. This study also reported low AED use but did not include information on AED accessibility.…”

Section: Discussionsupporting

confidence: 61%

“…Such conditions pose obvious challenges to AED use, and failure to overcome these challenges may be the main limitation to the lifesaving potential of AEDs in community settings. [1][2][3]7,9,12 One strategy to increase AED use is to place the devices in areas with a high incidence of cardiac arrest, as encouraged by the current guidelines. 4,8,[13][14][15][22][23][24][25][26] However, once deployed, AEDs need to be accessible at the right time.…”

Section: Clinical Perspective On P 2231mentioning

confidence: 99%

“…[1][2][3] Several countries have implemented national public-access defibrillation programs, and in North America, several states have made it mandatory to deploy an AED at defined locations. [3][4][5][6][7][8][9] Despite this large dissemination, AED use in the community setting remains limited; the reasons for this are not completely understood. 2,3,[9][10][11][12][13][14] Thus, improved strategies to increase AED use in community settings are warranted.…”

mentioning

confidence: 99%

“…[3][4][5][6][7][8][9] Despite this large dissemination, AED use in the community setting remains limited; the reasons for this are not completely understood. 2,3,[9][10][11][12][13][14] Thus, improved strategies to increase AED use in community settings are warranted. 1,4,6,[15][16][17][18] …”

mentioning

confidence: 99%

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Automated External Defibrillators Inaccessible to More Than Half of Nearby Cardiac Arrests in Public Locations During Evening, Nighttime, and Weekends

et al. 2013

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Section: Discussionsupporting

confidence: 61%

Section: Clinical Perspective On P 2231mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Automated External Defibrillators Inaccessible to More Than Half of Nearby Cardiac Arrests in Public Locations During Evening, Nighttime, and Weekends

et al. 2013

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“…8 However, uncoordinated AED implementation has been associated with a paradoxical placement of AEDs, with many AEDs in low-risk and few AEDs in high-risk areas of cardiac arrest, and therefore comes with a very low benefit and a very high cost. 8,11,13,16,31 Our prospective analysis of AED coverage supports this notion. Of the 474 cardiac arrests that occurred after the AED network was established (2007−2011), 55 were ≤100 m from an accessible AED at the time of cardiac arrest ( Table 2).…”

Section: Discussionsupporting

confidence: 71%

Temporal Trends in Coverage of Historical Cardiac Arrests Using a Volunteer-Based Network of Automated External Defibrillators Accessible to Laypersons and Emergency Dispatch Centers

et al. 2014

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Background— Although increased dissemination of automated external defibrillators (AEDs) has been associated with more frequent AED use, the trade-off between the number of deployed AEDs and coverage of cardiac arrests remains unclear. We investigated how volunteer-based AED dissemination affected public cardiac arrest coverage in high- and low-risk areas. Methods and Results— All public cardiac arrests (1994–2011) and all registered AEDs (2007–2011) in Copenhagen, Denmark, were identified and geocoded. AED coverage of cardiac arrests was defined as historical arrests ≤100 m from an AED. High-risk areas were defined as those with ≥1 arrest every 2 years and accounted for 1.0% of the total city area. Of 1864 cardiac arrests, 18.0% (n=335) occurred in high-risk areas throughout the study period. From 2007 to 2011, the number of AEDs and the corresponding coverage of cardiac arrests increased from 36 to 552 and from 2.7% to 32.6%, respectively. The corresponding increase for high-risk areas was from 1 to 30 AEDs and coverage from 5.7% to 51.3%, respectively. Since the establishment of the AED network (2007–2011), few arrests (n=55) have occurred ≤100 m from an AED with only 14.5% (n=8) being defibrillated before the arrival of emergency medical services. Conclusions— Despite the lack of a coordinated public access defibrillation program, the number of AEDs increased 15-fold with a corresponding increase in cardiac arrest coverage from 2.7% to 32.6% over a 5-year period. The highest increase in coverage was observed in high-risk areas (from 5.7% to 51.3%). AED networks can be used as useful tools to optimize AED placement in community settings.

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Een AED in de huisartsenpraktijk: nuttig en noodzakelijk?

Mout¹,

Dijkstra²

2009

HUWE

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SamenvattingMout P, Dijkstra R, In 't Veld C. Een AED in de huisartsenpraktijk: nuttig en noodzakelijk? Huisarts Wet 2009;52(8):404-5. Een Automatische Externe Defibrillator (AED) is een relatief goedkoop hightechinstrument waarmee de medische leek een oorspronkelijk specialistische, levensreddende (nood)behandeling kan uitvoeren. Met de brede beschikbaarheid van de AED vallen dramatische verbeteringen te bereiken in de overlevingspercentages bij een cardiaal arrest. Kosteneffectiviteitsonderzoeken voor de vrij beschikbare AED zijn beperkt en ontbreken over de huisartsenpraktijk. Op theoretische gronden berekenden we dat in de huisartsenpraktijk per 1000 ingeschreven patiënten 0,05 maal per jaar een indicatie voor de inzet van een AED kan worden gesteld. Voor de huisartsenposten is dat getal 0,15. Bij het besluit tot de aanschaf van de AED in de huisartsenpraktijk of -post speelt de maatschappelijke wens waarschijnlijk een grotere rol dan kosteneffectiviteit.NHG, Postbus 3231, 3502 GE Utrecht: P. Mout, wetenschappelijk medewerker; R. Dijkstra, adjunct-hoofd afdeling implementatie; C. in 't Veld, hoofd afdeling implementatie. AbstractMout P, Dijkstra R, In 't Veld C. An AED in general practice: useful and necessary? Huisarts Wet 2009;52(8):404-5. Automatic external defibrillators (AEDs) are relatively inexpensive, hi-tech devices that make it possible for non-medically trained people to perform a life-saving intervention that was originally performed only by medical specialists. The broad availability of AEDs can dramatically increase the proportion of people who survive cardiac arrest. Few cost-effectiveness studies of the available AEDs have been performed and none in a general practice setting. We have estimated that use of an AED is indicated 0.05 times a year per 1000 patients registered in a general practice, and 0.15 times for out-of-hours general practice services. The decision whether a general practice or out-of-hours service should invest in such a device is probably influenced more by social factors than by cost-effectiveness.

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Results from Austria's nationwide public access defibrillation (ANPAD) programme collected over 2 years

Cited by 49 publications

References 20 publications

Automated External Defibrillators Inaccessible to More Than Half of Nearby Cardiac Arrests in Public Locations During Evening, Nighttime, and Weekends

Automated External Defibrillators Inaccessible to More Than Half of Nearby Cardiac Arrests in Public Locations During Evening, Nighttime, and Weekends

Temporal Trends in Coverage of Historical Cardiac Arrests Using a Volunteer-Based Network of Automated External Defibrillators Accessible to Laypersons and Emergency Dispatch Centers

Een AED in de huisartsenpraktijk: nuttig en noodzakelijk?

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