Evidence map›Paper›PMID 28576894›Full record

ArticleBMJ open2017

Use of a geographic information system to identify differences in automated external defibrillator installation in urban areas with similar incidence of public out-of-hospital cardiac arrest: a retrospective registry-based study.

David Fredman, Jan Haas, Yifang Ban, Martin Jonsson, Leif Svensson, Therese Djarv, Jacob Hollenberg, Per Nordberg, Mattias Ringh, Andreas Claesson

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

David FredmanDepartment of Medicine, Karolinska Institutet, Center for Resuscitation Science, Solna, Sweden.ORCID 0000-0002-4138-6515
Jan HaasDivision of Geoinformatics, Kungliga Tekniska Hogskolan (KTH), Stockholm, Sweden.
Yifang BanDivision of Geoinformatics, Kungliga Tekniska Hogskolan (KTH), Stockholm, Sweden.
Martin JonssonDepartment of Medicine, Karolinska Institutet, Center for Resuscitation Science, Solna, Sweden.
Leif SvenssonDepartment of Medicine, Karolinska Institutet, Center for Resuscitation Science, Solna, Sweden.
Therese DjarvDepartment of Medicine, Karolinska Institutet, Function of Emergency Medicine, Karolinska University Hospital, Stockholm, Sweden.
Jacob HollenbergDepartment of Medicine, Karolinska Institutet, Center for Resuscitation Science, Solna, Sweden.
Per NordbergDepartment of Medicine, Karolinska Institutet, Center for Resuscitation Science, Solna, Sweden.
Mattias RinghDepartment of Medicine, Karolinska Institutet, Center for Resuscitation Science, Solna, Sweden.
Andreas ClaessonDepartment of Medicine, Karolinska Institutet, Center for Resuscitation Science, Solna, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEarly defibrillation in out-of-hospital cardiac arrest (OHCA) is of importance to improve survival. In many countries the number of automated external defibrillators (AEDs) is increasing, but the use is low. Guidelines suggest that AEDs should be installed in densely populated areas and in locations with many visitors. Attempts have been made to identify optimal AED locations based on the incidence of OHCA using geographical information systems (GIS), but often on small datasets and the studies are seldom reproduced. The aim of this paper is to investigate if the distribution of public AEDs follows the incident locations of public OHCAs in urban areas of Stockholm County, Sweden.

methodOHCA data were obtained from the Swedish Register for Cardiopulmonary Resuscitation and AED data were obtained from the Swedish AED Register. Urban areas in Stockholm County were objectively classified according to the pan-European digital mapping tool, Urban Atlas (UA). Furthermore, we reclassified and divided the UA land cover data into three classes (residential, non-residential and other areas). GIS software was used to spatially join and relate public AED and OHCA data and perform computations on relations and distance.

resultsBetween 1 January 2012 and 31 December 2014 a total of 804 OHCAs occurred in public locations in Stockholm County and by December 2013 there were 1828 AEDs available. The incidence of public OHCAs was similar in residential (47.3%) and non-residential areas (43.4%). Fewer AEDs were present in residential areas than in non-residential areas (29.4% vs 68.8%). In residential areas the median distance between OHCAs and AEDs was significantly greater than in non-residential areas (288 m vs 188 m, p<0.001).

conclusionThe majority of public OHCAs occurred in areas classified in UA as 'residential areas' with limited AED accessibility. These areas need to be targeted for AED installation and international guidelines need to take geographical location into account when suggesting locations for AED installation.

Indexed as

DefibrillatorsGeographic Information SystemsCardiopulmonary ResuscitationCitiesHumansIncidenceOut-of-Hospital Cardiac ArrestPopulation SurveillanceRegistriesRetrospective StudiesSwedenAEDAutomated External DefibrillatorGIS.OHCAOut-of-hospital cardiac arrestUrban Atlas

Identifiers

PMID28576894
PMCPMC5623355

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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.