Analysis of out-of-hospital cardiac arrest location and public access defibrillator placement in Metropolitan Phoenix, Arizona

Sungwoo Moon, Tyler F. Vadeboncoeur, Wesley Kortuem, Marvis Kisakye, Madalyn Karamooz, Bernadette White, Paula Brazil, Daniel W. Spaite, Bentley J. Bobrow

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objectives: Automated external defibrillators (AEDs) improve outcomes from out-of-hospital cardiac arrest (OHCA) but are infrequently used. We sought to compare the locations of OHCAs and AEDs in metropolitan Phoenix, Arizona. Methods: Public location OHCAs and AEDs were geocoded utilizing a statewide OHCA database (1/2010-12/2012) and AED registry. OHCAs were mapped using kernel-density estimation and overlapped with AED placements. Spearman's rho was obtained to determine the correlation between OHCA incidents and AED locations. Results: A total of 654 consecutive public location OHCAs and all 1704 non-medical facility AEDs registered in the study area were included in the analysis. High OHCA incident areas lacking AEDs were identified in the kernel-density surface map. OHCA event/AED correlation analysis showed a weak correlation (Spearman's rho. =. 0.283; p=. 0.002). Events occurred most frequently at locations categorized as "In Cars/Roads/Parking lots" (190/654, 29.1%) and there were no identified AEDs for these areas. AEDs were placed most frequently in "Public business/Office/Workplace" and cardiac arrests occurred with the second highest frequency in this location type. Conclusion: There was a weak correlation between OHCA events and deployed AEDs. It was possible to identify areas where OHCAs occurred frequently but AEDs were lacking. The ability to correlate the sites of OHCAs and AED locations is a necessary step toward improving the effectiveness of public access defibrillation.

Original languageEnglish
Pages (from-to)43-49
Number of pages7
JournalResuscitation
Volume89
Issue numberC
DOIs
Publication statusPublished - 2015 Jan 1

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Out-of-Hospital Cardiac Arrest
Defibrillators
Geographic Mapping
Spatial Analysis
Heart Arrest
Workplace

Keywords

  • Automated external defibrillator
  • Cardiac arrest
  • Defibrillation
  • Resuscitation

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine

Cite this

Analysis of out-of-hospital cardiac arrest location and public access defibrillator placement in Metropolitan Phoenix, Arizona. / Moon, Sungwoo; Vadeboncoeur, Tyler F.; Kortuem, Wesley; Kisakye, Marvis; Karamooz, Madalyn; White, Bernadette; Brazil, Paula; Spaite, Daniel W.; Bobrow, Bentley J.

In: Resuscitation, Vol. 89, No. C, 01.01.2015, p. 43-49.

Research output: Contribution to journalArticle

Moon, S, Vadeboncoeur, TF, Kortuem, W, Kisakye, M, Karamooz, M, White, B, Brazil, P, Spaite, DW & Bobrow, BJ 2015, 'Analysis of out-of-hospital cardiac arrest location and public access defibrillator placement in Metropolitan Phoenix, Arizona', Resuscitation, vol. 89, no. C, pp. 43-49. https://doi.org/10.1016/j.resuscitation.2014.10.029
Moon, Sungwoo ; Vadeboncoeur, Tyler F. ; Kortuem, Wesley ; Kisakye, Marvis ; Karamooz, Madalyn ; White, Bernadette ; Brazil, Paula ; Spaite, Daniel W. ; Bobrow, Bentley J. / Analysis of out-of-hospital cardiac arrest location and public access defibrillator placement in Metropolitan Phoenix, Arizona. In: Resuscitation. 2015 ; Vol. 89, No. C. pp. 43-49.
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AU - Vadeboncoeur, Tyler F.

AU - Kortuem, Wesley

AU - Kisakye, Marvis

AU - Karamooz, Madalyn

AU - White, Bernadette

AU - Brazil, Paula

AU - Spaite, Daniel W.

AU - Bobrow, Bentley J.

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N2 - Objectives: Automated external defibrillators (AEDs) improve outcomes from out-of-hospital cardiac arrest (OHCA) but are infrequently used. We sought to compare the locations of OHCAs and AEDs in metropolitan Phoenix, Arizona. Methods: Public location OHCAs and AEDs were geocoded utilizing a statewide OHCA database (1/2010-12/2012) and AED registry. OHCAs were mapped using kernel-density estimation and overlapped with AED placements. Spearman's rho was obtained to determine the correlation between OHCA incidents and AED locations. Results: A total of 654 consecutive public location OHCAs and all 1704 non-medical facility AEDs registered in the study area were included in the analysis. High OHCA incident areas lacking AEDs were identified in the kernel-density surface map. OHCA event/AED correlation analysis showed a weak correlation (Spearman's rho. =. 0.283; p=. 0.002). Events occurred most frequently at locations categorized as "In Cars/Roads/Parking lots" (190/654, 29.1%) and there were no identified AEDs for these areas. AEDs were placed most frequently in "Public business/Office/Workplace" and cardiac arrests occurred with the second highest frequency in this location type. Conclusion: There was a weak correlation between OHCA events and deployed AEDs. It was possible to identify areas where OHCAs occurred frequently but AEDs were lacking. The ability to correlate the sites of OHCAs and AED locations is a necessary step toward improving the effectiveness of public access defibrillation.

AB - Objectives: Automated external defibrillators (AEDs) improve outcomes from out-of-hospital cardiac arrest (OHCA) but are infrequently used. We sought to compare the locations of OHCAs and AEDs in metropolitan Phoenix, Arizona. Methods: Public location OHCAs and AEDs were geocoded utilizing a statewide OHCA database (1/2010-12/2012) and AED registry. OHCAs were mapped using kernel-density estimation and overlapped with AED placements. Spearman's rho was obtained to determine the correlation between OHCA incidents and AED locations. Results: A total of 654 consecutive public location OHCAs and all 1704 non-medical facility AEDs registered in the study area were included in the analysis. High OHCA incident areas lacking AEDs were identified in the kernel-density surface map. OHCA event/AED correlation analysis showed a weak correlation (Spearman's rho. =. 0.283; p=. 0.002). Events occurred most frequently at locations categorized as "In Cars/Roads/Parking lots" (190/654, 29.1%) and there were no identified AEDs for these areas. AEDs were placed most frequently in "Public business/Office/Workplace" and cardiac arrests occurred with the second highest frequency in this location type. Conclusion: There was a weak correlation between OHCA events and deployed AEDs. It was possible to identify areas where OHCAs occurred frequently but AEDs were lacking. The ability to correlate the sites of OHCAs and AED locations is a necessary step toward improving the effectiveness of public access defibrillation.

KW - Automated external defibrillator

KW - Cardiac arrest

KW - Defibrillation

KW - Resuscitation

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