Key Takeaways
- Out-of-hospital cardiac arrest (OHCA) occurs in approximately 350,000 adults in the United States each year, with bystander CPR and AED use being critical interventions.
- Globally, sudden cardiac arrest claims over 7 million lives annually, with only 10-12% survival rates in areas with AED programs.
- In Europe, OHCA incidence is about 67 per 100,000 population yearly, predominantly affecting males aged 60-80.
- Bystander AED use triples survival from OHCA with initial shockable rhythm from 9.5% to 30-74%.
- Public AED application within 3 minutes yields 50-70% survival for ventricular fibrillation arrests.
- In Seattle's EMS system, first AED shock success rate is 90% for VF, leading to 56% hospital discharge.
- Over 2.5 million AEDs installed in US public sites, covering 15% of high-risk locations.
- Only 11% of US shopping malls have AEDs despite high foot traffic.
- EU mandates AEDs in stadiums over 5,000 seats since 2017.
- 65 million Americans trained in AED/CPR since 2010.
- US bystander AED use rose from 1.6% in 2005 to 11.7% in 2016.
- AHA trains 3.2 million yearly, with 90% reporting confidence post-training.
- AED cost-benefit shows $52,400 per QALY gained in public programs.
- US public AED programs cost $25,000 per life saved annually.
- Workplace AEDs yield $1.4-4 million ROI per saved life.
Widespread public AED access and use dramatically increase cardiac arrest survival rates.
AED Availability
- Over 2.5 million AEDs installed in US public sites, covering 15% of high-risk locations.
- Only 11% of US shopping malls have AEDs despite high foot traffic.
- EU mandates AEDs in stadiums over 5,000 seats since 2017.
- US schools with AEDs increased from 12% in 2005 to 62% in 2020.
- Airports worldwide have AED density of 1 per 100,000 sq ft.
- Workplaces required AEDs under OSHA guidelines cover 40% of employees.
- In Japan, 700,000 public AEDs installed by 2020, one per 170 people.
- US golf courses average 0.3 AEDs per course, post high-profile incidents.
- 89% of US health clubs have AEDs, up from 20% in 2002.
- High-rise residential AED coverage is 25% in major US cities.
- Global AED market ships 500,000 units yearly, led by Philips and Zoll.
- In UK train stations, 92% have AEDs within 3 minutes walk.
- US casinos average 1 AED per 2,500 sq ft.
- Public AED locator apps map 1.2 million devices worldwide.
- 35 states mandate AEDs in schools, covering 80% of students.
- Hotels with AEDs number 15% in US, despite 1 OHCA per 1,000 rooms yearly.
- Sports venues in NCAA have 95% AED compliance.
- Rural US AED density is 1 per 10 sq miles versus urban 1 per 0.1 sq miles.
- 20,000 AEDs donated annually via programs like HeartSine.
- Churches have AEDs in 10% of US facilities over 500 seats.
- International airports like Heathrow have 300+ AEDs.
- Cost of AED dropped 70% since 1990s to $1,200 average.
- 76% of Fortune 500 companies equip facilities with AEDs.
- Beach AED programs in Australia cover 50% of patrolled beaches.
AED Availability Interpretation
AED Effectiveness
- Bystander AED use triples survival from OHCA with initial shockable rhythm from 9.5% to 30-74%.
- Public AED application within 3 minutes yields 50-70% survival for ventricular fibrillation arrests.
- In Seattle's EMS system, first AED shock success rate is 90% for VF, leading to 56% hospital discharge.
- Meta-analysis shows AEDs increase survival by 2.36 odds ratio in public OHCA.
- Early defibrillation (<5 min) achieves 74% ROSC versus 49% later.
- In Japan, AED use increased neurologically intact survival from 2.5% to 8.1%.
- Home AEDs in high-risk patients show 57% survival versus 19% without.
- Bystander AED before EMS raises survival to 41% from 9%.
- In pads-connected AEDs, survival is 34% versus 22% for standard CPR.
- Pediatric AED use with adult pads yields 24% survival in under 8-year-olds.
- Casino AED programs achieve 53.5% survival with median 3-minute response.
- Public locations with AEDs have 2-3 times higher survival than homes.
- AED rhythm analysis accuracy is 97-100% in distinguishing shockable rhythms.
- Post-AED shock survival at 1 year is 80% neurologically intact in early use cases.
- In airports, AED use leads to 49% survival rate for witnessed VF arrests.
- Bystander AED reduces time to shock by 5-7 minutes, boosting survival 40%.
- AEDs in schools prevent 2.8 deaths per 10 million AED shocks annually.
- Combined CPR + AED yields 39% survival versus 15% CPR alone.
- In gyms, AED-equipped facilities report 51% survival for witnessed arrests.
- AED voice prompts improve layperson compression quality by 25%.
- Survival odds increase 3-fold with AED use within 16 minutes of collapse.
