Table 4. Survival Outcomes in Studies Evaluating the Efficacy of Automated Electrical Defibrillators in Out-of-the Hospital Cardiac Arrest.
AED = automated external defibrillator; BS = bystander; CARES =Cardiac Arrest Registry to Enhance Survival; CPR = cardiopulmonary resuscitation; EMS = emergency medical services; FR = first responder; NIS = neurologically intact survival; OHCA = outside of hospital cardiac arrest
| Investigator | Study Design | Sample Size | Study Comparison | Outcomes |
|---|---|---|---|---|
| Hansen et al.[29] | Retrospective (CARES Registry) | N = 4,961 | Impact of providing focused training for BS and FRs on survival in OHCA | BS resuscitation had higher survival rates: EMS (CPR + Defibrillation)= 15.2% BS (CPR + Defibrillation)= 33.6% BS CPR + FR Defibrillation= 24.2% FR CPR + Defibrillation= 25.2% |
| Berdowski et al.[26] | Retrospective | N = 2,833 | Onsite vs. dispatched AED on time to defibrillation and NIS to discharge | Onsite AED: 4.1 min, NIS 49.6% Dispatched AED: 8.5 min, NIS 17.2% |
| Blom et al.[28] | Retrospective | N = 6,133 | Is NIS after OHCA due to AED use in those with initial shockable rhtyhms? | NIS: 29.1% (no AED) vs. 41.4% (with AED) |
| Capucci et al.[32] | Prospective | N = 3,366 | AED use by FR vs. EMS on survival to discharge | Survival : FR (41.4%) vs. EMS: 5.9% |
| Ringh et al.[33] | Retrospective | N = 474 | Defibrillation by FR vs. EMS on 1-month survival | 1-month survival: FR with public AEDs (70%) vs. EMS 31% |
| Lijovic et al.[34] | Retrospective (Victorian Ambulance Cardiac Arrest Registry) | N = 2,270 | AED use by BS vs. EMS on survival to discharge | Survival to discharge: 45% (BS) vs. 31% (EMS) |
| Nakahara et al.[19] | Retrospective (Japanese Nationwide OHCA Registry) | N = 167,912 | Defibrillation by FR vs. EMS on NIS to discharge | NIS: 40.7% (BS) vs. 15% (EMS) |
| Hallstrom et al.[31] | Prospective, randomized public access defibrillation trial | N = 3,413 | CPR only vs. CPR+AED by trained laypersons on survival to discharge following OHCA | 23.4% (CPR+AED) vs. 14% (CPR only) |
| Agerskov et al.[25] | Retrospective (Mobile Emergency Care Unit and the Danish Cardiac Arrest Registry) | N = 521 | 30-day survival for AED application before and after EMS arrival | AED before EMS (64%) vs. after EMS arrival (37%); 15% OHCAs occurred within 100m of AED but only 3.8% had AED use |
| Weisfeldt et al.[35] | Prospective population based cohort study | N = 13,769 | AED vs. no AED use before EMS arrival on survival to discharge | Survival: no AED (9%) vs. AED only (24%) vs. AED+shock (38%) |
| Eckstein et al.[27] | Prospective, longitudinal and observational study | N = 59 | Impact of public access AED on survival to diacharge | Public access AED use = 69% NIS to discharge. |