Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-05T01:10:22.149Z Has data issue: false hasContentIssue false
  • English
  • Français

Mismatches Between the Number of Installed Automated External Defibrillators and the Annual Rate of Automated External Defibrillator Use Among Places

Published online by Cambridge University Press:  13 January 2021

Je Hyeok Oh Open the ORCID record for Je Hyeok Oh [Opens in a new window] ,
Gyu Chong Cho ,
Seung Mok Ryoo ,
So Hyun Han ,
Seon Hee Woo ,
Yong Soo Jang ,
Youngsuk Cho ,
Minseob Sim  and
Oh Hyun Kim
Je Hyeok Oh
Affiliation:
Department of Emergency Medicine, Chung-Ang University College of Medicine, Seoul, Republic of Korea
Gyu Chong Cho*
Affiliation:
Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea
Seung Mok Ryoo
Affiliation:
Department of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea
So Hyun Han
Affiliation:
National Medical Center, National Emergency Medical Center, Seoul, Republic of Korea
Seon Hee Woo
Affiliation:
Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Yong Soo Jang
Affiliation:
Department of Emergency Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea
Youngsuk Cho
Affiliation:
Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea
Minseob Sim
Affiliation:
Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
Oh Hyun Kim
Affiliation:
Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Gangwon-do, Republic of Korea
*
Correspondence: Gyu Chong Cho, MD, PhD, Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, 150, Sungan-ro, Gangdong-gu, Seoul05355, Republic of Korea, E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Aim:

In South Korea, the law concerning automated external defibrillators (AEDs) states that they should be installed in specific places including apartment complexes. This study was conducted to investigate the current status and effectiveness of installation and usage of AEDs in South Korea.

Methods:

Installation and usage of AEDs in South Korea is registered in the National Emergency Medical Center (NEMC) database. Compared were the installed number, usage, and annual rate of AED use according to places of installation. All data were obtained from the NEMC database.

Results:

After excluding AEDs installed in ambulances or fire engines (n = 2,003), 36,498 AEDs were registered in South Korea from 1998 through 2018. A higher number of AEDs were installed in places required by the law compared with those not required by the law (20,678 [56.7%] vs. 15,820 [43.3%]; P <.001). Among them, 11,318 (31.0%) AEDs were installed in apartment complexes. The overall annual rate of AED use was 0.38% (95% CI, 0.33-0.44). The annual rate of AED use was significantly higher in places not required by the law (0.62% [95% CI, 0.52-0.72] versus 0.21% [95% CI, 0.16-0.25]; P <.001). The annual rate of AED use in apartment complexes was 0.13% (95% CI, 0.08-0.17).

Conclusion:

There were significant mismatches between the number of installed AEDs and the annual rate of AED use among places. To optimize the benefit of AEDs in South Korea, changes in the policy for selecting AED placement are needed.

