Cardiopulmonary resuscitation in patients with terminal illness: an evidence-based analysis

Sehatzadeh S
Record ID 32015000089
English
Authors' recommendations: Recent studies report higher chance of survival in cancer patients. This could reflect the impact of "do not resuscitate" orders in recent years for patients with end-stage cancer. Overall, patients with cancer have lower chances of survival following cardiopulmonary resuscitation (CPR) than patients without cancer. Severity of illness in cancer patients can affect survival following CPR. A meta-analysis showed survival to discharge of patients with cancer who receive CPR in intensive care units is 2.2%, one-fifth the rate of survival of patients with cancer who receive CPR in general wards (10.1%), despite constant monitoring in intensive care units. Patients with cancer who have cardiac arrest out of hospital and receive CPR either out of hospital or in emergency departments have survival to discharge rates similar to those of hospitalized patients who receive CPR in hospital. The type and the number of chronic health conditions can affect survival following CPR. Studies show that patients who have myocardial infarction have better survival to discharge following CPR than patients with other health conditions and that patients undergoing hemodialysis have a high chance of survival following CPR. Older age is not necessarily a factor in lowering the odds of survival, but functional dependence and undergoing multiple CPRs, particularly in advanced age, can reduce the chance of survival following CPR. Response time of emergency medical services contributes to the chance of survival following out-of-hospital CPR in patients with chronic health conditions.
Details
Project Status: Completed
Year Published: 2014
URL for published report: http://www.hqontario.ca/Portals/0/Documents/eds/ohtas/eba-eol-cpr-1411-en.pdf
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Cardiopulmonary Resuscitation
  • Resuscitation
  • Terminal Care
  • Survival Analysis
  • Hospitalization
  • Severity of Illness Index
  • Chronic Disease
  • Emergency Medical Services
  • Heart Arrest
  • Critical Care
  • Age Factors
  • Evidence-Based Medicine
Contact
Organisation Name: Health Quality Ontario
Contact Address: Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5
Contact Name: EDSinfo@hqontario.ca
Contact Email: OH-HQO_hta-reg@ontariohealth.ca
Copyright: Health Quality Ontario
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.