FUNCTIONAL STATUS AMONG SURVIVORS OF IN-HOSPITAL CARDIOPULMONARY-RESUSCITATION

Citation
Jd. Fitzgerald et al., FUNCTIONAL STATUS AMONG SURVIVORS OF IN-HOSPITAL CARDIOPULMONARY-RESUSCITATION, Archives of internal medicine, 157(1), 1997, pp. 72-76
Citations number
16
Categorie Soggetti
Medicine, General & Internal
ISSN journal
00039926
Volume
157
Issue
1
Year of publication
1997
Pages
72 - 76
Database
ISI
SICI code
0003-9926(1997)157:1<72:FSASOI>2.0.ZU;2-R
Abstract
Objectives: To describe functional outcomes of seriously ill patients who survived 2 months after in-hospital cardiopulmonary resuscitation (CPR) and to identify patient and clinical characteristics associated with worse functional status after CPR. Methods: Multicenter prospecti ve observational analysis of 162 seriously ill hospitalized patients w ho survived 2 months after CPR. Analysis of clinical characteristics a ssociated with worse functional outcome. Results: Among 162 survivors of in-hospital CPR, 56% had the same or improved function and 44% had worse function at 2 months compared with functional status before CPR. Patients with worse function deteriorated by a mean of 3.9 activities of daily living and were less likely to survive to hospital discharge (P<.001) or to 6 months after study entry (P<.001). Worse functional outcome was associated with greater age and longer hospital stay befor e CPR. Conclusions: More than half of CPR survivors had preserved func tional status 2 months after CPR. However, patients with worse functio n are profoundly disabled. In anticipation of possible severe disabili ty after CPR, preferences for care in such health states should be dis cussed with patients before the need for CPR, particularly among older patients and those with long hospital stays.