| Localization of out-of-hospital cardiac arrest in Goteborg 1994-2002 and implications for public access defibrillation. | |
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MedLine Citation:
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PMID: 15680525 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The purpose of this study was to report the locality of out-of-hospital cardiac arrest (OHCA) in the city of Goteborg and to identify implications for public access defibrillation (PAD). METHODS: Ambulance run reports for the years 1994-2002 were studied retrospectively and manually to establish the location of the cardiac arrest. RESULTS: The location could be identified in 2194 of 2197 patients (99.9%). One thousand four hundred and twenty-nine (65%) of the arrests took place in the victims' homes. Two hundred eighty-five (13%) were outdoors and 57 (3%) in cars. Fifty-one (2%) took place en route in ambulances. These arrests were regarded not to be generally suitable for PAD. One hundred thirty-five (6%) of the arrests happened in a public building. Eighteen of these 135 were in 15 different general practitioners' offices. A ferry terminal had 11 cardiac arrests. One hundred fifty (7%) of the arrests took place in different care facilities. Twenty-one (1%) patients had their cardiac arrest in public transport locations. Twenty-two (1%) patients arrested at work in 20 different sites. In total, 17% of the cardiac arrests were regarded as generally suitable for PAD. Several sites with more than one cardiac arrest in five years could be identified and 54 patients (2.5%) had their cardiac arrest in these high-incidence sites. CONCLUSION: Among patients suffering from out-of-hospital cardiac arrest in Goteborg in whom resuscitation efforts were attempted 17% of all cardiac arrests were regarded as generally suitable for PAD. According to previous suggestions, the indication for public access defibrillation is in a place with a reasonable probability of use of one AED in 5 years. Several high-incidence sites that probably would benefit from defibrillator availability could be identified, and 54 patients (2.5%) arrested in these sites. |
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Authors:
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Johan Engdahl; Johan Herlitz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Resuscitation Volume: 64 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2005 Feb |
Date Detail:
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Created Date: 2005-01-31 Completed Date: 2005-06-07 Revised Date: 2009-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 171-5 Citation Subset: IM |
Affiliation:
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Department of Medicine, Halmstad Hospital, S-30185 Halmstad, Sweden. johan.engdahl@lthalland.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Defibrillators
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economics,
supply & distribution* Electric Countershock / economics, instrumentation* Emergency Medical Services / economics, statistics & numerical data* Health Care Costs / statistics & numerical data Health Care Surveys Heart Arrest / epidemiology*, therapy* Humans Incidence Needs Assessment* Sweden / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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