Jul 29, 2009

Location of cardiac arrest in a city center: strategic placement of automated external defibrillators in public locations

Circulation
Fredrik FolkeChristian Torp-Pedersen

Abstract

Public-access defibrillation with automated external defibrillators (AEDs) is being implemented in many countries worldwide with considerable financial implications. The potential benefit and economic consequences of focused or unfocused AED deployment are unknown. All cardiac arrests in public in Copenhagen, Denmark, from 1994 through 2005 were geographically located, as were 104 public AEDs placed by local initiatives. In accordance with European Resuscitation Council and American Heart Association (AHA) guidelines, areas with a high incidence of cardiac arrests were defined as those with 1 cardiac arrest every 2 or 5 years, respectively. There were 1274 cardiac arrests in public locations. According to the European Resuscitation Council or AHA guidelines, AEDs needed to be deployed in 1.2% and 10.6% of the city area, providing coverage for 19.5% (n=249) and 66.8% (n=851) of all cardiac arrests, respectively. The excessive cost of such AED deployments was estimated to be $33 100 or $41 000 per additional quality-adjusted life year, whereas unguided AED placement covering the entire city had an estimated cost of $108 700 per quality-adjusted life year. Areas with major train stations (1.8 arrests every 5 years per area), large...Continue Reading

  • References30
  • Citations82

References

  • References30
  • Citations82

Citations

Mentioned in this Paper

Ophthalmoplegia
Emergency Care
Cost Effectiveness
Basic Cardiac Life Support
Recommendations, Health Planning
Electroversion Therapy
Public Facilities
Urban Population
Defibrillators, External
Cardiac Arrest

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