Public access defibrillators and socioeconomic factors on the small-scale spatial level in Berlin

Lee, Dokyeong; Stiepak, Jan-Karl; Pommerenke, Christopher; Poloczek, Stefan; Grittner, Ulrike; Prugger, Christof

doi:10.3238/arztebl.m2022.0180

Cited by 5 publications

(6 citation statements)

References 27 publications

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“…Prior studies showed a pronounced positive association of AED accessibility with the economic level at spatial scales. 3 , 6 , 7 Our results indicate this association persists under the 2021 ERC guidelines, emphasizing the pivotal role of financial resources in ensuring equitable spatial distribution of AEDs. 24 , 25 Further, prior studies showed positive associations of bystander CPR with the economic level, 9 , 11 , 12 but we observed no association of first responder availability with income tax per capita.…”

Section: Discussionmentioning

confidence: 64%

“… 3 , 4 , 5 , 6 , 7 , 8 The available evidence on the association of AED access with income inequality is rather limited; we previously showed better AED density with greater inequality at small spatial scales. 7 Bystander cardiopulmonary resuscitation (CPR) has been similarly associated with area-level socioeconomic factors, 9 , 10 , 11 , 12 , 13 , 14 but the relationship of app- or text-based first response with such factors as well as income inequality has not yet been examined.…”

Section: Introductionmentioning

confidence: 87%

“…Previous studies examined AED accessibility in relation to local socioeconomic factors using various metrics such as AED area ratio, 3 , 4 mean number of AEDs per area, 5 and OHCA risk coverage based on previous incident sites. 6 , 7 , 8 The findings indicate that AED accessibility can vary significantly by area level socioeconomic status; better access was associated with lower social deprivation, higher educational attainment, and greater household income. 3 , 4 , 5 , 6 , 7 , 8 The available evidence on the association of AED access with income inequality is rather limited; we previously showed better AED density with greater inequality at small spatial scales.…”

Section: Introductionmentioning

confidence: 88%

“… 6 , 7 , 8 The findings indicate that AED accessibility can vary significantly by area level socioeconomic status; better access was associated with lower social deprivation, higher educational attainment, and greater household income. 3 , 4 , 5 , 6 , 7 , 8 The available evidence on the association of AED access with income inequality is rather limited; we previously showed better AED density with greater inequality at small spatial scales. 7 Bystander cardiopulmonary resuscitation (CPR) has been similarly associated with area-level socioeconomic factors, 9 , 10 , 11 , 12 , 13 , 14 but the relationship of app- or text-based first response with such factors as well as income inequality has not yet been examined.…”

Section: Introductionmentioning

confidence: 88%

See 3 more Smart Citations

Access to automated external defibrillators and first responders: Associations with socioeconomic factors and income inequality at small spatial scales

Lee,

Bender,

Poloczek

et al. 2024

Resuscitation Plus

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 88%

See 2 more Smart Citations

Access to automated external defibrillators and first responders: Associations with socioeconomic factors and income inequality at small spatial scales

Lee,

Bender,

Poloczek

et al. 2024

Resuscitation Plus

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“… 21 In Berlin, public defibrillator access was lowest in districts with below median income. 22 A previous study in England also examined the characteristics of small areas with and without AED access and found that AEDs were more numerous in affluent areas. 9 Our study provides evidence of a more nuanced pattern, with differing trends by hours of access and by country.…”

Section: Discussionmentioning

confidence: 99%

Automated external defibrillator location and socioeconomic deprivation in Great Britain

Burgoine,

Austin,

et al. 2023

Heart

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ObjectiveThe early use of automated external defibrillators (AEDs) improves outcomes in out-of-hospital cardiac arrest (OHCA). We investigated AED access across Great Britain (GB) according to socioeconomic deprivation.MethodsCross-sectional observational study using AED location data from The Circuit: the national defibrillator network led by the British Heart Foundation in partnership with the Association of Ambulance Chief Executives, Resuscitation Council UK and St John Ambulance. We calculated street network distances between all 1 677 466 postcodes in GB and the nearest AED and used a multilevel linear mixed regression model to investigate associations between the distances from each postcode to the nearest AED and Index of Multiple Deprivation, stratified by country and according to 24 hours 7 days a week (24/7) access.Results78 425 AED locations were included. Across GB, the median distance from the centre of a postcode to an AED was 726 m (England: 739 m, Scotland: 743 m, Wales: 512 m). For 24/7 access AEDs, the median distances were further (991 m, 994 m, 570 m). In Wales, the average distance to the nearest AED and 24/7 AED was shorter for the most deprived communities. In England, the average distance to the nearest AED was also shorter in the most deprived areas. There was no association between deprivation and average distance to the nearest AED in Scotland. However, the distance to the nearest 24/7 AED was greater with increased deprivation in England and Scotland. On average, a 24/7 AED was in England and Scotland, respectively, 99.2 m and 317.1 m further away in the most deprived than least deprived communities.ConclusionIn England and Scotland, there are differences in distances to the nearest 24/7 accessible AED between the most and least deprived communities. Equitable access to ‘out-of-hours’ accessible AEDs may improve outcomes for people with OHCA.

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Kommt die Defi-Drohne?

2022

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Zusammenfassung Hintergrund Der Mangel an automatischen externen Defibrillatoren (AED) und die fehlende Kenntnis von Ersthelfern im Umgang mit diesen Geräten haben in Deutschland zu einer ungenügenden Verbreitung der Public-Access-Defibrillation geführt. Fragestellung Dieser Artikel untersucht, inwieweit die automatisierte Zuführung von AED bei außerklinischem Herz-Kreislauf-Stillstand mithilfe von Drohnen hier Abhilfe schaffen kann. Material und Methodik Narrative Literaturübersicht, Auswertung von Statistiken, Analyse relevanter Medienmeldungen und Diskussion von Grundlagenarbeiten. Ergebnisse Die vorliegenden Untersuchungen sind überwiegend im experimentellen Bereich angesiedelt und belegen die Machbarkeit und die Sicherheit des Drohneneinsatzes sowie eine Verkürzung der Zeit bis zur Erstdefibrillation. Erste klinische Studien bestätigen dies. Schlussfolgerung Defi-Drohnen könnten wahrscheinlich zur Verbesserung der Frühdefibrillationrate in Deutschland beitragen. Dies gilt sowohl für den ländlichen als auch den urbanen Raum. Die technologischen Voraussetzungen sind gegeben, die flugrechtlichen Bedingungen müssten allerdings noch angepasst werden. Um das volle Potenzial der neuen Technologie auszuloten, sind weitere Feldversuche erforderlich.

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Public access defibrillators and socioeconomic factors on the small-scale spatial level in Berlin

Cited by 5 publications

References 27 publications

Access to automated external defibrillators and first responders: Associations with socioeconomic factors and income inequality at small spatial scales

Access to automated external defibrillators and first responders: Associations with socioeconomic factors and income inequality at small spatial scales

Automated external defibrillator location and socioeconomic deprivation in Great Britain

Kommt die Defi-Drohne?

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