TY - JOUR T1 - Real-world insight into public access defibrillator use over five years JF - Open Heart JO - Open Heart DO - 10.1136/openhrt-2020-001251 VL - 7 IS - 1 SP - e001251 AU - Hannah Torney AU - Olibhéar McAlister AU - Adam Harvey AU - Amy Kernaghan AU - Rebecca Funston AU - Ben McCartney AU - Laura Davis AU - Raymond Bond AU - David McEneaney AU - Jennifer Adgey Y1 - 2020/06/01 UR - http://openheart.bmj.com/content/7/1/e001251.abstract N2 - Background Public access defibrillators (PADs) represent unique life-saving medical devices as they may be used by untrained lay rescuers. Collecting representative clinical data on these devices can be challenging. Here, we present results from a retrospective observational cohort study, describing real-world PAD utilisation over a 5-year period.Methods Data were collected between October 2012 and October 2017. Responders voluntarily submitted electronic data downloaded from HeartSine PADs, and patient demographics and other details using a case report form in exchange for a replacement battery and electrode pack.Results Data were collected for 977 patients (692 males, 70.8%; 255 females, 26.1%; 30 unknown, 3.1%). The mean age (SD) was 59 (18) years (range <1 year to 101 years). PAD usage occurred most commonly in homes (n=328, 33.6%), followed by public places (n=307, 31.4%) and medical facilities (n=128, 13.1%). Location was unknown in 40 (4.09%) events. Shocks were delivered to 354 patients. First shock success was 312 of 350 patients where it could be determined (89.1%, 95% CI 85.4% to 92.2%). Patients with reported response times ≤5 min were more likely to survive to hospital admission (89/296 (30.1%) vs 40/250 (16.0%), p<0.001). Response time was unknown for 431 events.Conclusion This is the first study to report global PAD usage in voluntarily submitted, unselected real-world cases and demonstrates the real-world effectiveness of PADs, as confirmed by first shock success. ER -