National coverage of out-of-hospital cardiac arrests using automated external defibrillator-equipped drones — A geographical information system analysis. (June 2021)

• Record Type: Journal Article
• Authors: Schierbeck, S.; Nord, A.; Svensson, L.; Rawshani, A.; Hollenberg, J.; Ringh, M.; Forsberg, S.; Nordberg, P.; Hilding, F.; Claesson, A.
• Is Part Of: Resuscitation. Volume 163(2021)
• Page Start: 136
• Page End: 145
• Publication Date: 2021-06
• Subjects: GIS -- AED -- OHCA -- Drone -- UAV; Resuscitation -- Periodicals; Resuscitation -- Periodicals; Réanimation -- Périodiques; Electronic journals; 616.025
• DOI: 10.1016/j.resuscitation.2021.02.040
• Languages: English
• ISSNs: 0300-9572

Abstract

Abstract: Background: Early defibrillation is essential for increasing the chance of survival in out-of-hospital-cardiac-arrest (OHCA). Automated external defibrillator (AED)-equipped drones have a substantial potential to shorten times to defibrillation in OHCA patients. However, optimal locations for drone deployment are unknown. Our aims were to find areas of high incidence of OHCA on a national level for placement of AED-drones, and to quantify the number of drones needed to reach 50, 80, 90 and 100% of the target population within eight minutes. Methods: This is a retrospective observational study of OHCAs reported to the Swedish Registry for Cardiopulmonary Resuscitation between 2010–2018. Spatial analyses of optimal drone placement were performed using geographical information system (GIS)-analyses covering high-incidence areas (>100 OHCAs in 2010–2018) and response times. Results: 39, 246 OHCAs were included. To reach all OHCAs in high-incidence areas with AEDs delivered by drone or ambulance within eight minutes, 61 drone systems would be needed, resulting in overall OHCA coverage of 58.2%, and median timesaving of 05:01 (min:sec) [IQR 03:22–06:19]. To reach 50% of the historically reported OHCAs in <8 min, 21 drone systems would be needed; for 80%, 366; for 90%, 784, and for 100%, 2408. Conclusions: At a national level, GIS-analyses can identify high incidence areas of OHCA and serve as tools to quantify the need of AED-equipped drones. Use of only a small number of drone systems can increase national coverage of OHCA substantially. Prospective real-life studies are needed to evaluate theoretically optimized suggestions for drone placement.