[Impact of onsite or dispatched automated external defibrillator use on early survival after sudden cardiac arrest occurring in international airports].
BACKGROUND
Out-of-hospital cardiac arrest (OHCA) is a major public health challenge. Use of automated external defibrillators (AED) by laypersons improves survival of patient's victim of OHCA. The aim of our study was to compare onsite AED vs. dispatched AED management of cardiac arrest occurring in international airports.


METHODS
We conducted a retrospective, observational, comparative, study on data collected from three international airports: Paris-Charles-de-Gaulle (CDG), Chicago and Madrid-Barajas. We included patients with OHCA occurring inside the airport between 2009 and 2013. Group public access (PUB) included airports where AED were available to laypersons and group dispatched (SEC) was represented by Paris-CDG airport where AED was provided by paramedic teams. The primary endpoint was successful resuscitation defined as survival at time of hospital admission.


RESULTS
We included 150 consecutive patients victim of OHCA in the three airports. The time between collapse and AED setting was significantly shorter in the PUB vs. SEC group (4±3minutes vs. 11±11, P=0.0006). The total duration of resuscitation was shorter in the PUB group (10±10minutes vs. 36±25minutes, P<0.0001). Survival at time of hospital admission was higher in the PUB group (62% vs. 38%, P=0.01).


CONCLUSIONS
The availability of public access AEDs in international airports seems to allow a quicker defibrillation and an increased success rate of resuscitation.
Centre hospitalier universitaire Vaudois, service des urgences, 1002 Lausanne, Suisse.
Elena Linda
EL
Garcia
Chicago Department of Aviation, Chicago, États-Unis.
Sherry
S
Caffrey-Villari
Aeropuertos Españoles y Navegación Aérea, 28005 Madrid, Espagne.
Diomeda
D
Ramirez
Aéroport Charles-de-Gaulle, service médical d'urgence, 95700 Roissy, France.
Jean-Luc
JL
Caron
Aéroport Charles-de-Gaulle, service médical d'urgence, 95700 Roissy, France.
Patrice
P
Mannhart
AP-HP, Inserm U942, hôpital Avicenne, urgences-Samu93, 125, rue de Stalingrad, 93000 Bobigny, France.
Paul-Georges
PG
Reuter
AP-HP, Inserm U942, hôpital Avicenne, urgences-Samu93, 125, rue de Stalingrad, 93000 Bobigny, France.
Frederic
F
Lapostolle
AP-HP, Inserm U942, hôpital Avicenne, urgences-Samu93, 125, rue de Stalingrad, 93000 Bobigny, France. Electronic address: frederic.adnet@aphp.fr.
Frederic
F
Adnet
D000328:Adult; D059028:Airports; D016757:Death, Sudden, Cardiac / Q000517:prevention & control; D047548:Defibrillators / Q000600:supply & distribution; D005260:Female; D006801:Humans; D038622:Internationality; D008297:Male; D008875:Middle Aged; D058687:Out-of-Hospital Cardiac Arrest / Q000401:mortality* / Q000628:therapy*; D012189:Retrospective Studies; D015996:Survival Rate; D013997:Time Factors