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Barriers and facilitators to public access defibrillation in out-of-hospital cardiac arrest: a systematic review.

Smith, Christopher M and Lim Choi Keung, Sarah N and Khan, Mohammed O and Arvanitis, Theodoros N and Fothergill, Rachael and Hartley-Sharpe, Christopher and Wilson, Mark H and Perkins, Gavin D (2017) Barriers and facilitators to public access defibrillation in out-of-hospital cardiac arrest: a systematic review. European heart journal. Quality of care & clinical outcomes, 3 (4). pp. 264-273. ISSN 2058-1742.

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Official URL: https://academic.oup.com/ehjqcco/article/3/4/264/3...

Abstract

Public access defibrillation initiatives make automated external defibrillators available to the public. This facilitates earlier defibrillation of out-of-hospital cardiac arrest victims and could save many lives. It is currently only used for a minority of cases. The aim of this systematic review was to identify barriers and facilitators to public access defibrillation. A comprehensive literature review was undertaken defining formal search terms for a systematic review of the literature in March 2017. Studies were included if they considered reasons affecting the likelihood of public access defibrillation and presented original data. An electronic search strategy was devised searching MEDLINE and EMBASE, supplemented by bibliography and related-article searches. Given the low-quality and observational nature of the majority of articles, a narrative review was performed. Sixty-four articles were identified in the initial literature search. An additional four unique articles were identified from the electronic search strategies. The following themes were identified related to public access defibrillation: knowledge and awareness; willingness to use; acquisition and maintenance; availability and accessibility; training issues; registration and regulation; medicolegal issues; emergency medical services dispatch-assisted use of automated external defibrillators; automated external defibrillator-locator systems; demographic factors; other behavioural factors. In conclusion, several barriers and facilitators to public access defibrillation deployment were identified. However, the evidence is of very low quality and there is not enough information to inform changes in practice. This is an area in urgent need of further high-quality research if public access defibrillation is to be increased and more lives saved. PROSPERO registration number CRD42016035543.

Item Type: Article
Subjects: WD Diseases and disorders of systemic, metabolic or environmental origin > WD400 Emergency medicine
WG Cardiovascular system. Cardiology
Divisions: Clinical Support > Critical Care
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Depositing User: Mrs Yolande Brookes
Date Deposited: 22 Nov 2017 12:18
Last Modified: 22 Nov 2017 12:18
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1478

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