Analysis of out-of-hospital cardiac arrest location and public access defibrillator placement in Metropolitan Phoenix, Arizona

Moon, Sungwoo; Vadeboncoeur, Tyler; Kortuem, Wesley; Kisakye, Marvis; Karamooz, Madalyn; White, Benjamin Thomas; Brazil, Paula; Spaite, Daniel W.; Bobrow, Bentley J.

doi:10.1016/j.resuscitation.2014.10.029

Cited by 36 publications

(30 citation statements)

References 33 publications

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“…Some studies have shown a poor correlation between the locations of most out-of-hospital cardiac arrests and the locations of most AEDs. 26,27 In addition, many AEDs are located inside buildings or in other sites that cannot be accessed at night or on weekends, which further reduces the availability of public-access defibrillation. 28 Policies for improving the location and accessibility of AEDs may help to alleviate these problems.…”

Section: Discussionmentioning

confidence: 99%

Public-Access Defibrillation and Out-of-Hospital Cardiac Arrest in Japan

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Public-Access Defibrillation and Out-of-Hospital Cardiac Arrest in Japan

et al. 2016

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“…9–13 Despite this, multiple studies have identified a need for better correspondence between AED placement and OHCA incidence. 5,14–15 Sun et al recently conducted a comprehensive analysis of potential public locations for AEDs in the Toronto, Ontario area, finding that automated teller machines (ATMs) and coffee shops may be ideal locations for AEDs. 13 The analogy between ATMs and PCBs is noteworthy.…”

Section: Discussionmentioning

confidence: 99%

“…4 AEDs are not necessarily placed uniformly and tend to be geographically clustered, potentially increasing bystander AED retrieval times and subsequent arrival times at an OHCA. 5 Strategies for deploying public AEDs should ideally provide a wide and equitable coverage area while facilitating rapid access, maintenance, and location recognition.…”

Section: Introductionmentioning

confidence: 99%

Modeling a novel hypothetical use of postal collection boxes as automated external defibrillator access points

et al. 2017

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Introduction Optimizing placement of Automated External Defibrillators (AED) can increase survival after an out-of-hospital cardiac arrest (OHCA). Using postal collection boxes (PCB) as locations for AEDs could potentially enhance accessibility and streamline maintenance. In this study, we modeled the hypothetical effects of deploying AEDs at PCB locations. Hypothesis We hypothesized that PCB-AEDs would increase AED coverage overall and in residential areas, and reduce the distance from OHCA to an AED. Methods AEDs in Pittsburgh, PA were identified by the University of Pittsburgh Resuscitation Logistics and Informatics Venture (n=747). PCB locations were obtained from the United States Postal Service (n=479). OHCA locations from 2009 to 2014 were obtained from the Pittsburgh site of the Resuscitation Outcomes Consortium. AED coverage assuming a ¼ mile radius around each AED was estimated for known AEDs, PCB-AEDs (hypothetical AED locations), and known AEDs augmented by PCB-AEDs, both overall and for residential and non-residential zones. Linear distance from each OHCA to the nearest AED was calculated and compared between the sets. Results The set of known AEDs augmented with PCB-AEDs covered more of the city overall (55% vs 30%), as well as greater proportions of residential (62% vs 27%) and non-residential areas (45% vs 30%). The median distance from OHCA to AED was significantly shorter when known AEDs were augmented with PCB-AEDs (0.12mi vs 0.32mi; p = 0.001).

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“…Mismatches in cities in North America, though differing in degree, have also been reported (Table 3). 37, 38, 39 Information regarding the incidence of OHCA relative to the types of deployment locations is crucial to effectively deploy PADs in places with a high OHCA incidence.…”

Section: Issues Concerning Pad That Needs To Be Addressedmentioning

confidence: 99%

“…Railway stations and bus terminals have a high incidence in societies with highly developed and utilized public transportation system, whereas roads and parking areas have the highest incidence in societies dependent on road transportation (Table 3). 29, 38, 44, 45 Race tracks and casinos have a high incidence in societies where such recreations are popular, whereas casinos do not exist in some countries 39. Although early experiences indicated success of PAD deployment in airports, OHCA incidence in airports differs greatly between countries, with some having a very low incidence: A study in the UK showed a high incidence in airports, but studies in Australia, Canada, and Japan did not 39, 40, 44, 45…”

Section: Issues Concerning Pad That Needs To Be Addressedmentioning

confidence: 99%

Effective deployment of public‐access automated external defibrillators to improve out‐of‐hospital cardiac arrest outcomes

Nakahara

Sakamoto

2017

J of Gen and Family Med

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Out‐of‐hospital cardiac arrest (OHCA) is a major health concern in Japan and other developed countries with aging populations. Improvements in OHCA outcomes require streamlining the chain of survival. Deployment of public‐access automated external defibrillators (PADs) and defibrillation by bystanders is one strategy that may streamline the chain by reducing the time to defibrillation in individuals with shockable rhythms. Although the effectiveness of PAD programs in increasing survival to discharge has been reported, there have been criticisms and concerns about the small population impact, cost‐effectiveness, and potential negative impact on those with nonshockable rhythms. This article reviews relevant literature regarding the effectiveness and concerns regarding PAD for OHCA.

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Analysis of out-of-hospital cardiac arrest location and public access defibrillator placement in Metropolitan Phoenix, Arizona

Cited by 36 publications

References 33 publications

Public-Access Defibrillation and Out-of-Hospital Cardiac Arrest in Japan

Public-Access Defibrillation and Out-of-Hospital Cardiac Arrest in Japan

Modeling a novel hypothetical use of postal collection boxes as automated external defibrillator access points

Effective deployment of public‐access automated external defibrillators to improve out‐of‐hospital cardiac arrest outcomes

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