PMID: 9189186Jun 1, 1997Paper

Population density, automated external defibrillator use, and survival in rural cardiac arrest

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
J S StapczynskiC K Stone

Abstract

To determine whether population density is an independent predictor of survival from out-of-hospital cardiac arrest managed by basic life support (BLS) services using automated external defibrillators (AEDs). A retrospective, observational study in Kentucky of 34 BLS services covering 22 counties during the years 1992 to 1994 who used AEDs to treat patients who had out-of-hospital cardiac arrests. Of 311 patients who had out-of-hospital cardiac arrests, 110 (35%) were defibrillated, 46 (15%) were resuscitated to hospital admission, and 19 (6%) survived to hospital discharge. Univariate predictors for survival to hospital discharge were emergency medical services response interval (from call receipt to ambulance arrival) < 8 minutes, defibrillation by the AED, initial rhythm of ventricular fibrillation or ventricular tachycardia (VF/VT), and population density > 100/square mile (sq mi) for the BLS service area (p < 0.001). A forced logistic regression model of survival to hospital discharge, using these 4 factors plus the presence of a witnessed arrest or bystander CPR, demonstrated that population density > 100/sq mi was highly significant (OR 9.4, 95% CI: 1.7 to 51.4, p < 0.01). Stepwise logistic regression models with combina...Continue Reading

References

Feb 1, 1990·Annals of Emergency Medicine·M S EisenbergT R Hearne
Aug 1, 1989·Annals of Emergency Medicine·D W OlsonH A Stueven
Dec 1, 1987·Postgraduate Medical Journal·P H Smith, T G Armitage
Apr 1, 1988·Annals of Emergency Medicine·L F VukovP C O'Brien
Sep 15, 1988·The New England Journal of Medicine·W D WeaverA P Hallstrom
Mar 27, 1987·JAMA : the Journal of the American Medical Association·R O CumminsA P Hallstrom
Jul 25, 1986·JAMA : the Journal of the American Medical Association·J W BachmanP C O'Brien
Apr 1, 1986·Journal of the American College of Cardiology·W D WeaverR Ray
Jan 26, 1984·The New England Journal of Medicine·K R StultsJ A Bean
Feb 1, 1980·The American Journal of Medicine·R I Horwitz, A R Feinstein
Jun 19, 1980·The New England Journal of Medicine·M S EisenbergL A Cobb
Nov 1, 1993·The Journal of Trauma·R L MuellemanJ A Edney
Jan 1, 1993·Annals of Emergency Medicine·J E Gallehr, L F Vukov

❮ Previous
Next ❯

Citations

Nov 24, 2001·Resuscitation·P EisenburgerA N Laggner
Feb 19, 2003·Resuscitation·Joseph P OrnatoUNKNOWN PAD Trial Investigators
Apr 15, 2011·International Journal of Health Geographics·Hideo YasunagaTomoaki Imamura
Sep 17, 2014·The American Journal of Emergency Medicine·Mathias StröhleHermann Brugger
Nov 23, 2006·Resuscitation·William J GrohUNKNOWN PAD Trial Investigators
Apr 21, 2005·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Sharon L ClineWilliam J Groh
Aug 2, 2001·The Journal of Thoracic and Cardiovascular Surgery·V A FerrarisB D Evans
Feb 4, 2010·Circulation. Cardiovascular Quality and Outcomes·Comilla SassonArthur L Kellermann
Nov 19, 2005·Expert Review of Medical Devices·Antoni Martínez-RubioAntoni Artigas
Mar 11, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·David B ReedUNKNOWN PAD Trial Investigators
Mar 15, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Greg MearsJ Michael Dean
Oct 3, 2006·Current Opinion in Anaesthesiology·L Bossaert
Apr 19, 2002·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Bryan J McVerry, Michael R Sayre
Jan 14, 2005·Prehospital and Disaster Medicine·Marc E PortnerMelissa K Schlenker
Jul 7, 2020·Journal of the American Heart Association·Sheldon CheskesIan R Drennan
Jun 7, 2000·The Medical Journal of Australia·K L SmithJ J McNeil

❮ Previous
Next ❯

Related Concepts

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.