ArticleJournal of the American Heart Association2025
Improved Survival With Automated External Defibrillator-Only Training in a Public-Access Defibrillation Program: A 23-Year Database Analysis of Progetto Vita.
Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.
What it found
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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.
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Who cites it
5 citing papers in PubMed.
- Long-Term Attrition in a 12-Month Adapted Physical Activity Program After Cardiac Rehabilitation: A Real-World Longitudinal Study.Journal of cardiovascular development and disease · 2026Article
- Cardiovascular Toxicity of BTK Inhibitors: A Patient-Centered Framework for Risk Stratification and Management.Journal of clinical medicine · 2026Review
- Case Report: Transient Complete Atrioventricular Block During Coronary Sinus Reducer Implantation: An Unexpected Complication.Reports (MDPI) · 2026Article
- Out-of-Hospital Cardiac Arrest: Public-Access Defibrillation and System Approaches to Minimize Avoidable Delay.Journal of clinical medicine · 2026Review
- Breaking the Chain of Survival: What Progetto Vita Tells Us, and What It Doesn't.Journal of the American Heart Association · 2025Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOut-of-hospital cardiac arrest remains a significant public health challenge, characterized by poor overall survival. Early defibrillation is crucial to manage fatal arrhythmias. The use of automated external defibrillators is a promising tool in minimizing time to defibrillation and enhancing survival.
methodsPV (Progetto Vita) in Piacenza pioneered the first community-based automated external defibrillator project in Europe. We present survival data spanning 23 years for all cases of out-of-hospital cardiac arrest managed under both PV and standard emergency medical services interventions.
resultsA total of 6996 out-of-hospital cardiac arrests were recorded. Among these, 156 cases were managed by PV volunteers (PV group). The PV group managed a significantly higher proportion of shockable rhythms than the emergency medical services group (69.9% versus 10.9%). Mean time to arrival was shorter (5.7 versus 10.2 minutes), and survival rates better with favorable neurological outcomes (46.2% versus 2.9%, overall). Survival rates declined with time. However, a higher proportion of patients in the PV -group demonstrated favorable neurological outcomes, even up to 9 minutes from the call, compared with the EMS group. Over the study period, the increasing number of automated external defibrillators in fixed public places coincided with a substantial rise in ventricular fibrillation survival in the PV group patients (22% for 2003-2012 to 73% for 2013-2022,
conclusionsOur simplified automated external defibrillator-focused training for community has shown higher survival rates and emerges as a highly successful strategy in a small city.
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