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Automated external defibrillators in schools?

Charlotte Cornelis, Paul Calle, Nicolas Mpotos

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    Implementing automated external defibrillators (AEDs) in Belgian schools could save 5 lives annually, but the high cost of 3.96 million EUR presents a significant barrier. Further discussion is needed on the cost-effectiveness of school-based AED programs.

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    Area of Science:

    • Public Health
    • Emergency Medicine
    • Health Economics

    Background:

    • Automated external defibrillators (AEDs) are crucial for treating sudden cardiac arrest in public spaces.
    • School environments present a unique setting for AED placement to potentially improve survival rates.
    • Evidence-based decision-making is needed for school policy makers considering on-site AED projects.

    Purpose of the Study:

    • To estimate the cost-effectiveness of placing AEDs in Belgian schools.
    • To provide data for school policy makers to evaluate AED implementation.
    • To inform discussions on the value of school-based AED programs.

    Main Methods:

    • Development of a mathematical model using literature data.
    • Inclusion of data on cardiac arrest incidence, AED feasibility, effectiveness, and survival benefit.
    • Estimation of the minimal costs associated with initiating an AED project.

    Main Results:

    • The model suggests that AED projects in all Belgian schools could save approximately 5 lives per year.
    • The estimated minimal annual cost for a national AED project in schools is 3,960,000 EUR.
    • The cost per life saved is substantial, requiring careful consideration.

    Conclusions:

    • AED use in schools is feasible and effective, supporting their placement.
    • The primary challenges to widespread implementation are the low incidence of cardiac arrest and high program costs.
    • The cost-effectiveness of school-based AED projects must be weighed against other healthcare interventions.