True Public Access Defibrillator Coverage is Overestimated

Christopher L.F. Sun, Derya Demirtas, Steven C. Brooks, Laurie J. Morrison, Timothy C.Y. Chan

Research output: Contribution to journalMeeting AbstractAcademic

Abstract

Background: Out-of-hospital cardiac arrests (OHCAs) occur at all times of the day and night. Immediate access to an AED increases survival. However, most public-location AEDs are placed in buildings without 24 hour access.
Objective: To measure fixed-location public AED coverage of OHCAs by time of day and day of week in a Canadian urban setting.
Methods: We identified all atraumatic public OHCAs occurring in Toronto, Canada from Jan. 2006 – Aug. 2014. We obtained a list of registered AEDs from Toronto Emergency Medical Services as of March 2015 and determined the hours that each AED was available based on operating hours of the building housing the AED. We counted the number of OHCAs that occurred within 100 m of an AED (“assumed 24/7 coverage”) and the number that occurred both within 100 m of an AED and when the AED was available (“actual coverage”). Statistical analysis was performed using a [chi]2 test.
Results: We identified 2440 atraumatic public OHCAs and 737 registered AED locations. A total of 451 OHCAs were covered under assumed 24/7 coverage. In terms of actual coverage, 354 OHCAs were covered, representing a coverage loss of 25.5%. The figure shows coverage decreased by 8.6% during the day (8am-3:59pm), 28.6% in the evening (4pm-11:59pm), and 48.4% at night (12am-7:59am); the differences were statistically significant (p<0.001). During the evenings, nights, and weekends the coverage loss was 31.6%, which is when the majority (66.1%) of the OHCAs occurred. The largest coverage losses were found in schools (39.7%), industrial facilities (39.3%), recreation facilities (37.1%), and offices (35.7%). Transportation facilities, long term care homes and homeless shelters had no coverage loss.
Conclusion: One out of every four OHCAs in proximity of an AED occurs when that AED is inaccessible due to lack of 24/7 access. When deciding on candidate locations for placement of AEDs, temporal access should be considered to maximize the number of lives saved.
Original languageEnglish
Article numberA15051
JournalCirculation
Volume132
Issue numberSuppl. 3
Publication statusPublished - 2015
EventResuscitation Science Symposium 2015 - Orange County Convention Center, Orlando, United States
Duration: 7 Nov 20159 Nov 2015

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Out-of-Hospital Cardiac Arrest
Defibrillators
Public Hospitals
Recreation
Emergency Medical Services
Long-Term Care
Canada

Cite this

Sun, C. L. F., Demirtas, D., Brooks, S. C., Morrison, L. J., & Chan, T. C. Y. (2015). True Public Access Defibrillator Coverage is Overestimated. Circulation, 132(Suppl. 3), [A15051].
Sun, Christopher L.F. ; Demirtas, Derya ; Brooks, Steven C. ; Morrison, Laurie J. ; Chan, Timothy C.Y. / True Public Access Defibrillator Coverage is Overestimated. In: Circulation. 2015 ; Vol. 132, No. Suppl. 3.
@article{3c0925c73618431fa6a98903ea850989,
title = "True Public Access Defibrillator Coverage is Overestimated",
abstract = "Background: Out-of-hospital cardiac arrests (OHCAs) occur at all times of the day and night. Immediate access to an AED increases survival. However, most public-location AEDs are placed in buildings without 24 hour access.Objective: To measure fixed-location public AED coverage of OHCAs by time of day and day of week in a Canadian urban setting.Methods: We identified all atraumatic public OHCAs occurring in Toronto, Canada from Jan. 2006 – Aug. 2014. We obtained a list of registered AEDs from Toronto Emergency Medical Services as of March 2015 and determined the hours that each AED was available based on operating hours of the building housing the AED. We counted the number of OHCAs that occurred within 100 m of an AED (“assumed 24/7 coverage”) and the number that occurred both within 100 m of an AED and when the AED was available (“actual coverage”). Statistical analysis was performed using a [chi]2 test.Results: We identified 2440 atraumatic public OHCAs and 737 registered AED locations. A total of 451 OHCAs were covered under assumed 24/7 coverage. In terms of actual coverage, 354 OHCAs were covered, representing a coverage loss of 25.5{\%}. The figure shows coverage decreased by 8.6{\%} during the day (8am-3:59pm), 28.6{\%} in the evening (4pm-11:59pm), and 48.4{\%} at night (12am-7:59am); the differences were statistically significant (p<0.001). During the evenings, nights, and weekends the coverage loss was 31.6{\%}, which is when the majority (66.1{\%}) of the OHCAs occurred. The largest coverage losses were found in schools (39.7{\%}), industrial facilities (39.3{\%}), recreation facilities (37.1{\%}), and offices (35.7{\%}). Transportation facilities, long term care homes and homeless shelters had no coverage loss.Conclusion: One out of every four OHCAs in proximity of an AED occurs when that AED is inaccessible due to lack of 24/7 access. When deciding on candidate locations for placement of AEDs, temporal access should be considered to maximize the number of lives saved.",
author = "Sun, {Christopher L.F.} and Derya Demirtas and Brooks, {Steven C.} and Morrison, {Laurie J.} and Chan, {Timothy C.Y.}",
note = "Abstracts From the American Heart Association's 2015 Scientific Sessions and Resuscitation Science Symposium",
year = "2015",
language = "English",
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journal = "Circulation",
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Sun, CLF, Demirtas, D, Brooks, SC, Morrison, LJ & Chan, TCY 2015, 'True Public Access Defibrillator Coverage is Overestimated' Circulation, vol. 132, no. Suppl. 3, A15051.