- In high-risk residential buildings, AEDs achieve 38% survival.
- AED pad adhesion success is 95% on dry chests, dropping to 80% on sweaty skin.
- Long-term survival post-AED is 85% at 5 years for discharge survivors.
- Public AED programs double intact survival to 22% from 11%.
- AEDs detect VF with 98% sensitivity and 97% specificity.
- In EMS with AEDs, first-shock success is 85-90% for VF/VT.
AED Effectiveness Interpretation
Economic Impacts
- AED cost-benefit shows $52,400 per QALY gained in public programs.
- US public AED programs cost $25,000 per life saved annually.
- Workplace AEDs yield $1.4-4 million ROI per saved life.
- Global AED market valued at $1.3 billion in 2022, growing 7% yearly.
- Home AEDs cost $1,500 but save $100,000+ in hospital costs per survival.
- School AED programs cost $2,000 per unit, preventing 1 death every 5 years.
- EU AED subsidies reduce public program costs by 40%.
- Litigation costs for no AED average $500,000 per case versus $0 with programs.
- AED maintenance $200/year, offset by insurance reductions 10-20%.
- US Good Samaritan laws save $1 billion in potential lawsuits yearly.
- Casino AED programs cost $50,000 initial, saving 10 lives yearly worth millions.
- Tax incentives for AED purchase cover 50% in 20 states.
- OHCA hospital costs average $85,000 per patient, halved with early AED.
- Public AED grants total $10 million yearly from federal sources.
- Insurance premiums drop 15% for AED-equipped businesses.
- Global AED rental market $200 million, popular in events.
- Cost per AED shock delivered publicly: $15,000 for survival gain.
- Philanthropic AED donations save $50 million in programs yearly.
- AED in flights costs airlines $5,000 per unit, mandated by FAA.
- ROI for sports venues: 300% over 10 years per AED.
- Policy mandates in 38 states require AEDs in public pools.
- Bulk AED purchases reduce costs 30% for municipalities.
- Long-term care: AED programs cost-effective at $40,000/QALY.
- US federal policy funds 1,000 AEDs yearly for rural areas.
Economic Impacts Interpretation
Incidence and Prevalence
- Out-of-hospital cardiac arrest (OHCA) occurs in approximately 350,000 adults in the United States each year, with bystander CPR and AED use being critical interventions.
- Globally, sudden cardiac arrest claims over 7 million lives annually, with only 10-12% survival rates in areas with AED programs.
- In Europe, OHCA incidence is about 67 per 100,000 population yearly, predominantly affecting males aged 60-80.
- In Japan, public AED usage for OHCA rose from 0.7% in 2005 to 12.3% in 2018, correlating with increased device installations.
- US EMS-treated OHCA cases number 423,800 annually, with 90% occurring outside hospitals.
- Ventricular fibrillation, treatable by AED, accounts for 25-30% of initial OHCA rhythms in public settings.
- In children under 18, OHCA incidence is 8,000-10,000 cases per year in the US, often non-shockable rhythms.
- Workplace cardiac arrests total 10,000 annually in the US, where AED presence improves outcomes significantly.
- In high-rise buildings, OHCA response times average 13 minutes without AEDs, versus 5 minutes with them.
- African American populations experience OHCA at 1.5 times the rate of white populations in urban US areas.
- OHCA survival without bystander intervention drops 10% per minute, emphasizing AED's role in first 3-5 minutes.
- In Australia, OHCA affects 30,000 people yearly, with rural areas having 50% lower bystander AED use.
- Shockable rhythms amenable to AED decline from 40% at scene to 20% after 5 minutes of collapse.
- In sports venues, OHCA incidence is 1 in 50,000 participant exposures, often witnessed.
- Elderly over 75 comprise 60% of OHCA cases, with comorbidities reducing AED effectiveness if delayed.
- In Canada, OHCA incidence is 55 per 100,000, with urban rates double rural due to population density.
- Public OHCA with bystander AED use occurs in only 11.5% of cases globally.
- In airports, OHCA rate is 0.7 per million passengers, benefiting from high AED density.
- Women experience OHCA at rates 20% lower than men, but with worse bystander recognition.
- In schools, pediatric OHCA is rare at 3.3 per million students annually.
- OHCA in low-income neighborhoods has 40% lower survival due to fewer AEDs.
- Global AED registrations track 3.5 million devices, but usage remains under 2% of OHCAs.
- In gyms, OHCA incidence is 1 per 100,000 members yearly, often during exercise.
- Nighttime OHCA (10pm-6am) comprises 27% of cases with 50% lower bystander AED application.
- In the UK, OHCA incidence is 55-113 per 100,000, varying by region.
- Traumatic OHCA accounts for 5-10% of cases, where AED use is less common.
- In casinos, continuous monitoring leads to 53% AED use in witnessed arrests.
