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

@article{Abbo2013CardiopulmonaryRO,
  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},
  year={2013},
  volume={61}
}
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
TLDR
The cardiac arrest patients examined were patients for whom cardiopulmonary resuscitation was considered futile and the phenomenon was described to describe this phenomenon. Expand
Nursing Home Versus Community Resuscitation After Cardiac Arrest: Comparative Outcomes and Risk Factors.
TLDR
Survition outcome was significantly better in the nursing home group than in the private residence group and was well stratified by 3 prognostic factors: emergency call timing, witnessed status, and bystander CPR provision. Expand
Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study.
TLDR
Average 30-day survival after OHCA was very low in nursing home residents, but those who received early resuscitative efforts had higher chance of survival. Expand
Resuscitation of patients suffering from sudden cardiac arrests in nursing homes is not futile.
TLDR
Nursing home residents resuscitated from OHCA and admitted to hospital have similar survival rates as non-NH-patients when adjusting for known prognostic factors and pre-existing co-morbidity, and a policy of not attempting resuscitation in nursing homes at all may not be justified. Expand
Prehospital advanced cardiac life support by EMT with a smartphone‐based direct medical control for nursing home cardiac arrest
TLDR
As a result of providing prehospital ACLS with direct medical intervention through remote video calls to paramedics, the survival to discharge rate and that with good neurologic outcome of non‐NH patients significantly improved, however those of NH patients were not significantly increased. Expand
Cardiopulmonary resuscitation in the elderly: analysis of the events in the emergency department
TLDR
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. Expand
Cardiopulmonary Resuscitation in Patients With Terminal Illness: An Evidence-Based Analysis.
  • S. Sehatzadeh
  • Medicine
  • Ontario health technology assessment series
  • 2014
TLDR
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. Expand
Prehospital cardiopulmonary resuscitation duration and neurological outcome after adult out-of-hospital cardiac arrest by location of arrest
TLDR
Longer prehospital cardiopulmonary resuscitation duration was independently associated with a lower proportion of patients with favourable neurological outcomes, particularly among patients with shockable rhythm. Expand
Long-term outcomes after in-hospital CPR in older adults with chronic illness.
TLDR
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. Expand
Considering the CPR Decision Through the Lens of Prospect Theory in the Context of Advanced Chronic Illness.
TLDR
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. Expand
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References

SHOWING 1-10 OF 28 REFERENCES
Predictors of Immediate and 6‐Month Outcomes in Hospitalized Elderly Patients
TLDR
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). Expand
In-hospital cardiopulmonary resuscitation: prearrest morbidity and outcome.
TLDR
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. Expand
Measuring Prognosis and Case Mix in Hospitalized Elders: The Importance of Functional Status
TLDR
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. Expand
Effects of pre-arrest comorbidities on 90-day survival of patients resuscitated from out-of-hospital cardiac arrest
TLDR
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. Expand
Predictors of survival following in-hospital cardiopulmonary resuscitation. A moving target.
TLDR
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. Expand
Survival after in-hospital cardiopulmonary arrest of noncritically ill patients. A prospective study.
TLDR
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. Expand
Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly.
TLDR
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. Expand
Association between Cerebral Performance Category, Modified Rankin Scale, and discharge disposition after cardiac arrest.
TLDR
Determination of the CPC, mRS and discharge disposition at hospital discharge is reliable from chart review, and a more nuanced outcome measure designed for the post-cardiac arrest population is needed. Expand
Elderly patients' views on cardiopulmonary resuscitation.
TLDR
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. Expand
Risk factors for early and late mortality in hospitalized older patients: the continuing importance of functional status.
TLDR
A complete functional and clinical evaluation at hospital admission permits identification of patients at higher risk of early and long-term mortality. Expand
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