True Public Access Defibrillator Coverage is Overestimated. / Sun, Christopher L.F.; Demirtas, Derya; Brooks, Steven C.; Morrison, Laurie J.; Chan, Timothy C.Y.

In: Circulation, Vol. 132, No. Suppl. 3, A15051, 2015.

Research output: Contribution to journalMeeting AbstractAcademic

TY - JOUR

T1 - True Public Access Defibrillator Coverage is Overestimated

AU - Sun, Christopher L.F.

AU - Demirtas, Derya

AU - Brooks, Steven C.

AU - Morrison, Laurie J.

AU - Chan, Timothy C.Y.

N1 - Abstracts From the American Heart Association's 2015 Scientific Sessions and Resuscitation Science Symposium

PY - 2015

Y1 - 2015

N2 - Background: Out-of-hospital cardiac arrests (OHCAs) occur at all times of the day and night. Immediate access to an AED increases survival. However, most public-location AEDs are placed in buildings without 24 hour access.Objective: To measure fixed-location public AED coverage of OHCAs by time of day and day of week in a Canadian urban setting.Methods: We identified all atraumatic public OHCAs occurring in Toronto, Canada from Jan. 2006 – Aug. 2014. We obtained a list of registered AEDs from Toronto Emergency Medical Services as of March 2015 and determined the hours that each AED was available based on operating hours of the building housing the AED. We counted the number of OHCAs that occurred within 100 m of an AED (“assumed 24/7 coverage”) and the number that occurred both within 100 m of an AED and when the AED was available (“actual coverage”). Statistical analysis was performed using a [chi]2 test.Results: We identified 2440 atraumatic public OHCAs and 737 registered AED locations. A total of 451 OHCAs were covered under assumed 24/7 coverage. In terms of actual coverage, 354 OHCAs were covered, representing a coverage loss of 25.5%. The figure shows coverage decreased by 8.6% during the day (8am-3:59pm), 28.6% in the evening (4pm-11:59pm), and 48.4% at night (12am-7:59am); the differences were statistically significant (p<0.001). During the evenings, nights, and weekends the coverage loss was 31.6%, which is when the majority (66.1%) of the OHCAs occurred. The largest coverage losses were found in schools (39.7%), industrial facilities (39.3%), recreation facilities (37.1%), and offices (35.7%). Transportation facilities, long term care homes and homeless shelters had no coverage loss.Conclusion: One out of every four OHCAs in proximity of an AED occurs when that AED is inaccessible due to lack of 24/7 access. When deciding on candidate locations for placement of AEDs, temporal access should be considered to maximize the number of lives saved.

AB - Background: Out-of-hospital cardiac arrests (OHCAs) occur at all times of the day and night. Immediate access to an AED increases survival. However, most public-location AEDs are placed in buildings without 24 hour access.Objective: To measure fixed-location public AED coverage of OHCAs by time of day and day of week in a Canadian urban setting.Methods: We identified all atraumatic public OHCAs occurring in Toronto, Canada from Jan. 2006 – Aug. 2014. We obtained a list of registered AEDs from Toronto Emergency Medical Services as of March 2015 and determined the hours that each AED was available based on operating hours of the building housing the AED. We counted the number of OHCAs that occurred within 100 m of an AED (“assumed 24/7 coverage”) and the number that occurred both within 100 m of an AED and when the AED was available (“actual coverage”). Statistical analysis was performed using a [chi]2 test.Results: We identified 2440 atraumatic public OHCAs and 737 registered AED locations. A total of 451 OHCAs were covered under assumed 24/7 coverage. In terms of actual coverage, 354 OHCAs were covered, representing a coverage loss of 25.5%. The figure shows coverage decreased by 8.6% during the day (8am-3:59pm), 28.6% in the evening (4pm-11:59pm), and 48.4% at night (12am-7:59am); the differences were statistically significant (p<0.001). During the evenings, nights, and weekends the coverage loss was 31.6%, which is when the majority (66.1%) of the OHCAs occurred. The largest coverage losses were found in schools (39.7%), industrial facilities (39.3%), recreation facilities (37.1%), and offices (35.7%). Transportation facilities, long term care homes and homeless shelters had no coverage loss.Conclusion: One out of every four OHCAs in proximity of an AED occurs when that AED is inaccessible due to lack of 24/7 access. When deciding on candidate locations for placement of AEDs, temporal access should be considered to maximize the number of lives saved.

M3 - Meeting Abstract

VL - 132

JO - Circulation

JF - Circulation

SN - 0009-7322

IS - Suppl. 3

M1 - A15051

ER -

Sun CLF, Demirtas D, Brooks SC, Morrison LJ, Chan TCY. True Public Access Defibrillator Coverage is Overestimated. Circulation. 2015;132(Suppl. 3). A15051.