ArticleHeart (British Cardiac Society)2005
A national programme for on-site defibrillation by lay people in selected high risk areas: initial results.
Article in Heart (British Cardiac Society), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Guideline
- Overcoming Spatial and Temporal Barriers to Public Access Defibrillators Via Optimization.Journal of the American College of Cardiology · 2016Trial
- Incidence and Outcomes After Out-of-Hospital Cardiac Arrest at Train Stations in Denmark.Journal of the American Heart Association · 2024Article
- Article
- Are there disparities in the location of automated external defibrillators in England?Resuscitation · 2022Article
- Neurological outcomes of out-of-hospital cardiac arrest occurring in Tokyo train and subway stations.Resuscitation plus · 2021Article
- Effective deployment of public-access automated external defibrillators to improve out-of-hospital cardiac arrest outcomes.Journal of general and family medicine · 2017Review
- Increased cardiac arrest survival and bystander intervention in enclosed pedestrian walkway systems.Resuscitation · 2017Article
- Ranking Businesses and Municipal Locations by Spatiotemporal Cardiac Arrest Risk to Guide Public Defibrillator Placement.Circulation · 2017Article
- Survival After Ventricular Fibrillation Cardiac Arrest in the Sao Paulo Metropolitan Subway System: First Successful Targeted Automated External Defibrillator (AED) Program in Latin America.Journal of the American Heart Association · 2015Observational
- The experience of community first responders in co-producing rural health care: in the liminal gap between citizen and professional.BMC health services research · 2014Article
- Patients with cardiac chest pain should call emergency services.BMJ (Clinical research ed.) · 2007Review
- Implantable cardioverter defibrillators for prevention of sudden cardiac death.Clinical cardiology · 2007Review
- [Public access defibrillation. Limited use by trained first responders and laymen].Der Anaesthesist · 2006Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo report on the effectiveness of an initiative to reduce deaths from sudden cardiac arrest occurring in busy public places.
setting110 such places identified from ambulance service data as high risk sites. PATIENTS: 172 members of the public who developed cardiac arrest at these sites between April 2000 and March 2004. 20,592 defibrillator months' use is reported, representing one automated external defibrillator (AED) use every 120 months.
intervention681 AEDs were installed; staff present at the sites were trained in basic life support and to use AEDs.
main outcome measuresInitial rhythm detected by AED, restoration of spontaneous circulation, survival to hospital discharge.
results172 cases of cardiac arrest were treated by trained lay staff working at the site before the arrival of the emergency services during the period. A shockable rhythm was detected in 135 (78%), shocks being administered in 134 an estimated 3-5 minutes after collapse; 38 (28.3%) patients subsequently survived to hospital discharge. Spontaneous circulation was restored in five additional patients who received shocks but died later in hospital. In 37 cases no shock was initially indicated; one patient survived after subsequent treatment by paramedics, cardiopulmonary resuscitation having been given soon after collapse. Overall, irrespective of the initial rhythm, 39 patients (22.7%), were discharged alive from hospital. For witnessed arrests of presumed cardiac cause in ventricular fibrillation (an international Utstein comparator) survival was 37 of 124 (29.8%).
conclusionsThe use of AEDs by lay people at sites where cardiac arrest commonly occurs is an effective strategy to reduce deaths at these sites.
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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.