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Document Details : Title: Automated external defibrillators in schools? Author(s): C. Cornelis , P. Calle , N. Mpotos , K. Monsieurs Journal: Acta Cardiologica Volume: 70 Issue: 3 Date: 2015 Pages: 249-254 DOI: 10.2143/AC.70.3.3080628 Abstract : Objective: Automated external defibrillators (AEDs) placed in public locations can save lives of cardiac arrest victims. In this paper, we try to estimate the cost-effectiveness of AED placement in Belgian schools. This would allow school policy makers to make an evidence-based decision about an on-site AED project. Methods and results: We developed a simple mathematical model containing literature data on the incidence of cardiac arrest with a shockable rhythm, the feasibility and effectiveness of defibrillation by on-site AEDs and the survival benefit. This was coupled to a rough estimation of the minimal costs to initiate an AED project. According to the model described above, AED projects in all Belgian schools may save 5 patients annually. A rough estimate of the minimal costs to initiate an AED project is 660 EUR per year. As there are about 6000 schools in Belgium, a national AED project in all schools would imply an annual cost of at least 3 960 000 EUR, resulting in 5 lives saved. Conclusions: As our literature survey shows that AED use in schools is feasible and effective, the placement of these devices in all Belgian schools is undoubtedly to be considered. The major counter-arguments are the very low incidence and the high costs to set up a school-based AED programme. Our review may fuel the discussion about whether or not school-based AED projects represent good value for money and should be preferred above other health care interventions. |
