A Cluster Randomized Clinical Trial of Strategic AED Deployment in High-risk Residential Areas Combined With Activation of Local Residents

Status: Recruiting
Location: See location...
Intervention Type: Other, Device
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

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.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 8
Healthy Volunteers: f
View:

• 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.

Locations
Other Locations
Denmark
Emergency Medical Services Copenhagen
RECRUITING
Ballerup Municipality
Contact Information
Primary
Anne J Jørgensen, MD
anne.juul.joergensen.02@regionh.dk
+45 60 62 91 14
Backup
Fredrik Folke, MD, PhD
ff@heart.dk
+45 28 18 29 78
Time Frame
Start Date: 2021-12-01
Estimated Completion Date: 2027-01
Participants
Target number of participants: 260
Treatments
No_intervention: Control sites
* For all 1-1-2 calls with suspected cardiac arrest to the emergency dispatch center will activate a two-tiered response consisting of dispatch of an ambulance with an emergency medical technician, a physician-staffed mobile emergency care unit, and citizen first responders through the Heart Runner app.~* The medical dispatcher offers telephone assisted cardiopulmonary resuscitation (CPR) to bystanders. Furthermore, if more than two bystanders are present and an AED is accessible within 1½ minute travel distance (depending on the type of terrain), then one bystander is guided to localize and retrieve the AED.
Experimental: Intervention sites
As a supplement to the standard care as described in the control arm, the following will be supplied:~* Strategical deployment of AEDs with 24:7 availability and 1½ minute walking distance to every residence within the area. The AEDs will be registered with the AED network and thus linked to the emergency dispatch center.~* The emergency dispatch center will retrieve data from used AEDs.~* For each interventional area, approximately 120 residents will receive a course in CPR and AED use and subsequently be recruited as citizen responders so that they can be activated through the HeartRunner app in case of a nearby cardiac arrest.
Related Therapeutic Areas
Sponsors
Collaborators: TrygFonden, Denmark, Zoll Medical Corporation, Danish Heart Foundation
Leads: Emergency Medical Services, Capital Region, Denmark

This content was sourced from clinicaltrials.gov