ArticleBMJ (Clinical research ed.)2002
Potential impact of public access defibrillators on survival after out of hospital cardiopulmonary arrest: retrospective cohort study.
Article in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guideline
- Improving Community Survival Rates from Out-of-Hospital Cardiac Arrest.Current cardiology reviews · 2018Review
- Spatial decision on allocating automated external defibrillators (AED) in communities by multi-criterion two-step floating catchment area (MC2SFCA).International journal of health geographics · 2016Article
- Developing an analytical tool for evaluating EMS system design changes and their impact on cardiac arrest outcomes: combining geographic information systems with register data on survival rates.Scandinavian journal of trauma, resuscitation and emergency medicine · 2013Article
- Changes in anxiety and depression over 2 years in medically stable patients after myocardial infarction and their spouses in the Home Automatic External Defibrillator Trial (HAT): a longitudinal observational study.Heart (British Cardiac Society) · 2011Article
- Survival after application of automatic external defibrillators before arrival of the emergency medical system: evaluation in the resuscitation outcomes consortium population of 21 million.Journal of the American College of Cardiology · 2010Article
- Out of hospital cardiac arrest outside home in Sweden, change in characteristics, outcome and availability for public access defibrillation.Scandinavian journal of trauma, resuscitation and emergency medicine · 2009Article
- [Public access defibrillation. Limited use by trained first responders and laymen].Der Anaesthesist · 2006Review
- Circumstances of out of hospital cardiac arrest in patients with ischaemic heart disease.Heart (British Cardiac Society) · 2005Article
- A national programme for on-site defibrillation by lay people in selected high risk areas: initial results.Heart (British Cardiac Society) · 2005Article
- [Automated external defibrillators: perspectives and outlook].Herzschrittmachertherapie & Elektrophysiologie · 2005Review
- Cost effectiveness and cost utility model of public place defibrillators in improving survival after prehospital cardiopulmonary arrest.BMJ (Clinical research ed.) · 2003Article
- The debate on public place defibrillators: charged but shockingly ill informed.Heart (British Cardiac Society) · 2003Article
- Public access defibrillators. Potential efficacy of public access defibrillation may be underestimated.BMJ (Clinical research ed.) · 2003Article
- Outcome after cardiac arrest outside hospital.BMJ (Clinical research ed.) · 2002Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the potential impact of public access defibrillators on overall survival after out of hospital cardiac arrest.
designRetrospective cohort study using data from an electronic register. A statistical model was used to estimate the effect on survival of placing public access defibrillators at suitable or possibly suitable sites.
settingScottish Ambulance Service. SUBJECTS: Records of all out of hospital cardiac arrests due to heart disease in Scotland in 1991-8.
main outcome measuresObserved and predicted survival to discharge from hospital.
resultsOf 15 189 arrests, 12 004 (79.0%) occurred in sites not suitable for the location of public access defibrillators, 453 (3.0%) in sites where they may be suitable, and 2732 (18.0%) in suitable sites. Defibrillation was given in 67.9% of arrests that occurred in possibly suitable sites for locating defibrillators and in 72.9% of arrests that occurred in suitable sites. Compared with an actual overall survival of 744 (5.0%), the predicted survival with public access defibrillators ranged from 942 (6.3%) to 959 (6.5%), depending on the assumptions made regarding defibrillator coverage.
conclusionsThe predicted increase in survival from targeted provision of public access defibrillators is less than the increase achievable through expansion of first responder defibrillation to non-ambulance personnel, such as police or firefighters, or of bystander cardiopulmonary resuscitation. Additional resources for wide scale coverage of public access defibrillators are probably not justified by the marginal improvement in survival.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.