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Cardiopulmonary resuscitation and dialysis: outcome and patients' views.

Abstract

Cardiopulmonary resuscitation (CPR) was initially described as an intervention to be used in otherwise healthy individuals suffering acute cardiorespiratory arrest. Over the years, CPR has been extended to all hospitalized patients unless specific orders not to resuscitate have been written with the informed consent of the patient and/or surrogate. The 14-15% survival to hospital discharge reported for in-hospital CPR has not changed over the past three decades. Compared with other diseases, chronic kidney disease reduces long-term survival (more than 6 months) following CPR, and the functional status of the few who survive is often quite poor. Nevertheless, most dialysis patients want to be resuscitated. Unfortunately television shows portraying resuscitation imply that survival after CPR is much more common than it really is. Such misinformation contributes to the overwhelming choice for CPR despite the dismal prognosis. Dialysis unit staff need to educate patients and families about the expected success and complications of CPR as part of the advance care planning process that should now be routine.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Nephrology Unit, University of Rochester Medical Center, Rochester, New York, USA.

    Source

    MeSH

    Cardiopulmonary Resuscitation
    Clinical Trials as Topic
    Heart Arrest
    Humans
    Outcome Assessment (Health Care)
    Patient Discharge
    Patient Selection
    Renal Dialysis
    Survival Rate
    Treatment Outcome

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    12535301

    Citation

    Hijazi, Fadi, and Jean L. Holley. "Cardiopulmonary Resuscitation and Dialysis: Outcome and Patients' Views." Seminars in Dialysis, vol. 16, no. 1, 2003, pp. 51-3.
    Hijazi F, Holley JL. Cardiopulmonary resuscitation and dialysis: outcome and patients' views. Semin Dial. 2003;16(1):51-3.
    Hijazi, F., & Holley, J. L. (2003). Cardiopulmonary resuscitation and dialysis: outcome and patients' views. Seminars in Dialysis, 16(1), pp. 51-3.
    Hijazi F, Holley JL. Cardiopulmonary Resuscitation and Dialysis: Outcome and Patients' Views. Semin Dial. 2003;16(1):51-3. PubMed PMID: 12535301.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Cardiopulmonary resuscitation and dialysis: outcome and patients' views. AU - Hijazi,Fadi, AU - Holley,Jean L, PY - 2003/1/22/pubmed PY - 2003/5/24/medline PY - 2003/1/22/entrez KW - Death and Euthanasia SP - 51 EP - 3 JF - Seminars in dialysis JO - Semin Dial VL - 16 IS - 1 N2 - Cardiopulmonary resuscitation (CPR) was initially described as an intervention to be used in otherwise healthy individuals suffering acute cardiorespiratory arrest. Over the years, CPR has been extended to all hospitalized patients unless specific orders not to resuscitate have been written with the informed consent of the patient and/or surrogate. The 14-15% survival to hospital discharge reported for in-hospital CPR has not changed over the past three decades. Compared with other diseases, chronic kidney disease reduces long-term survival (more than 6 months) following CPR, and the functional status of the few who survive is often quite poor. Nevertheless, most dialysis patients want to be resuscitated. Unfortunately television shows portraying resuscitation imply that survival after CPR is much more common than it really is. Such misinformation contributes to the overwhelming choice for CPR despite the dismal prognosis. Dialysis unit staff need to educate patients and families about the expected success and complications of CPR as part of the advance care planning process that should now be routine. SN - 0894-0959 UR - https://www.unboundmedicine.com/medline/citation/12535301/Cardiopulmonary_resuscitation_and_dialysis:_outcome_and_patients'_views_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0894-0959&date=2003&volume=16&issue=1&spage=51 DB - PRIME DP - Unbound Medicine ER -