Trends in maintenance status and usability of public automated external defibrillators during a 5-year on-site inspection

Kim, Tae Youn; Jung, Yun-Kyoung; Yoon, Sun Hwa; Kim, Sun-Ju; Cha, Kyoung‐Chul; Jung, Woo Jin; Roh, Young Il; Kim, Soyeong; Kim, Sung Hwa; Kang, Dae Ryong; Hwang, Sung Oh

doi:10.1038/s41598-022-14611-1

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…A recent study from Bornholm, Denmark found that 18% of all registered AEDs was not functional (mainly due to invalid electrodes), with a clear gradient between the date of registration and functionality [15 && ]. Similar results with invalid electrodes have been reported from Seoul, Korea [16]. A report from Canada showed that most regional AED registers lacked a standardized validation process.…”

Section: Automated External Defibrillator Registerssupporting

confidence: 84%

Automated external defibrillators and the link to first responder systems

Jonsson,

Berglund,

Müller

2023

Current Opinion in Critical Care

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Purpose of review Automated external defibrillators are a very effective treatment to convert ventricular fibrillation (VF) in out-of-hospital cardiac arrest. The purpose of this paper is to review recent publications related to automated external defibrillators (AEDs). Recent findings Much of the recent research focus on ways to utilize publicly available AEDs included in different national/regional registers. More and more research present positive associations between engaging volunteers to increase the use of AEDs. There are only a few recent studies focusing on professional first responders such as fire fighters/police with mixed results. The use of unmanned aerial vehicles (drones) lacks clinical data and is therefore difficult to evaluate. On-site use of AED shows high survival rates but suffers from low incidence of out-of-hospital cardiac arrest (OHCA). Summary The use of public AEDs in OHCA are still low. Systems focusing on engaging volunteers in the cardiac arrest response have shown to be associated with higher AED usage. Dispatching drones equipped with AEDs is promising, but research lacks clinical data. On-site defibrillation is associated with high survival rates but is not available for most cardiac arrests.

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Section: Automated External Defibrillator Registerssupporting

confidence: 84%

Automated external defibrillators and the link to first responder systems

Jonsson,

Berglund,

Müller

2023

Current Opinion in Critical Care

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“…The overall low implementation and usage rate of AEDs in various public places are problems requiring improvement. The rate of AED use for OHCAs occurring in public places is between 1.0% and 12.8% in other countries; however, it remains extremely low worldwide [ 7 , 30 , 31 , 32 , 33 , 34 ]. Kitamura et al reported that the continuous deployment of Public Access Defibrillation and the increase in AED purchases and placements led to a 9-year increase in the use of bystander AEDs from 1.1% to 16.5% in Japan [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Characteristics and Treatment Outcomes of Out-of-Hospital Cardiac Arrests Occurring in Public Places: A National Population-Based Observational Study

Ahn

2023

JPM

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Sudden cardiac arrest, particularly out-of-hospital cardiac arrest (OHCA), is a global public health concern. However, limited research exists on the epidemiology of OHCAs occurring in public places, trends and impact of bystander intervention, and influence of extraordinary circumstances. This study investigated the epidemiological factors, bystander characteristics, and outcomes of OHCAs that occurred in public places in South Korea from 2016 to 2021 and analyzed the impact of the coronavirus disease 2019 (COVID-19) pandemic. A retrospective analysis was conducted using an Out-of-Hospital Cardiac Arrest Surveillance database, including 33,206 cases of OHCA that occurred in public places. Cases with do-not-resuscitate orders or insufficient data were excluded. A steady increase in bystander-performed cardiopulmonary resuscitation over the years and a constant decrease in bystander automated external defibrillator (AED) use were observed. Survival-to-discharge rates for OHCAs remained relatively steady until a marginal decrease was observed during the pandemic (pandemic, 13.1%; pre-pandemic, 14.4%). Factors affecting survival included the presence of a shockable rhythm, witnessed arrest, cardiac arrest due to disease, use of bystander AED, and period relative to the COVID-19 pandemic. These findings emphasize the critical role of bystanders in outcomes of OHCAs and inform public health strategies on better management of OHCAs in public places.

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“…10,11 Inadequate maintenance of public AEDs and limited 24-h availability are significant issues limiting the effectiveness of public access defibrillation (PAD) programs in the community. 14 The 24-h accessibility is limited for AEDs installed in places that are not open 24 h. Whether the installation site is open 24 h should be considered when planning a PAD program.…”

Section: Facilitating Access To Public Aedsmentioning

confidence: 99%

“…Dispatching citizen responders using an app or SMS increases AED use and improves resuscitation outcomes [ 10 , 11 ]. Inadequate maintenance of public AEDs and limited 24-hour availability are significant issues limiting the effectiveness of public access defibrillation (PAD) programs in the community [ 14 ]. The 24-hour accessibility is limited for AEDs installed in places that are not open 24 hour.…”

Section: Facilitating Access To Public Aedsmentioning

confidence: 99%