Shanghai Jiao Tong University School of Public Health, Shanghai, China.
Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Resuscitation. 2019 Jul;140:120-126. doi: 10.1016/j.resuscitation.2019.05.015. Epub 2019 May 23.
Public access of automated external defibrillator (AED) is an important public health strategy for improving survival of cardiac arrest. Major metropolitan cities in China are increasingly investing and implementing public access defibrillator programs, but the effectiveness of these programs remains unclear. This study aims to evaluate the public accessibility of AED in Shanghai, a major metropolitan city in China.
From July 1 to September 30, 2018, all AED locations indicated by AED Access Map Apps were visited and investigated in three most densely distributing areas of AED (Huangpu District, Xuhui District, and Central Area of the Pudong New District) in Shanghai. Two AED Access Map APPs were used to identify the location of AEDs. Characteristics of and the barriers to access, the AED sites were recorded. Awareness and skills of first aid and AED among on-site staff of the AED installation sites were evaluated.
A total of 283 sites were marked on two AED Apps. One hundred and seventy (60%) locations were accessible, and 142 (50%) were actually with AEDs installed. Among those AED installed sites, 112 (79%) were completely identifiable to the information on the maps, 20 (14%) were inconsistent and 10 (7%) were inaccurate on the maps. Ninety-four (66%) AEDs had visible signs and information around the location, 7 (5%) AEDs had signs outside of the location, and 107 (75%) sites had educational instructions. In addition, 230 individuals who were around the AED site were interviewed. Among them, 79 (34%) had good knowledge of AED. After shown the picture of AED, 112 (49%) knew whether there was AED in the site, and 108 (47%) knew the AED's location. Eighty-seven (38%) staff have received first aid training, and among them 26 (30%) reported that they had skills in operating the AED.
Public placement and accessibility of AEDs, related public signs and information on AED, and staff's awareness about AED were not optimal in Shanghai. Continuing efforts should be made to improve public accessibility and public awareness, knowledge, and user skills of AED.
公共场所自动体外除颤器（AED）的普及是提高心脏骤停患者存活率的重要公共卫生策略。中国的主要大都市城市正在加大投资和实施公共场所除颤器计划，但这些计划的效果尚不清楚。本研究旨在评估中国主要大都市城市上海的 AED 公共可及性。
2018 年 7 月 1 日至 9 月 30 日，在上海 AED 分布最密集的三个地区（黄浦区、徐汇区和浦东新区中心区），访问和调查了 AED 访问地图应用程序所指示的所有 AED 位置。使用了两个 AED 访问地图 APP 来识别 AED 的位置。记录了 AED 站点的特征和访问障碍，以及 AED 安装现场工作人员的急救和 AED 技能意识。
两个 AED 应用程序共标记了 283 个站点。170 个（60%）位置可访问，142 个（50%）实际安装了 AED。在安装 AED 的站点中，有 112 个（79%）完全可以根据地图上的信息识别，20 个（14%）不一致，10 个（7%）不准确。94 个（66%）AED 周围有可见的标识和信息，7 个（5%）AED 位于位置之外，107 个（75%）站点有教育说明。此外，还对 230 名在 AED 站点周围的个人进行了采访。其中，79 人（34%）对 AED 有很好的了解。在展示 AED 的图片后，112 人（49%）知道该站点是否有 AED，108 人（47%）知道 AED 的位置。有 87 人（38%）接受过急救培训，其中 26 人（30%）报告说他们有操作 AED 的技能。
上海 AED 的公共放置和可及性、AED 的相关公共标志和信息以及工作人员对 AED 的意识并不理想。应继续努力提高公众的可及性和公众对 AED 的认识、知识和用户技能。
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