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Mismatches Between the Number of Installed Automated External Defibrillators and the Annual Rate of Automated External Defibrillator Use Among Places

Published online by Cambridge University Press:  13 January 2021

Je Hyeok Oh Open the ORCID record for Je Hyeok Oh [Opens in a new window] ,
Gyu Chong Cho ,
Seung Mok Ryoo ,
So Hyun Han ,
Seon Hee Woo ,
Yong Soo Jang ,
Youngsuk Cho ,
Minseob Sim  and
Oh Hyun Kim
Je Hyeok Oh
Affiliation:
Department of Emergency Medicine, Chung-Ang University College of Medicine, Seoul, Republic of Korea
Gyu Chong Cho*
Affiliation:
Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea
Seung Mok Ryoo
Affiliation:
Department of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea
So Hyun Han
Affiliation:
National Medical Center, National Emergency Medical Center, Seoul, Republic of Korea
Seon Hee Woo
Affiliation:
Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Yong Soo Jang
Affiliation:
Department of Emergency Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea
Youngsuk Cho
Affiliation:
Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea
Minseob Sim
Affiliation:
Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
Oh Hyun Kim
Affiliation:
Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Gangwon-do, Republic of Korea
*
Correspondence: Gyu Chong Cho, MD, PhD, Department of Emergency Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, 150, Sungan-ro, Gangdong-gu, Seoul05355, Republic of Korea, E-mail: emdrcho@hallym.or.kr
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Abstract

Aim:

In South Korea, the law concerning automated external defibrillators (AEDs) states that they should be installed in specific places including apartment complexes. This study was conducted to investigate the current status and effectiveness of installation and usage of AEDs in South Korea.

Methods:

Installation and usage of AEDs in South Korea is registered in the National Emergency Medical Center (NEMC) database. Compared were the installed number, usage, and annual rate of AED use according to places of installation. All data were obtained from the NEMC database.

Results:

After excluding AEDs installed in ambulances or fire engines (n = 2,003), 36,498 AEDs were registered in South Korea from 1998 through 2018. A higher number of AEDs were installed in places required by the law compared with those not required by the law (20,678 [56.7%] vs. 15,820 [43.3%]; P <.001). Among them, 11,318 (31.0%) AEDs were installed in apartment complexes. The overall annual rate of AED use was 0.38% (95% CI, 0.33-0.44). The annual rate of AED use was significantly higher in places not required by the law (0.62% [95% CI, 0.52-0.72] versus 0.21% [95% CI, 0.16-0.25]; P <.001). The annual rate of AED use in apartment complexes was 0.13% (95% CI, 0.08-0.17).

Conclusion:

There were significant mismatches between the number of installed AEDs and the annual rate of AED use among places. To optimize the benefit of AEDs in South Korea, changes in the policy for selecting AED placement are needed.

Keywords

automated external defibrillatorselectric defibrillationlawout-of-hospital cardiac arrestSouth Korea
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 2 , April 2021 , pp. 183 - 188
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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