What is the clinical evidence from this study?

Study design: Cohort. Population: Sudden cardiac arrest (n=1710). Intervention: Onsite AED programs. Primary outcome: Survival to hospital discharge.

What question did this study set out to answer?

To evaluate the effectiveness of emergency response planning and school-based automated external defibrillator (AED) programs for sudden cardiac arrest (SCA) in US high schools.

July 28, 2009Circulation

Effectiveness of Emergency Response Planning for Sudden Cardiac Arrest in United States High Schools With Automated External Defibrillators

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Key result

School-based AED programs were associated with a 64% survival to hospital discharge rate among 36 sudden cardiac arrest victims on school grounds.

Why the study?

Does the implementation of onsite AED programs and emergency response planning improve survival to hospital discharge for sudden cardiac arrest in US high schools?

Population

1710 US high schools with at least 1 onsite AED program, reporting 36 cases of sudden cardiac arrest.

Design

Cohort

Follow-up

6 months

Authors

JDJonathan A. DreznerGeneral / Preventive / Lipids ARAshwin L. RaoUniversity of Washington JHJustin HeistandUniversity of Washington

Discussion

Member takes

Implication

Supports school AED programs; hypothesis-generating observational data requiring prospective trials to confirm benefit.

Key Points

To evaluate the effectiveness of emergency response planning and school-based automated external defibrillator (AED) programs for sudden cardiac arrest (SCA) in US high schools.
Analyzed a cohort of 1,710 US high schools with at least one onsite AED identified from the National Registry for AED Use in Sports.
Collected survey data between December 2006 and July 2007 detailing school emergency response plans and SCA events occurring within 6 months of survey completion.
While 83% of schools (1,428/1,710) had an established emergency response plan for SCA, only 40% reviewed and practiced the plan annually.
Thirty-six SCA events were reported across 1,710 schools (2.1%), involving 14 student athletes and 22 older nonstudents; 97% of events were witnessed, 94% received bystander CPR, and 83% received an AED shock.
Overall survival to hospital discharge was 64% (23/36 victims), comprising 9 of 14 student athletes (64.3%) and 14 of 22 older nonstudents (63.6%).

Study Design

Type

Cohort (n=1,710)

Multicenter

Yes

Structured PICO

Does the implementation of onsite AED programs and emergency response planning improve survival to hospital discharge for sudden cardiac arrest in US high schools?

Population

1710 US high schools with at least 1 onsite AED program, reporting 36 cases of sudden cardiac arrest (14 student athletes, mean age 16; 22 older nonstudents, mean age 57).

Intervention

Onsite automated external defibrillator (AED) programs and emergency response planning

Outcome

Survival to hospital dischargehard clinical

School-based AED programs are associated with a high survival rate (64%) for sudden cardiac arrest occurring on school grounds.

Cite This Study

Drezner et al. (2009) conducted a cohort in Sudden cardiac arrest (n=1,710). Onsite AED programs was evaluated on Survival to hospital discharge. School-based AED programs were associated with a 64% survival to hospital discharge rate among 36 sudden cardiac arrest victims on school grounds.

synapsesocial.com/papers/6a0f021606ecbe8334480ea5 https://doi.org/10.1161/circulationaha.109.855890

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Effectiveness of Emergency Response Planning for Sudden Cardiac Arrest in United States High Schools With Automated External Defibrillators

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Effectiveness of Emergency Response Planning for Sudden Cardiac Arrest in United States High Schools With Automated External Defibrillators

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

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