title: Automated external defibrillators in schools?
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.
  
  
  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 3960 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.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Cornelis
authors.forename: Paul
authors.initials: P
authors.lastname: Calle
authors.forename: Nicolas
authors.initials: N
authors.lastname: Mpotos
authors.forename: Koenraad
authors.initials: K
authors.lastname: Monsieurs
mesh_terms: D000293:Adolescent; D001331:Automation; D001530:Belgium; D002648:Child; D003362:Cost-Benefit Analysis; D047548:Defibrillators / Q000191:economics; D005240:Feasibility Studies; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D008433:Mathematics; D008962:Models, Theoretical; D012572:School Health Services