A. Dhar et al., INTENSIVE-CARE UNIT ADMISSION FOLLOWING SUCCESSFUL CARDIOPULMONARY-RESUSCITATION - RESOURCE UTILIZATION, FUNCTIONAL STATUS AND LONG-TERM SURVIVAL, Resuscitation, 31(3), 1996, pp. 235-242
A retrospective review of consecutive admissions (n = 285) to a univer
sity hospital intensive care unit (ICU) following cardiopulmonary resu
scitation was conducted to determine long-term outcome, length of stay
(LOS), and ICU resource consumption. Ninety-four patients (33%) survi
ved to hospital discharge. Hospital survivors had longer ICU LOS than
non-survivors (5.1 +/- 0.8 vs, 2.8 +/- 0.4 days, P < 0.001) and longer
hospital stays (22.5 +/- 3.7 vs. 2.9 +/- 1.2 days, P < 0.001). Averag
e laboratory and pharmacy costs per admission were greater in hospital
survivors than nonsurvivors. Most patients returned to their pre-arre
st homes functionally independent and 58% of hospital survivors were a
live 2 years after discharge. It is possible that attempts to appropri
ately limit therapy in patients with poor prognosis may help direct re
sources towards patients who will benefit.