Garcia Elena Linda, Caffrey-Villari Sherry, Ramirez Diomeda, Caron Jean-Luc, Mannhart Patrice, Reuter Paul-Georges, Lapostolle Frederic, Adnet Frederic
Centre hospitalier universitaire Vaudois, service des urgences, 1002 Lausanne, Suisse.
Chicago Department of Aviation, Chicago, États-Unis.
Presse Med. 2017 Mar;46(3):e63-e68. doi: 10.1016/j.lpm.2016.09.027. Epub 2017 Mar 18.
Out-of-hospital cardiac arrest (OHCA) is a major public health challenge. Use of automated external defibrillators (AED) by laypersons improves survival of patient's victim of OHCA. The aim of our study was to compare onsite AED vs. dispatched AED management of cardiac arrest occurring in international airports.
We conducted a retrospective, observational, comparative, study on data collected from three international airports: Paris-Charles-de-Gaulle (CDG), Chicago and Madrid-Barajas. We included patients with OHCA occurring inside the airport between 2009 and 2013. Group public access (PUB) included airports where AED were available to laypersons and group dispatched (SEC) was represented by Paris-CDG airport where AED was provided by paramedic teams. The primary endpoint was successful resuscitation defined as survival at time of hospital admission.
We included 150 consecutive patients victim of OHCA in the three airports. The time between collapse and AED setting was significantly shorter in the PUB vs. SEC group (4±3minutes vs. 11±11, P=0.0006). The total duration of resuscitation was shorter in the PUB group (10±10minutes vs. 36±25minutes, P<0.0001). Survival at time of hospital admission was higher in the PUB group (62% vs. 38%, P=0.01).
The availability of public access AEDs in international airports seems to allow a quicker defibrillation and an increased success rate of resuscitation.
院外心脏骤停（OHCA）是一项重大的公共卫生挑战。非专业人员使用自动体外除颤器（AED）可提高OHCA患者的生存率。我们研究的目的是比较国际机场发生心脏骤停时现场AED与调度AED管理的效果。
我们对从三个国际机场收集的数据进行了一项回顾性、观察性、对比性研究，这三个机场分别是巴黎戴高乐机场（CDG）、芝加哥机场和马德里巴拉哈斯机场。我们纳入了2009年至2013年在机场内发生OHCA的患者。公共可及组（PUB）包括AED可供非专业人员使用的机场，调度组（SEC）以巴黎戴高乐机场为代表，该机场的AED由护理人员团队提供。主要终点是成功复苏，定义为入院时存活。
我们纳入了三个机场连续150例OHCA患者。与SEC组相比，PUB组从心脏骤停到设置AED的时间明显更短（4±3分钟对11±11分钟，P = 0.0006）。PUB组的复苏总时长更短（10±10分钟对36±25分钟，P<0.0001）。PUB组入院时的生存率更高（62%对38%，P = 0.01）。
国际机场中公共可及AED的配备似乎能实现更快的除颤并提高复苏成功率。
