Outcome of Adult Cardiopulmonary Resuscitations at a Tertiary Referral Center Including Results of "Limited" Resuscitations

John A. Dumot, Daniel J. Burval, Juraj Sprung, Jonathan H. Waters, Boris Mraovic, Matthew T. Karafa, Edward J. Mascha, Denis L. Bourke
2001 Archives of Internal Medicine  
The results of in-hospital resuscitations may depend on a variety of factors related to the patient, the environment, and the extent of resuscitation efforts. We studied these factors in a large tertiary referral hospital with a dedicated certified resuscitation team responding to all cardiac arrests. Methods: Statistical analysis of 445 prospectively recorded resuscitation records of patients who experienced cardiac arrest and received advanced cardiac life support resuscitation. We also
more » ... tion. We also report the outcomes of an additional 37 patients who received limited resuscitation efforts because of advance directives prohibiting tracheal intubation, chest compressions, or both. Main Outcome Measures: Survival immediately after resuscitation, at 24 hours, at 48 hours, and until hospital discharge. Results: Overall, 104 (23%) of 445 patients who received full advanced cardiac life support survived to hospital discharge. Survival was highest for patients with primary cardiac disease (30%), followed by those with ORIGINAL INVESTIGATION
doi:10.1001/archinte.161.14.1751 pmid:11485508 fatcat:o3lxzvyyynh55ogprgac54e7lq