Keywords

automated external defibrillatorselectric defibrillationlawout-of-hospital cardiac arrestSouth Korea
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 2 , April 2021 , pp. 183 - 188
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Perkins, GD, Handley, AJ, Koster, RW, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81–99.CrossRefGoogle ScholarPubMed
Song, KJ, Kim, JB, Kim, J, et al. Part 2. Adult basic life support: 2015 Korean guidelines for cardiopulmonary resuscitation. Clin Exp Emerg Med. 2016;3(Suppl 1):S10–S16.CrossRefGoogle ScholarPubMed
Brady, WJ, Mattu, A, Slovis, CM. Lay Responder care for an adult with out-of-hospital cardiac arrest. N Engl J Med. 2019;381(23):2242–2251.CrossRefGoogle ScholarPubMed
Emergency Medical Service Act. http://www.law.go.kr/LSW/eng/engMain.do?eventGubun=060124. Accessed February 25, 2020.Google Scholar
Guidelines for Public Access Defibrillation Placement & Management. http://www.mohw.go.kr/react/jb/sjb0406vw.jsp?PAR_MENU_ID=03&MENU_ID=030406&page=1&CONT_SEQ=347788. Accessed February 25, 2020.Google Scholar
Nakashima, T, Noguchi, T, Tahara, Y, et al. Public-access defibrillation and neurological outcomes in patients with out-of-hospital cardiac arrest in Japan: a population-based cohort study. Lancet. 2020;394(10216):2255–2262.CrossRefGoogle Scholar
Kiyohara, K, Nishiyama, C, Kitamura, T, et al. The association between public access defibrillation and outcome in witnessed out-of-hospital cardiac arrest with shockable rhythm. Resuscitation. 2019;140:93–97.CrossRefGoogle ScholarPubMed
Pollack, RA, Brown, SP, Rea, T, et al. Impact of bystander automated external defibrillator use on survival and functional outcomes in shockable observed public cardiac arrests. Circulation. 2018;137(20):2104–2113.CrossRefGoogle ScholarPubMed
Holmberg, MJ, Vognsen, M, Andersen, MS, Donnino, MW, Andersen, LW. Bystander automated external defibrillator use and clinical outcomes after out-of-hospital cardiac arrest: a systematic review and meta-analysis. Resuscitation. 2017;120:77–87.CrossRefGoogle ScholarPubMed
Kitamura, T, Kiyohara, K, Sakai, T, et al. Public-access defibrillation and out-of-hospital cardiac arrest in Japan. N Engl J Med. 2016;375(17):1649–1659.CrossRefGoogle ScholarPubMed
Hallstrom, AP, Ornato, JP, Weisfeldt, M, et al. Public-access defibrillation and survival after out-of-hospital cardiac arrest. N Engl J Med. 2004;351(7):637–646.Google ScholarPubMed
Baekgaard, JS, Viereck, S, Moller, TP, Ersboll, AK, Lippert, F, Folke, F. The effects of public access defibrillation on survival after out-of-hospital cardiac arrest: a systematic review of observational studies. Circulation. 2017;136(10):954–965.CrossRefGoogle ScholarPubMed
Spread of AED in Japan. https://www.jhf.or.jp/check/aed/spread/. Accessed February 25, 2020.Google Scholar
Folke, F, Lippert, FK, Nielsen, SL, et al. Location of cardiac arrest in a city center: strategic placement of automated external defibrillators in public locations. Circulation. 2009;120(6):510–517.CrossRefGoogle Scholar
Weisfeldt, ML, Everson-Stewart, S, Sitlani, C, et al. Ventricular tachyarrhythmias after cardiac arrest in public versus at home. N Engl J Med. 2011;364(4):313–321.CrossRefGoogle ScholarPubMed
Kiguchi, T, Kiyohara, K, Kitamura, T, et al. Public-access defibrillation and survival of out-of-hospital cardiac arrest in public vs. residential locations in Japan. Circ J. 2019;83(8):1682–1688.CrossRefGoogle ScholarPubMed
Bardy, GH, Lee, KL, Mark, DB, et al. Home use of automated external defibrillators for sudden cardiac arrest. N Engl J Med. 2008;358(17):1793–1804.CrossRefGoogle ScholarPubMed
Nichol, G, Huszti, E, Birnbaum, A, et al. Cost-effectiveness of lay responder defibrillation for out-of-hospital cardiac arrest. Ann Emerg Med. 2009;54(2):226-235;e1-2.CrossRefGoogle ScholarPubMed
Muraoka, H, Ohishi, Y, Hazui, H, et al. Location of out-of-hospital cardiac arrests in Takatsuki City: where should automated external defibrillator be placed. Circ J. 2006;70(7):827–831.CrossRefGoogle ScholarPubMed
Supplementary material: File

Oh et al. supplementary material

Table S1 and Figures S1-S8

Download Oh et al. supplementary material(File)
File 2.6 MB