Fedoruk J C, Currie Wayne L, Gobet Meikel
Essex Kent Base Hospital Centre, Hotel Dieu, Grace Hospital, Windsor, Ontario, Canada.
Prehosp Disaster Med. 2002 Oct-Dec;17(4):202-5. doi: 10.1017/s1049023x00000509.
The purpose of this study was to describe the regional locations of cardiac arrest, and to identify public locations and the annual incidence of arrests within the identified locations, in order to help to determine optimal placement of Automatic External Defibrillators (AEDs) under the regional Public Access Defibrillation (PAD) Program. This is a retrospective study.
The locations of cardiac arrest were abstracted from Ambulance Call Reports (ACRs) collected by the Essex-Kent Base Hospital Centre from regional ambulance services throughout the City of Windsor, and the Counties of Essex and Kent, Ontario, Canada, from 01 January 1994 through 31 December 2000. Arrest locations were grouped into five categories, and then the number of public venues was determined. Public Sites were grouped into 28 Public Locations. Also included in the Public Sites were both General Industry and Outdoors categories. Categories identified but excluded from Public Sites were Institutions and Private Residences.
During the study, 2,295 arrests occurred, 152 cases were excluded, 2,142 arrests were categorized, (average annual incidence of 306 +/- 50.4 cardiac arrests), 329 (15.4%) of which were in Public Sites. Nineteen public venues had an average of > 1 arrest/year, and nine public venues had an average of < or = 1 arrest/year during the study, period. Calculations of the annual incidence of arrests for each public location were completed.
These findings have significant prehospital emergency cardiac care implications for communities that wish to strengthen/improve their responses to out-of-hospital cardiac arrests. Public Access Defibrillation Programs should identify the site-specific incidence of arrest within their communities in order to provide legitimacy for funding and planning of programs. Training and availability of AEDs will reduce the time to first shock, thus strengthening the chain-of-survival and will save more lives.
本研究的目的是描述心脏骤停的区域位置，确定公共场所及这些场所内心脏骤停的年发生率，以协助在区域公众可获取除颤器（PAD）计划下确定自动体外除颤器（AED）的最佳放置位置。这是一项回顾性研究。
心脏骤停的位置信息摘自埃塞克斯 - 肯特基地医院中心收集的救护车呼叫报告（ACR），这些报告来自加拿大安大略省温莎市以及埃塞克斯县和肯特县的区域救护服务，时间跨度为1994年1月1日至2000年12月31日。骤停位置被分为五类，然后确定公共场所的数量。公共场所被分为28个公共地点。公共场所还包括一般行业和户外类别。已识别但被排除在公共场所之外的类别是机构和私人住宅。
在研究期间，共发生2295次心脏骤停，排除152例，2142次心脏骤停被分类（平均每年发生率为306±50.4次心脏骤停），其中329次（15.4%）发生在公共场所。19个公共场所平均每年有超过1次心脏骤停，9个公共场所平均每年有1次或少于1次心脏骤停。完成了每个公共地点心脏骤停年发生率的计算。
这些发现对希望加强/改善其对院外心脏骤停反应的社区具有重要的院前紧急心脏护理意义。公众可获取除颤器计划应确定其社区内特定地点的心脏骤停发生率，以便为计划的资金筹集和规划提供合理性依据。AED的培训和可用性将减少首次电击的时间，从而加强生存链并挽救更多生命。
