A Cluster Randomized Clinical Trial of Strategic AED Deployment in High-risk Residential Areas Combined With Activation of Local Residents
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 260
- 试验地点
- 2
- 主要终点
- Bystander defibrillation
研究概览
简要总结
The study aims to increase proportions of bystander defibrillation during out-of-hospital cardiac arrest (hereof referred to as cardiac arrest) in residential areas with a high density of cardiac arrests. The intervention consists of Automated External Defibrillators (AEDs) and residents' involvement in resuscitation through training and enrollment as citizen responders.
详细描述
Survival decreases by 10% for every minute that passes after a cardiac arrest until defibrillation. Despite an increasing number of available AEDs, survival and defibrillation rates in residential areas remain poor. Efforts to increase bystander defibrillation has the potential to improve survival. Through the strategic deployment of AEDs, training, and recruitment of residents as citizen responders, we aim to improve proportions of bystander defibrillation and 30-day survival in densely populated residential areas with a high density of cardiac arrests.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Due to the nature of the study, treatment allocation is not masked to rescuers or patients. The steering committee will, during the study, receive information on total numbers of arrests and overall success of providing defibrillation. The steering committee will not receive information on whether defibrillation took place in areas allocated to intervention or no intervention. Only the safety committee will have access to all information.
入排标准
- 年龄范围
- 8 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All witnessed cardiac arrests recognized registered in the Danish Cardiac Arrest Registry occurring within the study sites. This excludes non witnessed cardiac arrests.
- •Witnessed cardiac arrest
- •Non-traumatic etiology, this excludes intoxication, drowning or suicide.
排除标准
- •Cardiac arrest occurring in a nursing home
- •Cardiac arrest not treated by the EMS due to ethical reasons or obvious signs of death
- •Not true cardiac arrest (suspected, but not verified)
- •Cardiac arrests witnessed by the emergency medical personnel
结局指标
主要结局
Bystander defibrillation
时间窗: Up to five years after implementation of the intervention
Proportion of bystander defibrillation of witnessed cardiac arrests
次要结局
- 30-day survival(30 days after date of cardiac arrest)
研究者
Fredrik Folke
M.D., PhD, Professor
Emergency Medical Services, Capital Region, Denmark