PMID: 8959768Nov 1, 1996Paper

Predicting in-hospital mortality during cardiopulmonary resuscitation

Resuscitation
S C SchultzS R Evans

Abstract

On the average, 10-15% of patients who undergo cardiopulmonary resuscitation (CPR) following a cardiopulmonary arrest in the hospital environment will survive to be discharged. The purpose of this study was to determine objective factors influencing patient outcome after CPR to determine who should be resuscitated and when to end CPR efforts. The records of 266 patients who underwent in-hospital CPR over a 3-year period were retrospectively analyzed with regard to age, gender, co-morbid conditions, setting of arrest, duration of resuscitation, initial pH and PO2 during resuscitation, and outcome of resuscitative efforts. Twenty-four (9%) patients survived to be discharged from hospital. Eighty-seven (33%) patients arrested in the intensive care unit, 77 (29%) on the ward, 91 (34%) in the emergency room, six (2%) in the cardiac catheterization laboratory and five (2%) in the operating room. There was no significant difference in survival based on location of arrest. Factors associated with a poor prognosis included age greater than 60, co-morbid disease (i.e. pneumonia, sepsis, renal failure, heart disease, etc.), an initial PO2 < 50 mmHg and CPR efforts extending beyond 10 min. Based on this data, guidelines regarding initiatio...Continue Reading

References

Jan 1, 1978·Gerontology·I Füsgen, J D Summa
Sep 1, 1992·Journal of Medical Ethics·R Gillon
Aug 1, 1989·Annals of Internal Medicine·D J MurphyE W Campion
Oct 14, 1988·JAMA : the Journal of the American Medical Association·G E TaffetR J Luchi
Dec 1, 1987·Annals of Emergency Medicine·R B McGrath
Jun 1, 1988·Critical Care Medicine·E A Rozenbaum, L Shenkman
Aug 1, 1971·American Journal of Surgery·Q R StilesJ C Jones
Sep 1, 1969·Annals of Internal Medicine·J H Hollingsworth
Feb 1, 1967·Postgraduate Medical Journal·B J Kirby, M W McNicol
Sep 8, 1983·The New England Journal of Medicine·S E BedellF H Epstein
Nov 14, 1994·Archives of Internal Medicine·K A BallewJ B Schorling
Apr 1, 1993·Resuscitation·P BeuretC Perret
Jul 9, 1960·JAMA : the Journal of the American Medical Association·W B KOUWENHOVENG G KNICKERBOCKER

❮ Previous
Next ❯

Citations

Feb 3, 2011·Journal of General Internal Medicine·Jacqueline K YuenMichael D Fetters
Jun 10, 2010·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Jose Chacko, Ashok Elangovan
Nov 24, 2001·Resuscitation·K KhalafiB C West
Apr 12, 2002·Resuscitation·Daminda P WeerasingheGeorge L Rubin
Jan 26, 1999·Resuscitation·R de VosR J de Haan
Jan 22, 2003·Journal of the American College of Cardiology·Yih-Sharng ChenShoei-Shan Wang
Jan 30, 2003·The Journal of Emergency Medicine·Catherine A Marco, Raquel M Schears
Oct 31, 2002·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Alison Newton
Aug 1, 1998·Journal of General Internal Medicine·G S FischerR M Arnold
Nov 5, 1999·Critical Care Medicine·R J Gazmuri
Aug 29, 2001·International Anesthesiology Clinics·E M Robinson, L Mylott
Oct 19, 2002·Current Opinion in Critical Care·Gregory Luke Larkin
Jul 14, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·G K JonesH G Garrison
Jan 21, 2003·Emergency Medicine Journal : EMJ·S Cooper, C Evans
Dec 14, 2011·World Journal of Emergency Surgery : WJES·Taufiek K RajabJan D Schmitto
Mar 21, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Faisal A KhasawnehMohammad I Abu-Zaid
Feb 16, 2012·Journal of the American Veterinary Medical Association·Manuel BollerCynthia M Otto
Jan 28, 2014·Current Cardiology Reports·Saket GirotraPaul S Chan
Sep 6, 2015·Journal of the Chinese Medical Association : JCMA·Chung-Ting ChenMu-Shun Huang
Sep 11, 2012·Lancet·Zachary D GoldbergerUNKNOWN American Heart Association Get With The Guidelines—Resuscitation (formerly National Registry of Cardiopulmonary Resuscitati
Jul 20, 2011·European Journal of Internal Medicine·Andjelic SladjanaSijacki Ana
Nov 17, 2004·Mayo Clinic Proceedings·Alejandro A RabinsteinJohn L D Atkinson
Jul 8, 2008·Lancet·Sung-Woo Lee, Yun-Sik Hong
Jun 4, 2008·International Emergency Nursing·Wendy M Walker
Dec 26, 2006·Resuscitation·Annette V M AlfonzoJonathan Fox
Oct 15, 2011·Emergency Medicine Australasia : EMA·Peter JonesNancy Mitchell
Jan 5, 2005·Resuscitation·Gilly TreanorStephen Brett
Jul 13, 2004·Resuscitation·Sorin C DanciuRichard F Kehoe
Sep 2, 2006·Resuscitation·Idit MatotSharon Einav
Jun 9, 2006·Resuscitation·Constantine L AthanasuleasMarvin M Kirsh
Sep 27, 2005·The American Journal of Emergency Medicine·Donald AlvesMichele Wallace
Jan 28, 2010·The American Journal of Medicine·Laura LoertscherPaul S Mueller

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.