Abstract
Although the benefits of automatic external defibrillators are undeniable, their effectiveness could be dramatically improved. One of the key issues is the disparity between the locations of automatic external defibrillators and sudden cardiac arrests (SCAs). From emergency medical services and other Parisian agencies, data on all SCAs occurring in public places in Paris, France, were prospectively collected between 2000 and 2010 and recorded using 2020 grid areas. For each area, population density, population movements, and landmarks were analyzed. Of the 4176 SCAs, 1255 (30%) occurred in public areas, with a highly clustered distribution of SCAs, especially in areas containing major train stations (12% of SCAs in 0.75% of the Paris area). The association with population density was poor, with a nonsignificant increase in SCAs with population density (P=0.4). Occurrence of public SCAs was, in contrast, highly associated with population movements (P<0.001). In multivariate analysis including other landmarks in each grid cell in the model and demographic characteristics, population movement remained significantly associated with the occurrence of SCA (odds ratio, 1.48; 95% confidence interval, 1.34-1.63; P<0.0001), as well as gr...Continue Reading
References
Nov 9, 2000·The New England Journal of Medicine·C M AlbertJ E Manson
Sep 27, 2001·JAMA : the Journal of the American Medical Association·P W GroeneveldA M Garber
Aug 28, 2002·Circulation·Alessandro CapucciMaurizio Arvedi
Oct 3, 2002·Circulation·Rachel LampertDiwakar Jain
Oct 24, 2002·The New England Journal of Medicine·Sherry L CaffreyLance B Becker
Aug 13, 2004·The New England Journal of Medicine·A P HallstromUNKNOWN Public Access Defibrillation Trial Investigators
Nov 24, 2004·Circulation·Ian JacobsUNKNOWN ILCOR Task Force on Cardiac Arrest and Cardiopulmonary Resuscitation Outcomes
Feb 1, 2005·Resuscitation·Johan Engdahl, Johan Herlitz
Dec 3, 2005·Resuscitation·Anthony J HandleyUNKNOWN European Resuscitation Council
Feb 3, 2006·Statistics in Medicine·Ken KleinmanMartin Kulldorff
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
Nov 3, 2007·Resuscitation·Marcus Eng Hock OngV Anantharaman
Jul 9, 2008·Circulation·Jacob HollenbergLeif Svensson
Sep 25, 2008·JAMA : the Journal of the American Medical Association·Graham NicholUNKNOWN Resuscitation Outcomes Consortium Investigators
Sep 25, 2008·JAMA : the Journal of the American Medical Association·Arthur B Sanders, Karl B Kern
Jan 28, 2009·Circulation·Taku IwamiTakashi Kawamura
Jul 29, 2009·Circulation·Fredrik FolkeChristian Torp-Pedersen
Feb 4, 2010·Circulation. Cardiovascular Quality and Outcomes·Comilla SassonArthur L Kellermann
Mar 20, 2010·The New England Journal of Medicine·Tetsuhisa KitamuraUNKNOWN Implementation Working Group for the All-Japan Utstein Registry of the Fire and Disaster Management Agency
Mar 31, 2010·Circulation·Daniel JostUNKNOWN DEFI 2005 Work Group
Jun 3, 2010·Annals of Internal Medicine·Comilla SassonUNKNOWN CARES (Cardiac Arrest Registry to Enhance Survival) Study Group
Jul 28, 2010·Circulation·Fredrik FolkeChristian Torp-Pedersen
Oct 20, 2010·Resuscitation·Rudolph W KosterClaudio Sandroni
Dec 15, 2010·Circulation·Glenn I FishmanZhi-Jie Zheng
Jan 18, 2011·Annals of Emergency Medicine·Marcus Eng Hock OngDavid John Nott
Oct 1, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Mie SasakiTakashi Kawamura
Oct 5, 2011·Circulation·Lance B BeckerUNKNOWN Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation
Oct 19, 2011·Circulation·Jocelyn BerdowskiRudolph W Koster
Feb 2, 2012·Circulation·Rajat Deo, Christine M Albert
Feb 18, 2012·JAMA : the Journal of the American Medical Association·Hazrije MustaficXavier Jouven
Apr 10, 2012·Resuscitation·Marc Eckstein
Oct 26, 2012·The New England Journal of Medicine·Comilla SassonUNKNOWN CARES Surveillance Group
Sep 17, 2013·Circulation·Carolina Malta HansenFredrik Folke
Oct 3, 2013·JAMA : the Journal of the American Medical Association·Mads WissenbergChristian Torp-Pedersen
Citations
Feb 10, 2016·American Heart Journal·Heather M GriffisRaina M Merchant
Sep 27, 2016·BioMed Research International·Chiwon AhnJuncheol Lee
Oct 21, 2016·Resuscitation·Benjamin DahanXavier Jouven
May 2, 2017·Resuscitation·Nicole KaramUNKNOWN Paris Sudden Death Expertise Center
Jul 3, 2018·European Heart Journal. Quality of Care & Clinical Outcomes·Terry P BrownGavin D Perkins
Jun 16, 2018·Heart·Jolande A ZijlstraUNKNOWN COSTA study group
Jun 16, 2017·British Journal of Sports Medicine·Aneil MalhotraSanjay Sharma
Jun 28, 2016·PloS One·Nicole T A RosendaalGabriela B Gomez
Apr 14, 2017·PloS One·Rosa Requena-MoralesErnesto Cortés-Castell
May 2, 2018·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·Digna M González-OteroJames K Russell
Mar 9, 2021·Emergency Medicine International·Ming-Fang WangChip-Jin Ng
May 31, 2020·The Lancet. Public Health·Eloi MarijonXavier Jouven