Projecte “Girona Territori Cardioprotegit”: avaluació del funcionament dels desfibril·ladors públics
Introduction and aims: In recent years, public access defibrillation programs have exponentially increased the availability of automatic external defibrillators in public spaces but there are no data on their performance in our setting. We conducted a descriptive analysis of the performance of autom...
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| Tipo de recurso: | tesis doctoral |
| Estado: | Versión publicada |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | CBUC, CESCA |
| Repositorio: | TDR. Tesis Doctorales en Red |
| OAI Identifier: | oai:www.tdx.cat:10803/670083 |
| Acceso en línea: | http://hdl.handle.net/10803/670083 |
| Access Level: | acceso abierto |
| Palabra clave: | Desfibril·lació pública Desfibrilación pública Public desfibrillation Aturada cardíaca Paro cardíaco Cardiac arrest Mort sobtada Muerte súbita Sudden death Reanimació cardiopulmonar Reanimación cardiopulmonar Cardiopulmonary ressuscitation Girona 614 616.1 |
| Sumario: | Introduction and aims: In recent years, public access defibrillation programs have exponentially increased the availability of automatic external defibrillators in public spaces but there are no data on their performance in our setting. We conducted a descriptive analysis of the performance of automatic external defibrillators since the launch of a public defibrillation program in our region. Methods: A prospective analysis was conducted of electrocardiographic tracings and the performance of automatic external defibrillators in a public defibrillation program from June 2011 to June 2018 in the province of Girona, Spain. Results: There were 479 automatic external defibrillators activations. Full information was available on 405 activations, of which 77.4% corresponded to mobile devices. Asystole was the most prevalent rhythm (38%), while ventricular fibrillation accounted for 24%. The specificity of the device in identifying a shockable rhythm was 99.5%, but there were 22 false negatives (sensitivity 81.3%). There were 97 shockable rhythms, where 90 (92%) were treated successfully and a spontaneous circulation recovery rate of 45.3% (44 cases). There were no accidents related to the use of the device. Conclusions: Asystole was the most prevalent rhythm. The automatic defibrillators analyzed showed excellent safety, efficacy and specificity, with moderate sensitivity |
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