Evidence map›Paper›PMID 34768537›Full record

ArticleJournal of clinical medicine2021

The Automated External Defibrillator: Heterogeneity of Legislation, Mapping and Use across Europe. New Insights from the ENSURE Study.

Enrico Baldi, Niccolò B Grieco, Giuseppe Ristagno, Hajriz Alihodžić, Valentine Canon, Alexei Birkun, Ruggero Cresta, Diana Cimpoesu, Carlo Clarens, Julian Ganter and 15 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Barriers and enablers to public access defibrillation - an international RAND-UCLA consensus study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Article
  4. Strategic PAD positioning: a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
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

25 authors at 20 institutions in 17 countries.

Enrico BaldiDepartment of Molecular Medicine, Section of Cardiology, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-6360-224X
Niccolò B GriecoItalian Resuscitation Council, 40128 Bologna, Italy.
Giuseppe RistagnoItalian Resuscitation Council, 40128 Bologna, Italy.
Hajriz AlihodžićEmergency Medical Service, Public Institution Health Centre 'Dr. Mustafa Šehović' and Faculty of Medicine, University of Tuzla, 75000 Tuzla, Bosnia and Herzegovina.
Valentine CanonCHU Lille, ULR 2694-METRICS: Évaluation des Technologies de Santé et des Pratiques Médicales, University of Lille, F-59000 Lille, France.
Alexei BirkunMedical Academy Named after S. I. Georgievsky of V. I. Vernadsky Crimean Federal University, 95000 Simferopol, Russia.ORCID 0000-0002-2789-9760
Ruggero CrestaQuality and Research Division, Federazione Cantonale Ticinese Servizi Ambulanza (FCTSA), 6500 Bellinzona, Switzerland.ORCID 0000-0002-1737-4987
Diana CimpoesuEmergency Department, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Carlo ClarensLuxembourg Resuscitation Council, 2680 Luxembourg, Luxembourg.ORCID 0000-0002-0574-1030
Julian GanterDepartment of Cardiovascular Surgery, Faculty of Medicine, University Heart Center Freiburg, 79085 Freiburg, Germany.ORCID 0000-0002-3922-6782
Andrej MarkotaSlovenian Resuscitation Council, Slovenian Society of Emergency Medicine, 1000 Ljubljana, Slovenia.
Pierre MolsService des Urgences et du SMUR, CHU Saint-Pierre, Université Libre de Bruxelles, 1000 Bruxelles, Belgium.ORCID 0000-0001-8320-1171
Olympia NikolaidouEMS-National Center for Emergency Care, 546 Thessaloniki, Greece.
Martin QuinnOut-of-Hospital Cardiac Arrest Registry Steering Group, National University of Ireland, H91 CF50 Galway, Ireland.ORCID 0000-0002-6906-1341
Violetta RaffayDepartment of Medicine, European University Cyprus, Nicosia 2404, Cyprus.
Fernando Rosell OrtizServicio de Urgencias Médicas 061 La Rioja, 26007 Logroño, Spain.
Ari SaloDepartment of Emergency Medicine and Services, University of Helsinki and Helsinki University Hospital, 00530 Helsinki, Finland.ORCID 0000-0001-5471-4250
Remy StieglisDepartment of Cardiology, Amsterdam University Medical Center, Location AMC, 1105 Amsterdam, The Netherlands.
Anneli StrömsöeSchool of Education, Health and Social Studies, Dalarna University, S-79188 Falun, Sweden.
Ingvild TjelmelandDivision of Prehospital Services, Oslo University Hospital, 0372 Oslo, Norway.ORCID 0000-0003-0362-1008
Stefan TrenklerDepartment of Anaesthesiology and Intensive Medicine, Medical Faculty, P.J. Safarik University, 040 11 Kosice, Slovakia.ORCID 0000-0002-3257-9403
Jan WnentInstitute for Emergency Medicine, University Hospital Schleswig-Holstein, 24105 Kiel, Germany.
Jan-Thorsten GrasnerInstitute for Emergency Medicine, University Hospital Schleswig-Holstein, 24105 Kiel, Germany.ORCID 0000-0001-8143-0376
Bernd W BöttigerDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital and Medical Faculty of Cologne, 50931 Cologne, Germany.ORCID 0000-0001-8000-8931
Simone SavastanoItalian Resuscitation Council, 40128 Bologna, Italy.
Amsterdam University Medical Centers · NLAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITDalarna University · SEEpatocentro Ticino · CHEuropean Resuscitation Council · BEEuropean University Cyprus · CYGrigore T. Popa University of Medicine and Pharmacy · ROItalian Resuscitation Council · ITNational University of Ireland · IEOslo University Hospital · NOResearch Institute of Agriculture of Crimea · RUUniversitäts-Herzzentrum Freiburg-Bad Krozingen · DEUniversité de Lille · FRUniversité Libre de Bruxelles · BEUniversity Clinical Centre Maribor · SIUniversity Hospital Schleswig-Holstein · DEUniversity of Helsinki · FIUniversity of Milan · ITUniversity of Namibia · NAUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe rapid use of an automated external defibrillator (AED) is crucial for increased survival after an out-of-hospital cardiac arrest (OHCA). Many factors could play a role in limiting the chance of an AED use. We aimed to verify the situation regarding AED legislation, the AED mapping system and first responders (FRs) equipped with an AED across European countries.

methodsWe performed a survey across Europe entitled "European Study about AED Use by Lay Rescuers" (ENSURE), asking the national coordinators of the European Registry of Cardiac Arrest (EuReCa) program to complete it.

resultsNineteen European countries replied to the survey request for a population covering 128,297,955 inhabitants. The results revealed that every citizen can use an AED in 15 countries whereas a training certificate was required in three countries. In one country, only EMS personnel were allowed to use an AED. An AED mapping system and FRs equipped with an AED were available in only 11 countries. The AED use rate was 12-59% where AED mapping and FR systems were implemented, which was considerably higher than in other countries (0-7.9%), reflecting the difference in OHCA survival.

conclusionsOur survey highlighted a heterogeneity in AED legislation, AED mapping systems and AED use in Europe, which was reflected in different AED use and survival.

Indexed as

automated external defibrillator (AED) systemfirst responderslegislationout-of-hospital cardiac arrest (OHCA)

Identifiers

PMID34768537
PMCPMC8585055
OpenAlexW3210080046

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.