Validation of a predictive model for automated external defibrillator placement in rural America

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Greg MearsJ Michael Dean

Abstract

The development of Automated External Defibrillators (AEDs) to treat out-of-hospital cardiac arrest (OOHCA) has greatly expanded the availability of life saving defibrillatory shocks in various settings. However, placement of AEDs in rural areas remains perplexing since OOHCAs are rare and unpredictable. We set out to develop a cost-effective rural AED placement model and to test the validity of the resulting model using OOHCAs attended by EMS. A population-based cross-sectional study. Analytic Plan: An exhaustive literature search was conducted to identify community attributes correlated with successful placement of AEDs in rural regions. Identified attributes were characterized using U.S. Census and CDC heart disease mortality data to estimate the potential risk for AED use and applied this estimate to rural census tracts in all 50 states. Based upon risk, AEDS were assigned to each tract using a first responder model and cost effectiveness was assessed. Using Utah State EMS data, the predicted placement of AEDs in each tract was validated using the actual number of OOHCAs attended by EMS. A total of 14,586 rural census tracts in 50 U.S. states were evaluated. On average, 2,600 AEDs were situated within each state. AED placem...Continue Reading

References

Aug 1, 1991·Annals of Emergency Medicine·R O Cummins, D A Chamberlain
Aug 1, 1989·Annals of Emergency Medicine·D W OlsonH A Stueven
Mar 9, 1989·The New England Journal of Medicine·A L Kellerman, B Hackman
Feb 1, 1986·Zentralblatt für Veterinärmedizin. Reihe A·R Lindberg
Apr 1, 1988·Annals of Emergency Medicine·L F VukovP C O'Brien
Jun 1, 1987·Annals of Emergency Medicine·J E MooreW Carter
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
Jun 19, 1980·The New England Journal of Medicine·M S EisenbergL A Cobb
Nov 1, 1994·Journal of the American Medical Informatics Association : JAMIA·R B HaynesJ C Sinclair
Mar 1, 1993·The Journal of Emergency Medicine·L K RichlessC S Ogden
Jun 1, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J S StapczynskiC K Stone
Apr 16, 1998·Health Economics·D K WhynesJ D Hardcastle
Jun 9, 1998·Heart·J J de Vreede-SwagemakersH J Wellens
Jan 1, 1997·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·C W Callaway
Feb 3, 1999·JAMA : the Journal of the American Medical Association·B PécoulJ Pinel
Jan 7, 1997·Journal of Health Economics·A M Garber, C E Phelps
Oct 26, 1999·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·M GrattonJ P Campbell
Nov 9, 2000·The New England Journal of Medicine·T D ValenzuelaR G Hardman
Nov 9, 2000·The New England Journal of Medicine·R L PageD K McKenas
Jul 12, 2001·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·R L FrankM Rickens
Sep 3, 2003·Journal of General Internal Medicine·Peter CramA Mark Fendrick
Dec 24, 2003·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·George Edward MalcomPhillip L Coule
Aug 13, 2004·The New England Journal of Medicine·A P HallstromUNKNOWN Public Access Defibrillation Trial Investigators
Jan 14, 2005·Prehospital and Disaster Medicine·Marc E PortnerMelissa K Schlenker
Jan 28, 2005·The Journal of Trauma·N Clay MannLawrence J Cook

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Citations

Feb 11, 2015·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Andrew J BoulandMatthew J Levy
Dec 5, 2006·Current Opinion in Cardiology·Laura S Gold, Mickey Eisenberg
Dec 5, 2006·Current Opinion in Cardiology

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