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首页> 外文期刊>Prehospital emergency care >Automated external defibrillator deployment in high schools and senior centers.
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Automated external defibrillator deployment in high schools and senior centers.

机译：在高中和高中中心自动部署外部除颤器。

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Background. Policymakers with limited funds have been forced to make difficult decisions regarding which sites merit automated external defibrillators (AEDs). Guidelines have recommended that the allocation of AEDs be based largely on the site-specific risk of sudden cardiac death (cardiac arrest), with devices preferentially located at high-risk venues. However, there are limited data on whether such a strategy is being followed. The authors surveyed low-risk (schools) and high-risk (senior centers) venues to assess the availability of AEDs. Methods. A random sample of 200 high schools was identified; 12 were excluded, resulting in a final sample of 188. Each was contacted to determine the number of students, number of teachers, availability of AEDs, and number of cardiac arrests during the 2001-02 academic year. For comparison, 20 licensed senior centers were surveyed to assess the availability of AEDs. Results. Among 147 schools that responded to the survey, the mean student enrollment was 1,117 andthe mean number of teachers was 58. There were three reported cases of cardiac arrest (2 students, 1 teacher), resulting in an annual incidence of cardiac arrest in a school of 2.1% (95% confidence interval [CI] 0.4%-5.7%). Thirty-seven schools (25%; 95% CI 18%-33%) reported having AEDs and 35 (27%) intended to purchase them. In contrast, among 20 senior centers, AEDs were available at two (10%; 95% CI 1%-32%), and the and there were four reported cardiac arrests (annual incidence 20%). Conclusion. The availability of AEDs across different sites may not correspond directly to the risk of cardiac arrest at these sites.
机译：背景。资金有限的决策者被迫做出艰难的决定，以决定哪些地点值得使用自动体外除颤器（AED）。指南建议，AED的分配应主要基于特定地点的突发性心脏猝死（心脏骤停）风险，并且设备应优先放置在高风险场所。但是，关于是否遵循这种策略的数据有限。作者调查了低风险（学校）和高风险（高级中心）场所，以评估AED的可用性。方法。随机抽取了200所中学。排除了12个样本，最终样本为188个。在2001-02学年期间，与每个样本进行了联系以确定学生人数，教师人数，AED的可获得性以及心脏骤停的次数。为了进行比较，对20个有执照的高级中心进行了调查，以评估AED的可用性。结果。在接受调查的147所学校中，平均入学人数为1,117，平均教师人数为58。报告了3例心脏骤停病例（2名学生，1名教师），导致一所学校每年发生心脏骤停2.1％（95％置信区间[CI] 0.4％-5.7％）。据报告，有37所学校（25％; 95％CI 18％-33％）拥有AED，另有35所学校（27％）打算购买它们。相比之下，在20个高级中心中，有两个AED可用（10％; 95％CI 1％-32％），并且有4个报告的心脏骤停（年发生率20％）。结论。跨不同部位的AED的可用性可能并不直接对应于这些部位心脏骤停的风险。

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