Quality of life effects of automatic external defibrillators in the home: Results from the Home Automatic External Defibrillator Trial (HAT)

Daniel Mark, Kevin Anstrom, Stephen McNulty, Greg Flaker, Andrew Tonkin, Warren Smith, William Toff, Paul Dorian, Nancy Clapp-Channing, Jill Anderson, George Johnson, Eleanor Schron, Jeanne Poole, Kerry Lee, Gust Bardy

    Research output: Contribution to journalArticle

    4 Citations (Scopus)

    Abstract

    Background: Public access automatic external defibrillators (AEDs) can save lives, but most deaths from out-of-hospital sudden cardiac arrest occur at home. The Home Automatic External Defibrillator Trial (HAT) found no survival advantage for adding a home AED to cardiopulmonary resuscitation (CPR) training for 7,001 patients with a prior anterior wall myocardial infarction. Quality of life (QOL) outcomes for both the patient and spouse/companion were secondary end points. Methods: A subset of 1,007 study patients and their spouse/companions was randomly selected for ascertainment of QOL by structured interview at baseline and 12 and 24 months after enrollment. The primary QOL measures were the Medical Outcomes Study 36-Item Short-Form psychological well-being (reflecting anxiety and depression) and vitality (reflecting energy and fatigue) subscales. Results: For patients and spouse/companions, the psychological well-being and vitality scales did not differ significantly between those randomly assigned an AED plus CPR training and controls who received CPR training only. None of the other QOL measures collected showed a clinically and statistically significant difference between treatment groups. Patients in the AED group were more likely to report being extremely or quite a bit reassured by their treatment assignment. Spouse/companions in the AED group reported being less often nervous about the possibility of using AED/CPR treatment than those in the CPR group. Conclusions: Adding access to a home AED to CPR training did not affect QOL either for patients with a prior anterior myocardial infarction or their spouse/companion but did provide more reassurance to the patients without increasing anxiety for spouse/companions.

    Original languageEnglish
    Pages (from-to)627-634
    Number of pages8
    JournalAmerican Heart Journal
    Volume159
    Issue number4
    DOIs
    Publication statusPublished - 2010

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  • Cite this

    Mark, D., Anstrom, K., McNulty, S., Flaker, G., Tonkin, A., Smith, W., Toff, W., Dorian, P., Clapp-Channing, N., Anderson, J., Johnson, G., Schron, E., Poole, J., Lee, K., & Bardy, G. (2010). Quality of life effects of automatic external defibrillators in the home: Results from the Home Automatic External Defibrillator Trial (HAT). American Heart Journal, 159(4), 627-634. https://doi.org/10.1016/j.ahj.2010.01.013