Cardiopulmonary Resuscitation Outcomes in Hospitalized Community‐Dwelling Individuals and Nursing Home Residents Based on Activities of Daily Living

  title={Cardiopulmonary Resuscitation Outcomes in Hospitalized Community‐Dwelling Individuals and Nursing Home Residents Based on Activities of Daily Living},
  author={Elmer D. Abbo and Trevor C. Yuen and Luke Buhrmester and Romergryko G. Geocadin and Angelo E. Volandes and Juned Siddique and Dana P. Edelson},
  journal={Journal of the American Geriatrics Society},
To determine whether poor functional status is associated with worse outcomes after attempted cardiopulmonary resuscitation (CPR). 

Out‐of‐hospital cardiac arrests in nursing homes and primary care facilities in Pirkanmaa, Finland

The cardiac arrest patients examined were patients for whom cardiopulmonary resuscitation was considered futile and the phenomenon was described to describe this phenomenon.

Prehospital advanced cardiac life support by EMT with a smartphone‐based direct medical control for nursing home cardiac arrest

Cardiopulmonary resuscitation in the elderly: analysis of the events in the emergency department

The results of the present study demonstrate that age itself does not seem to be an independent, unfavorable prognostic factor for the outcome after CPR and that older people must be offered the same chance for surviving cardiac arrest as youngsters.

Cardiopulmonary Resuscitation in Patients With Terminal Illness: An Evidence-Based Analysis.

  • S. Sehatzadeh
  • Medicine
    Ontario health technology assessment series
  • 2014
Survival after CPR depends on the severity of illness, type and number of health conditions, functional dependence, and multiple CPRs, and older age, which does not significantly decrease the rate of survival.

Prehospital cardiopulmonary resuscitation duration and neurological outcome after adult out-of-hospital cardiac arrest by location of arrest

Longer prehospital cardiopulmonary resuscitation duration was independently associated with a lower proportion of patients with favourable neurological outcomes, particularly among patients with shockable rhythm.

Long-term outcomes after in-hospital CPR in older adults with chronic illness.

Older CPR recipients with any of the six underlying chronic diseases investigated generally have much worse outcomes than CPR recipients without chronic disease, and these findings may substantially affect decisions about CPR in patients with chronic illness.

Considering the CPR Decision Through the Lens of Prospect Theory in the Context of Advanced Chronic Illness.

Experiences with CPR of 2 older women (and their adult children) during their last years of life are discussed, and concepts from prospect theory are used to make suggestions for changes in the way health care providers and patients approach advance care planning including the CPR decision.



Predictors of Immediate and 6‐Month Outcomes in Hospitalized Elderly Patients

Functional status was a stronger predictor of length of stay, mortality, and nursing home placement than was principal admitting diagnosis — of relevance to the current emphasis on diagnosis‐related groups (DRGs).

In-hospital cardiopulmonary resuscitation: prearrest morbidity and outcome.

Time of prearrest morbidity has a prognostic value for survival after CPR and patients at risk for poor survival can be identified on or during hospital admission, but the reliability and validity of the model needs further research.

Measuring Prognosis and Case Mix in Hospitalized Elders: The Importance of Functional Status

ADL function contains important information about prognosis and case mix beyond that provided by routine physiologic data and comorbidities in hospitalized elders, and improved the discrimination of hospital and 1-year mortality models.

Effects of pre-arrest comorbidities on 90-day survival of patients resuscitated from out-of-hospital cardiac arrest

Underlying comorbidities have a significant influence on survival and CPR duration, post-resuscitative blood pressure and early neurological recovery may serve as practical clinical predictors of short-term survival.

Predictors of survival following in-hospital cardiopulmonary resuscitation. A moving target.

Investigators of in-hospital CPR should use explicit criteria to describe the conditions studied and report survival for patients who receive basic CPR, and the impact of do-not-resuscitate orders on survival rates must be considered.

Survival after in-hospital cardiopulmonary arrest of noncritically ill patients. A prospective study.

Age alone is not a valid criterion to decide whether a patient is a suitable candidate for CPR, and the principal diagnosis and main comorbidity at the time of admission do not appear to predict long-term survival either; whether in-hospital CPR in noncritical care areas is cost-effective is an issue that society at large must eventually decide.

Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly.

The proportion of in-hospital deaths preceded by CPR increased, whereas the proportion of survivors discharged home after undergoing CPR decreased, and black race was associated with higher rates of CPR but lower rates of survival after CPR.

Elderly patients' views on cardiopulmonary resuscitation.

A survey was conducted by means of a questionnaire to assess elderly patients' perception of cardiopulmonary resuscitation (CPR) as it might be applied to themselves, finding that a considerable proportion of patients wished to be resuscitated if the need arose.

Risk factors for early and late mortality in hospitalized older patients: the continuing importance of functional status.

A complete functional and clinical evaluation at hospital admission permits identification of patients at higher risk of early and long-term mortality.