The Prognosis of Patients who Received Automated External Defibrillator Treatment in Hospital

Introduction: Unlike cardiac arrest occurring out-of-hospital, the safety and efficacy of automated external defibrillators (AED) in the hospital has not been assessed. This study examined the conditions of AED use in hospital and the prognosis of these patients. Methods and Results: We examined the...

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Main Authors: Isao Kato, MD, Toru Iwa, MD, Yasushi Suzuki, MD, Takayuki Ito, MD
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S188042760880004X
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author Isao Kato, MD
Toru Iwa, MD
Yasushi Suzuki, MD
Takayuki Ito, MD
author_facet Isao Kato, MD
Toru Iwa, MD
Yasushi Suzuki, MD
Takayuki Ito, MD
author_sort Isao Kato, MD
collection DOAJ
description Introduction: Unlike cardiac arrest occurring out-of-hospital, the safety and efficacy of automated external defibrillators (AED) in the hospital has not been assessed. This study examined the conditions of AED use in hospital and the prognosis of these patients. Methods and Results: We examined the condition and prognosis of 32 patients who were given AED treatment while they were in an unconscious state in the hospital, between May 2004 and January 2007. During this period, AED was used only for patients, not for visitors or hospital personnel. Ventricular fibrillation (VF) or ventricular tachycardia (VT) was observed in 7 patients, and in the other 25 the initial rhythm of the patients did not require AED. Two patients survived with the help of AED, but it did not deliver shock in two patients with VF and VT. There was no significant difference in vital prognosis due to the presence or absence of shock delivery in the VF or VT patients. Conclusion: The situation of AED use may be different whether it is used in hospital or outof-hospital. This study suggests that using AED in the hospital may have limited effect when it is used for critically ill patients.
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spelling doaj.art-10bf843f40324631af855ade4c7b622b2022-12-21T22:46:14ZengWileyJournal of Arrhythmia1880-42762008-01-01241263210.1016/S1880-4276(08)80004-XThe Prognosis of Patients who Received Automated External Defibrillator Treatment in HospitalIsao Kato, MDToru Iwa, MDYasushi Suzuki, MDTakayuki Ito, MDIntroduction: Unlike cardiac arrest occurring out-of-hospital, the safety and efficacy of automated external defibrillators (AED) in the hospital has not been assessed. This study examined the conditions of AED use in hospital and the prognosis of these patients. Methods and Results: We examined the condition and prognosis of 32 patients who were given AED treatment while they were in an unconscious state in the hospital, between May 2004 and January 2007. During this period, AED was used only for patients, not for visitors or hospital personnel. Ventricular fibrillation (VF) or ventricular tachycardia (VT) was observed in 7 patients, and in the other 25 the initial rhythm of the patients did not require AED. Two patients survived with the help of AED, but it did not deliver shock in two patients with VF and VT. There was no significant difference in vital prognosis due to the presence or absence of shock delivery in the VF or VT patients. Conclusion: The situation of AED use may be different whether it is used in hospital or outof-hospital. This study suggests that using AED in the hospital may have limited effect when it is used for critically ill patients.http://www.sciencedirect.com/science/article/pii/S188042760880004XAEDVentricular fibrillationResuscitationCardiac arrestDefibrillation
spellingShingle Isao Kato, MD
Toru Iwa, MD
Yasushi Suzuki, MD
Takayuki Ito, MD
The Prognosis of Patients who Received Automated External Defibrillator Treatment in Hospital
Journal of Arrhythmia
AED
Ventricular fibrillation
Resuscitation
Cardiac arrest
Defibrillation
title The Prognosis of Patients who Received Automated External Defibrillator Treatment in Hospital
title_full The Prognosis of Patients who Received Automated External Defibrillator Treatment in Hospital
title_fullStr The Prognosis of Patients who Received Automated External Defibrillator Treatment in Hospital
title_full_unstemmed The Prognosis of Patients who Received Automated External Defibrillator Treatment in Hospital
title_short The Prognosis of Patients who Received Automated External Defibrillator Treatment in Hospital
title_sort prognosis of patients who received automated external defibrillator treatment in hospital
topic AED
Ventricular fibrillation
Resuscitation
Cardiac arrest
Defibrillation
url http://www.sciencedirect.com/science/article/pii/S188042760880004X
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