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Locational effect on automated external defibrillator use and association of age with on-site return of spontaneous circulation
- Source :
- The American Journal of Emergency Medicine. 37:1446-1449
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Background Emergency medical services (EMSs) are used by approximately 383,000 patients with out-of-hospital sudden cardiac arrest (SCA) in the United States. Hence, it is crucial to implement automated external defibrillator (AED) programs to prepare responders for an SCA emergency. Taiwanese pass legislature to enforce AED installation in 8 mandatory areas since 2013. Our study investigated the efficacy of the policy regarding AED installation. Materials and methods We collected data of patients who had sudden cardiac arrest (SCA) in pre-hospital settings, and received resuscitative efforts, including cardiopulmonary resuscitation or defibrillation with AEDs. The data were from July 11, 2013 to July 31, 2015. In total, 209 adult patients were documented by on-site caregivers of different facilities, and a report was mailed to the central health and welfare unit. Results Schools, large-scale gathering places, and special institutions used AEDs the most, accounting for 33 (15.3%) cases. From non-mandatory AED areas, long-term care facilities had the maximum cases of AED use (32 cases; 14.9%). With commuting stations as a reference, long-distance transport had the lowest odds ratio (OR) of 0.481 (95% confidence interval [CI], 0.24–0.962). The OR for schools, large-scale gathering places, and special institutions was 4.474 (95% CI: 2.497–8.015). Regarding failure of return of spontaneous circulation (ROSC), the OR for the ≥80-year age group was higher than that for the 20–39-year age group. Conclusions The policy regarding the legislation to install AEDs in mandatory areas improved AED accessibility. Elderly patients aged ≥80 years have a higher rate of ROSC failure.
- Subjects :
- Adult
Male
Emergency Medical Services
medicine.medical_specialty
Defibrillation
medicine.medical_treatment
Taiwan
Return of spontaneous circulation
Health Services Accessibility
Emergency medical services
Humans
Medicine
Prospective Studies
Cardiopulmonary resuscitation
Automated external defibrillator
Aged
business.industry
Age Factors
Sudden cardiac arrest
General Medicine
Odds ratio
Middle Aged
Cardiopulmonary Resuscitation
Confidence interval
Emergency medicine
Linear Models
Emergency Medicine
Female
medicine.symptom
business
Equipment and Supplies Utilization
Out-of-Hospital Cardiac Arrest
Defibrillators
Subjects
Details
- ISSN :
- 07356757
- Volume :
- 37
- Database :
- OpenAIRE
- Journal :
- The American Journal of Emergency Medicine
- Accession number :
- edsair.doi.dedup.....b9cbb76eadec0ccb13465ab59b8a9c90