July 28, 2009Circulation
Location of Cardiac Arrest in a City Center
Why the study?
Does focused AED deployment based on guidelines improve coverage and cost-effectiveness compared to unguided placement for public cardiac arrests?
Population
1,274 cardiac arrests in public locations in Copenhagen, Denmark, from 1994 through 2005.
Comparison
Focused automated external defibrillator… vs Unguided AED placement covering the entire city.
Design
Cohort
Follow-up
11 years (1994-2005)
Authors
Discussion
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Member takes
Implication
May support targeted AED placement for improved coverage and cost-effectiveness; extends observational modeling but leaves open prospective validation.
Structured PICO
Does focused AED deployment based on guidelines improve coverage and cost-effectiveness compared to unguided placement for public cardiac arrests?
P
Population
1,274 cardiac arrests in public locations in Copenhagen, Denmark, from 1994 through 2005.
I
Intervention
Focused automated external defibrillator (AED) deployment according to European Resuscitation Council (ERC) or American Heart Association (AHA) guidelines.
C
Comparator
Unguided AED placement covering the entire city.
O
Outcome
Proportion of cardiac arrests covered and estimated cost per additional quality-adjusted life year.
Strategic, guideline-directed placement of AEDs in high-incidence areas is more cost-effective and provides better coverage than unguided deployment.
Cite This Study
Folke et al. (2009) studied this question.