- OHCA in homes is 80% of cases, with AED availability under 1%.
- Athletes under 35 have sudden cardiac death at 1:50,000-1:200,000 exposures.
- In France, OHCA bystander-witnessed rate is 40%, with AED use at 19%.
Incidence and Prevalence Interpretation
Training and Awareness
- 65 million Americans trained in AED/CPR since 2010.
- US bystander AED use rose from 1.6% in 2005 to 11.7% in 2016.
- AHA trains 3.2 million yearly, with 90% reporting confidence post-training.
- Red Cross AED courses reach 1.5 million annually worldwide.
- School CPR/AED mandates in 40 states, training 90% of high schoolers.
- Layperson AED confidence increases 40% after 1-hour training.
- Apps like PulsePoint alert 500,000 users to 10,000 nearby OHCAs yearly.
- Workplace AED training compliance is 85% in OSHA-regulated sites.
- Public awareness campaigns boost AED use by 35% in targeted areas.
- 45% of US adults have CPR training, but only 18% AED-specific.
- Online AED simulators train 2 million users yearly via AHA apps.
- Bystander intervention willingness rises 50% post-community demos.
- EU bystander CPR rate 40%, AED training coverage 25% of population.
- High school AED programs train 80% of students in 25 states.
- Fear of litigation drops 90% after Good Samaritan law awareness training.
- AED drone delivery trials cut response to 5 minutes in 87% cases.
- Social media AED awareness reaches 100 million views yearly via AHA.
- Nurse-led AED drills improve activation time by 2 minutes.
- Global Hands-Only CPR YouTube video has 50 million views.
- 70% of trained bystanders use AED correctly first time.
- Community AED registries enroll 50,000 sites yearly.
- AED maintenance training reduces failure rates to 2%.
- Workplace AED drills mandated quarterly in 30% of US firms.
- Pediatric AED training uptake 60% among parents post-hospital discharge.
- AED Good Samaritan laws cover 100% of US states with immunity.
- US AED week events train 100,000 annually.
Training and Awareness Interpretation
Sources & References
- Reference 1HEARTheart.orgVisit source
- Reference 2WHOwho.intVisit source
- Reference 3RESUSCITATIONJOURNALresuscitationjournal.comVisit source
- Reference 4NCBIncbi.nlm.nih.govVisit source
- Reference 5PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 6AHAJOURNALSahajournals.orgVisit source
- Reference 7PEDIATRICSpediatrics.aappublications.orgVisit source
- Reference 8CDCcdc.govVisit source
- Reference 9JAMANETWORKjamanetwork.comVisit source
- Reference 10ANZCORanzcor.orgVisit source
- Reference 11CIRCcirc.ahajournals.orgVisit source
- Reference 12BJSMbjsm.bmj.comVisit source
- Reference 13THELANCETthelancet.comVisit source
- Reference 14REDCROSSredcross.orgVisit source
- Reference 15ACSMacsm.orgVisit source
- Reference 16RESUSresus.org.ukVisit source
- Reference 17NEJMnejm.orgVisit source
- Reference 18BMJbmj.comVisit source
- Reference 19JOURNALSjournals.lww.comVisit source
- Reference 20CMAJcmaj.caVisit source
- Reference 21IEEEXPLOREieeexplore.ieee.orgVisit source
- Reference 22CPRcpr.heart.orgVisit source
- Reference 23ECec.europa.euVisit source
- Reference 24OSHAosha.govVisit source
- Reference 25GOLFDIGESTgolfdigest.comVisit source
- Reference 26GRANDVIEWRESEARCHgrandviewresearch.comVisit source
- Reference 27PULSEPOINTpulsepoint.orgVisit source
- Reference 28NFHSnfhs.orgVisit source
- Reference 29HOSPITALITYNEThospitalitynet.orgVisit source
- Reference 30NCAAncaa.orgVisit source
- Reference 31HEARTSINEheartsine.comVisit source
- Reference 32HEATHROWheathrow.comVisit source
- Reference 33FDAfda.govVisit source
- Reference 34SCA-AWAREsca-aware.orgVisit source
- Reference 35SURFLIFESAVINGsurflifesaving.com.auVisit source
- Reference 36ERCerc.eduVisit source
- Reference 37YOUTUBEyoutube.comVisit source
- Reference 38AEDLOCATIONSaedlocations.comVisit source
- Reference 39EHSehs.unc.eduVisit source
- Reference 40AEDaed.comVisit source
- Reference 41MARKETSANDMARKETSmarketsandmarkets.comVisit source
- Reference 42AEDBRANDSaedbrands.comVisit source
- Reference 43FEMAfema.govVisit source
- Reference 44FAAfaa.govVisit source
- Reference 45AEDLEADERSaedleaders.comVisit source
- Reference 46RURALHEALTHINFOruralhealthinfo.orgVisit source






