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      The chance of survival and the functional outcome after in-hospital cardiopulmonary resuscitation in older people: a systematic review

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      Age and Ageing

      Oxford University Press (OUP)

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          Most cited references 16

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          Closed-chest cardiac massage.

           W KOUWENHOVEN (1960)
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            The influence of the probability of survival on patients' preferences regarding cardiopulmonary resuscitation.

            Studies suggest that a majority of elderly patients would want to undergo cardiopulmonary resuscitation (CPR) if they had a cardiac arrest. Yet few studies have examined their preferences after clinicians have informed them about the outcomes of CPR. To study older patients' preferences regarding CPR, we interviewed as many ambulatory patients as possible in one geriatrics practice in Denver from August 1, 1991, through July 31, 1992. A total of 371 patients at least 60 years of age were eligible; 287 completed the interview (mean age, 77 years; range, 60 to 99). When asked about their wishes if they had cardiac arrest during an acute illness, 41 percent opted for CPR before learning the probability of survival to discharge. After learning the probability of survival (10 to 17 percent), 22 percent opted for CPR. Only 6 percent of patients 86 years of age or older opted for CPR under these conditions. When asked about a chronic illness in which the life expectancy was less than one year, 11 percent of the 287 patients opted for CPR before learning the probability of survival to discharge. After learning the probability of survival (0 to 5 percent), 5 percent said they would want CPR. Older patients readily understand prognostic information, which influences their preferences with respect to CPR. Most do not want to undergo CPR once a clinician explains the probability of survival after the procedure.
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              A validated prediction tool for initial survivors of in-hospital cardiac arrest.

              Accurate estimation of favorable neurological survival after in-hospital cardiac arrest could provide critical information for physicians, patients, and families.
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                Author and article information

                Journal
                Age and Ageing
                Age and Ageing
                Oxford University Press (OUP)
                0002-0729
                1468-2834
                June 23 2014
                April 22 2014
                : 43
                : 4
                : 456-463
                Article
                10.1093/ageing/afu035
                © 2014

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