Predicting death after CPR. Experience at a nonteaching community hospital with a full-time critical care staff.
@article{Bialecki1995PredictingDA,
title={Predicting death after CPR. Experience at a nonteaching community hospital with a full-time critical care staff.},
author={Leonard Bialecki and Robert S. Woodward},
journal={Chest},
year={1995},
volume={108 4},
pages={
1009-17
}
}OBJECTIVE
To identify a series of variables which predict death after in-hospital cardiopulmonary resuscitation (CPR).
DESIGN
Retrospective observational study.
SETTING
A nonteaching community hospital with 24-hr on-site critical care specialists.
PATIENTS
Consecutive adults undergoing CPR between August 1989 and July 1991.
INTERVENTION
None.
MEASUREMENTS AND MAIN RESULTS
Two hundred forty-two patients suffered a total of 289 cardiopulmonary arrests. Forty patients (16.5%) survived to…
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References
SHOWING 1-10 OF 53 REFERENCES
Pre-arrest morbidity and other correlates of survival after in-hospital cardiopulmonary arrest.
- Medicine
- 1989
In-hospital cardiopulmonary resuscitation: patient, arrest and resuscitation factors associated with survival.
- MedicineResuscitation
- 1990
Cardiopulmonary resuscitation in a hospitalized population: prospective study of factors associated with outcome.
- MedicineResuscitation
- 1984
Survival after Cardiopulmonary Resuscitation in the Hospital
- Medicine
- 1983
A multivariate analysis revealed that pneumonia, hypotension, renal failure, cancer, and a home-bound life style before hospitalization were significantly associated with in-hospital mortality.
Outcomes of Cardiopulmonary Resuscitation in the Elderly
- MedicineAnnals of internal medicine
- 1989
Cardiopul pulmonary resuscitation is rarely effective for elderly patients with cardiopulmonary arrests that are either out-of-hospital, unwitnessed, or associated with asystole or electromechanical dissociation.
Predicting outcome of inhospital cardiopulmonary resuscitation.
- MedicineCritical care medicine
- 1988
Factors associated with a successful outcome included occurrence of cardiopulmonary arrest within 24 h of hospitalization, short duration of CPR, and the absence of cardiogenic shock, sepsis, acute renal failure, cancer, and pneumonia.
Outcome after cardiopulmonary resuscitation in a medical intensive care unit.
- MedicineChest
- 1991
It is demonstrated that CPR can be successful in the MICU and that there are prearrest and arrest parameters which are useful in identifying those patients most likely to benefit from CPR in the critical care setting.
Cardiac arrests in a geriatric unit.
- MedicineAge and ageing
- 1985
Although subjective levels of psychological and physical disability of survivors at 3 months were low, their domestic and social life was often excessively restricted, and there is also a need for further measures to reduce unnecessary disability in long-term survivors.
Prearrest predictors of survival following in-hospital cardiopulmonary resuscitation: a meta-analysis.
- MedicineThe Journal of family practice
- 1992
The identification of prearrest variables that are associated with decreased survival following CPR will assist clinicians when they counsel their patients regarding do-not-resuscitate (DNR) orders.
Predictors of survival of in-hospital cardiac arrest.
- MedicineThe Canadian journal of cardiology
- 1991
Reassessment of policy regarding the administration of cardiac resuscitation to patients in hospital is warranted following cases of attempted resuscitation following cardiac arrest occurring over a period of one year in a tertiary care teaching hospital.








