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Automated external defibrillators in schools?

(2015) ACTA CARDIOLOGICA. 70(3). p.249-254
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Abstract
Objective: Automated external defibrillators (AEDs) placed in public locations can save lives of cardiac arrest victims. In this paper, we try to estimate the cost-effectiveness of AED placement in Belgian schools. This would allow school policy makers to make an evidence-based decision about an on-site AED project. Methods and results: We developed a simple mathematical model containing literature data on the incidence of cardiac arrest with a shockable rhythm, the feasibility and effectiveness of defibrillation by on-site AEDs and the survival benefit. This was coupled to a rough estimation of the minimal costs to initiate an AED project. According to the model described above, AED projects in all Belgian schools may save 5 patients annually. A rough estimate of the minimal costs to initiate an AED project is 660 EUR per year. As there are about 6000 schools in Belgium, a national AED project in all schools would imply an annual cost of at least 3 960 000 EUR, resulting in 5 lives saved. Conclusions: As our literature survey shows that AED use in schools is feasible and effective, the placement of these devices in all Belgian schools is undoubtedly to be considered. The major counter-arguments are the very low incidence and the high costs to set up a school-based AED programme. Our review may fuel the discussion about whether or not school-based AED projects represent good value for money and should be preferred above other health care interventions.
Keywords
SUDDEN CARDIAC-ARREST, schools, PUBLIC-ACCESS DEFIBRILLATION, COST-EFFECTIVENESS, OUTCOMES, PROVIDERS, SURVIVAL, STUDENTS, COUNCIL, paediatrics, automated external defibrillator, resuscitation, Cardiac arrest

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Citation

Please use this url to cite or link to this publication:

Chicago
Cornelis, Charlotte, Paul Calle, Nicolas Mpotos, and Koenraad Monsieurs. 2015. “Automated External Defibrillators in Schools?” Acta Cardiologica 70 (3): 249–254.
APA
Cornelis, Charlotte, Calle, P., Mpotos, N., & Monsieurs, K. (2015). Automated external defibrillators in schools? ACTA CARDIOLOGICA, 70(3), 249–254.
Vancouver
1.
Cornelis C, Calle P, Mpotos N, Monsieurs K. Automated external defibrillators in schools? ACTA CARDIOLOGICA. 2015;70(3):249–54.
MLA
Cornelis, Charlotte, Paul Calle, Nicolas Mpotos, et al. “Automated External Defibrillators in Schools?” ACTA CARDIOLOGICA 70.3 (2015): 249–254. Print.
@article{7261746,
  abstract     = {Objective: Automated external defibrillators (AEDs) placed in public locations can save lives of cardiac arrest victims. In this paper, we try to estimate the cost-effectiveness of AED placement in Belgian schools. This would allow school policy makers to make an evidence-based decision about an on-site AED project. 
Methods and results: We developed a simple mathematical model containing literature data on the incidence of cardiac arrest with a shockable rhythm, the feasibility and effectiveness of defibrillation by on-site AEDs and the survival benefit. This was coupled to a rough estimation of the minimal costs to initiate an AED project. 
According to the model described above, AED projects in all Belgian schools may save 5 patients annually. A rough estimate of the minimal costs to initiate an AED project is 660 EUR per year. As there are about 6000 schools in Belgium, a national AED project in all schools would imply an annual cost of at least 3 960 000 EUR, resulting in 5 lives saved. 
Conclusions: As our literature survey shows that AED use in schools is feasible and effective, the placement of these devices in all Belgian schools is undoubtedly to be considered. The major counter-arguments are the very low incidence and the high costs to set up a school-based AED programme. Our review may fuel the discussion about whether or not school-based AED projects represent good value for money and should be preferred above other health care interventions.},
  author       = {Cornelis, Charlotte and Calle, Paul and Mpotos, Nicolas and Monsieurs, Koenraad},
  issn         = {0001-5385},
  journal      = {ACTA CARDIOLOGICA},
  keyword      = {SUDDEN CARDIAC-ARREST,schools,PUBLIC-ACCESS DEFIBRILLATION,COST-EFFECTIVENESS,OUTCOMES,PROVIDERS,SURVIVAL,STUDENTS,COUNCIL,paediatrics,automated external defibrillator,resuscitation,Cardiac arrest},
  language     = {eng},
  number       = {3},
  pages        = {249--254},
  title        = {Automated external defibrillators in schools?},
  url          = {http://dx.doi.org/10.2143/AC.70.3.3080628},
  volume       = {70},
  year         = {2015},
}

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