Department of Family Medicine, University of Washington, Seattle 98195, USA.
J Athl Train. 2013 Mar-Apr;48(2):242-7. doi: 10.4085/1062-6050-48.1.20. Epub 2013 Feb 20.
School-based automated external defibrillator (AED) programs have demonstrated a high survival rate for individuals suffering sudden cardiac arrest (SCA) in US high schools.
To examine the relationship between high schools having an AED on campus and other measures of emergency preparedness for SCA.
Cross-sectional study.
United States high schools, December 2006 to September 2009.
Principals, athletic directors, school nurses, and certified athletic trainers represented 3371 high schools.
MAIN OUTCOME MEASURE(S): Comprehensive surveys on emergency planning for SCA submitted by high school representatives to the National Registry for AED Use in Sports from December 2006 to September 2009. Schools with and without AEDs were compared to assess other elements of emergency preparedness for SCA.
A total of 2784 schools (82.6%) reported having 1 or more AEDs on campus, with an average of 2.8 AEDs per school; 587 schools (17.4%) had no AEDs. Schools with an enrollment of more than 500 students were more likely to have an AED (relative risk [RR] = 1.12, 95% confidence interval [CI] = 1.08, 1.16, P < .01). Suburban schools were more likely to have an AED than were rural (RR = 1.08, 95% CI = 1.04, 1.11, P < .01), urban (RR = 1.13, 95% CI = 1.04, 1.16, P < .01), or inner-city schools (RR = 1.10, 95% CI = 1.04, 1.23, P < .01). Schools with 1 or more AEDs were more likely to ensure access to early defibrillation (RR = 3.45, 95% CI = 2.97, 3.99, P < .01), establish an emergency action plan for SCA (RR = 1.83, 95% CI = 1.67, 2.00, P < .01), review the emergency action plan at least annually (RR = 1.99, 95% CI = 1.58, 2.50, P < .01), consult emergency medical services to develop the emergency action plan (RR = 1.18, 95% CI = 1.05, 1.32, P < .01), and establish a communication system to activate emergency responders (RR = 1.06, 95% CI = 1.01, 1.08, P < .01).
High schools with AED programs were more likely to establish a comprehensive emergency response plan for SCA. Implementing school-based AED programs is a key step associated with emergency planning for young athletes with SCA.
在美国的高中，基于学校的自动体外除颤器（AED）项目已经显示出对患有心搏骤停（SCA）的个体具有很高的生存率。
检查校园内配备 AED 的高中与 SCA 应急准备的其他措施之间的关系。
横断面研究。
美国高中，2006 年 12 月至 2009 年 9 月。
校长、体育主任、学校护士和认证的运动训练师代表了 3371 所高中。
2006 年 12 月至 2009 年 9 月，高中代表向国家 AED 在运动中使用登记处提交的关于 SCA 应急计划的综合调查。比较有和没有 AED 的学校，以评估 SCA 应急准备的其他要素。
共有 2784 所学校（82.6%）报告称校园内有 1 个或多个 AED，平均每所学校有 2.8 个 AED；587 所学校（17.4%）没有 AED。学生人数超过 500 人的学校更有可能配备 AED（相对风险 [RR] = 1.12，95%置信区间 [CI] = 1.08，1.16，P <.01）。与农村学校相比，郊区学校更有可能配备 AED（RR = 1.08，95% CI = 1.04，1.11，P <.01）、城市学校（RR = 1.13，95% CI = 1.04，1.16，P <.01）或市区学校（RR = 1.10，95% CI = 1.04，1.23，P <.01）。配备 1 个或多个 AED 的学校更有可能确保尽早除颤（RR = 3.45，95% CI = 2.97，3.99，P <.01）、制定 SCA 应急行动计划（RR = 1.83，95% CI = 1.67，2.00，P <.01）、至少每年审查一次应急行动计划（RR = 1.99，95% CI = 1.58，2.50，P <.01）、咨询紧急医疗服务机构制定应急行动计划（RR = 1.18，95% CI = 1.05，1.32，P <.01）以及建立一个激活应急响应人员的通信系统（RR = 1.06，95% CI = 1.01，1.08，P <.01）。
配备 AED 计划的高中更有可能为 SCA 制定全面的应急响应计划。实施基于学校的 AED 计划是与 SCA 年轻运动员的应急计划相关的关键步骤。
