Outcomes of Skilled Cardiopulmonary Resuscitation in a Long‐Term‐Care Facility: Futile Therapy?

Sissay Awoke, Charles Mouton, Marian Parrott

Research output: Contribution to journalArticle

73 Scopus citations

Abstract

To assess whether cardiopulmonary resuscitation performed by in‐house physicians is effective for long‐term‐care residents. Retrospective chart review. Long‐term‐care facility with an intermediate care unit, “skilled” care unit, and a convalescent and assessment unit at a retirement community for veterans. All residents resuscitated from April 1987 to August 1990. All participants were male. The mean age was 75 years ± 7.3 (range 42–93 years). Charts were abstracted for demographics, advanced directives information, information about the arrest, and post‐resuscitation course. Forty‐five elderly residents underwent resuscitation during this period. Nine residents (20%) were successfully resuscitated, with seven dying within 24 hours of hospitalization. No residents survived to return to long‐term care (95% CI, 0–7%). The diagnoses were consistent with age‐related chronic disease. Seventeen (38%) arrests were witnessed. The predominant rhythm at onset of resuscitation was asystole. We conclude that cardiopulmonary resuscitation, even when performed by a trained and experienced physician and team, has limited benefit for elderly long‐term‐care populations.

Original languageEnglish (US)
Pages (from-to)593-595
Number of pages3
JournalJournal of the American Geriatrics Society
Volume40
Issue number6
DOIs
StatePublished - 1992
Externally publishedYes

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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