Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Experiences and outcome from the implementation of a national Swedish automated external defibrillator registry

Fredman, D. ; Ringh, M. ; Svensson, L. ; Hollenberg, J. ; Nordberg, P. ; Djärv, T. ; Hasselqvist-Ax, I. ; Wagner, H. LU ; Forsberg, S. and Nord, A. , et al. (2018) In Resuscitation 130. p.73-80
Abstract

Background: Early cardiopulmonary resuscitation (CPR) and defibrillation with an Automated External Defibrillator (AED) increase survival from out-of-hospital cardiac arrest (OHCA). Although international guidelines recommend the use of AED registries to increase AED use, little is known about implementation. The aim of this paper is to describe the development of a national AED registry, to analyse the coverage and barriers to register AEDs. Methods: The Swedish AED Registry (SAEDREG) was initiated in 2009 with the purpose of gathering the data of all public AEDs in Sweden. Data on all AEDs between 2013 and 2016 were included in the study. Additionally, data of non-registered AEDs was collected in one region using a survey to AED... (More)

Background: Early cardiopulmonary resuscitation (CPR) and defibrillation with an Automated External Defibrillator (AED) increase survival from out-of-hospital cardiac arrest (OHCA). Although international guidelines recommend the use of AED registries to increase AED use, little is known about implementation. The aim of this paper is to describe the development of a national AED registry, to analyse the coverage and barriers to register AEDs. Methods: The Swedish AED Registry (SAEDREG) was initiated in 2009 with the purpose of gathering the data of all public AEDs in Sweden. Data on all AEDs between 2013 and 2016 were included in the study. Additionally, data of non-registered AEDs was collected in one region using a survey to AED owners focusing on AED functionality. Results: The number of AEDs doubled between 2013–2016. A total of 6703 AEDs (30%) were removed due to unavailability of validation. At the end of 2016, AEDs were most frequently registered in offices and workplaces, 45% (n = 7241) followed by shops, 7% (n = 1200). In the Gotland region, 218 AEDs, 57% (n = 124) were registered in the SAEDREG. Of n = 94 Non-registered AED functionality was high, the main reason not to register was unawareness of the SAEDREG, 74.5%. Of those aware of the register but not having registered, 25% stated “hard to register” as cause. Conclusions: A national AED registry may gather information of AEDs on a national level. Although numbers have doubled between 2013–2016 in Sweden, a large proportion is still non-registered. More awareness of the registry and easier registration process is needed. General AED functionality seems high regardless of registered or non-registered AEDs. A key area for future research may be to use AED-registers to ascertain effectiveness of AED programs in terms of actual patient outcome.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; ; and , et al. (More)
; ; ; ; ; ; ; ; ; ; and (Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
AED, AED registry, Defibrillation, Defibrillator, OHCA, Out-of-hospital cardiac arrest
in
Resuscitation
volume
130
pages
8 pages
publisher
Elsevier
external identifiers
  • pmid:30017862
  • scopus:85049747088
ISSN
0300-9572
DOI
10.1016/j.resuscitation.2018.06.036
project
Helsingborg Resuscitation and Cardiovascular Research Group
language
English
LU publication?
yes
id
386c839d-f0c6-4714-9bed-ec856491783a
date added to LUP
2018-07-24 09:44:35
date last changed
2021-10-06 05:27:19
@article{386c839d-f0c6-4714-9bed-ec856491783a,
  abstract     = {<p>Background: Early cardiopulmonary resuscitation (CPR) and defibrillation with an Automated External Defibrillator (AED) increase survival from out-of-hospital cardiac arrest (OHCA). Although international guidelines recommend the use of AED registries to increase AED use, little is known about implementation. The aim of this paper is to describe the development of a national AED registry, to analyse the coverage and barriers to register AEDs. Methods: The Swedish AED Registry (SAEDREG) was initiated in 2009 with the purpose of gathering the data of all public AEDs in Sweden. Data on all AEDs between 2013 and 2016 were included in the study. Additionally, data of non-registered AEDs was collected in one region using a survey to AED owners focusing on AED functionality. Results: The number of AEDs doubled between 2013–2016. A total of 6703 AEDs (30%) were removed due to unavailability of validation. At the end of 2016, AEDs were most frequently registered in offices and workplaces, 45% (n = 7241) followed by shops, 7% (n = 1200). In the Gotland region, 218 AEDs, 57% (n = 124) were registered in the SAEDREG. Of n = 94 Non-registered AED functionality was high, the main reason not to register was unawareness of the SAEDREG, 74.5%. Of those aware of the register but not having registered, 25% stated “hard to register” as cause. Conclusions: A national AED registry may gather information of AEDs on a national level. Although numbers have doubled between 2013–2016 in Sweden, a large proportion is still non-registered. More awareness of the registry and easier registration process is needed. General AED functionality seems high regardless of registered or non-registered AEDs. A key area for future research may be to use AED-registers to ascertain effectiveness of AED programs in terms of actual patient outcome.</p>},
  author       = {Fredman, D. and Ringh, M. and Svensson, L. and Hollenberg, J. and Nordberg, P. and Djärv, T. and Hasselqvist-Ax, I. and Wagner, H. and Forsberg, S. and Nord, A. and Jonsson, M. and Claesson, A.},
  issn         = {0300-9572},
  language     = {eng},
  month        = {09},
  pages        = {73--80},
  publisher    = {Elsevier},
  series       = {Resuscitation},
  title        = {Experiences and outcome from the implementation of a national Swedish automated external defibrillator registry},
  url          = {http://dx.doi.org/10.1016/j.resuscitation.2018.06.036},
  doi          = {10.1016/j.resuscitation.2018.06.036},
  volume       = {130},
  year         = {2018},
}