Outcomes after sudden cardiac arrest in sports centres with and without on-site external defibrillators

Heart
Daniela AschieriAlessandro Capucci

Abstract

Sudden cardiac arrest (SCA) is a rare but tragic event during amateur sports activities. Our aim is to analyse whether availability of automated external defibrillators (AEDs) in amateur sports centres could impact on SCA survival. This is an observational study. During an 18-year period, data regarding exercise-related SCA in sports centres were prospectively collected. Survival rates and time to response were compared between centres with an AED already available and centres where an AED was not already present. Out of 252 sports facilities, 207 (82%) acquired an AED during follow-up while 45 (18%) did not. From 1999 to 2014, there were 26 SCAs (24 (92%) men, 54±17 years old) with 15 (58%) of them in centres with on-site AED. Neurologically intact survival rates were 93% in centres with on-site AED and 9% in centres without (P<0.001). Presence of on-site AED, presence of shockable rhythm, first assistance by a lay bystander and time to defibrillation were all related to neurological intact survival, but the presence of on-site AED was the only independent predictor in the multivariate analysis. The use of on-site AED resulted in a lower time to first shock when compared with emergency medical system-delivered AED (3.3±1.4min ...Continue Reading

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Citations

Jul 28, 2018·Heart·Antonio Luiz Ribeiro, Catherine M Otto
Apr 21, 2020·Journal of the American Heart Association·Paul DorianKim A Connelly
Oct 22, 2019·Journal of Athletic Training·Eric G PostDavid R Bell
Jun 21, 2020·Journal of Cardiovascular Translational Research·María Alcocer-AyugaAraceli Boraita
Mar 14, 2019·Circulation·Paul Dorian, Steve Lin
Oct 22, 2020·Circulation·Katherine M BergUNKNOWN Adult Basic and Advanced Life Support, Pediatric Basic and Advanced Life Support, Neonatal Life Support, and Resuscitation E
Aug 21, 2020·Journal of Athletic Training·Samantha E Scarneo-MillerDouglas J Casa
Jan 9, 2021·Acta Cardiologica·Asterios Deligiannis, Evangelia Kouidi
Jan 12, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Brian HaskinsKaren Smith
Nov 10, 2021·Journal of Athletic Training·Richelle M WilliamsTamara C Valovich McLeod

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