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Outcomes of cardiopulmonary resuscitation in dialysis patients.
J Am Soc Nephrol 1992; 3(6):1238-43JA

Abstract

Patients with renal failure are believed to have a poor survival rate after cardiopulmonary resuscitation, but there is little specific information about the outcomes of cardiopulmonary resuscitation in dialysis patients. To be better able to inform dialysis patients and assist them in decision making about cardiopulmonary resuscitation, the eight-year experience with cardiopulmonary resuscitation in dialysis patients at a university dialysis program was analyzed and outcomes were compared with those of a control group of nondialysis patients undergoing cardiopulmonary resuscitation during the same time period in the same hospital. Of 221 dialysis patients experiencing cardiopulmonary arrest, 74 (34%) had CPR compared with 247 (21%) of 1,201 control patients (P = 0.0002). Six of 74 (8%; 95% confidence interval, 2 to 14%) dialysis patients survived to hospital discharge compared with 30 of 247 (12%; 95% confidence interval, 8 to 16%) control patients (P = not significant). At 6 months after CPR, 2 (3%) of 74 dialysis patients were still alive compared with 23 (9%) of 247 controls (P = 0.044); this difference was not explained by age or comorbid conditions. Twenty-one (78%) of the 27 successfully resuscitated dialysis patients died a mean of 4.4 days later; 95% were on mechanical ventilation in an intensive care unit at the time of death. It was concluded that cardiopulmonary resuscitation is a procedure that rarely results in extended survival for dialysis patients. In discussions about cardiopulmonary resuscitation with dialysis patients, nephrologists should provide this information.

Authors+Show Affiliations

Center for Health Ethics and Law, West Virginia University Health Sciences Center, Morgantown 26506.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

1477319

Citation

Moss, A H., et al. "Outcomes of Cardiopulmonary Resuscitation in Dialysis Patients." Journal of the American Society of Nephrology : JASN, vol. 3, no. 6, 1992, pp. 1238-43.
Moss AH, Holley JL, Upton MB. Outcomes of cardiopulmonary resuscitation in dialysis patients. J Am Soc Nephrol. 1992;3(6):1238-43.
Moss, A. H., Holley, J. L., & Upton, M. B. (1992). Outcomes of cardiopulmonary resuscitation in dialysis patients. Journal of the American Society of Nephrology : JASN, 3(6), pp. 1238-43.
Moss AH, Holley JL, Upton MB. Outcomes of Cardiopulmonary Resuscitation in Dialysis Patients. J Am Soc Nephrol. 1992;3(6):1238-43. PubMed PMID: 1477319.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcomes of cardiopulmonary resuscitation in dialysis patients. AU - Moss,A H, AU - Holley,J L, AU - Upton,M B, PY - 1992/12/1/pubmed PY - 1992/12/1/medline PY - 1992/12/1/entrez SP - 1238 EP - 43 JF - Journal of the American Society of Nephrology : JASN JO - J. Am. Soc. Nephrol. VL - 3 IS - 6 N2 - Patients with renal failure are believed to have a poor survival rate after cardiopulmonary resuscitation, but there is little specific information about the outcomes of cardiopulmonary resuscitation in dialysis patients. To be better able to inform dialysis patients and assist them in decision making about cardiopulmonary resuscitation, the eight-year experience with cardiopulmonary resuscitation in dialysis patients at a university dialysis program was analyzed and outcomes were compared with those of a control group of nondialysis patients undergoing cardiopulmonary resuscitation during the same time period in the same hospital. Of 221 dialysis patients experiencing cardiopulmonary arrest, 74 (34%) had CPR compared with 247 (21%) of 1,201 control patients (P = 0.0002). Six of 74 (8%; 95% confidence interval, 2 to 14%) dialysis patients survived to hospital discharge compared with 30 of 247 (12%; 95% confidence interval, 8 to 16%) control patients (P = not significant). At 6 months after CPR, 2 (3%) of 74 dialysis patients were still alive compared with 23 (9%) of 247 controls (P = 0.044); this difference was not explained by age or comorbid conditions. Twenty-one (78%) of the 27 successfully resuscitated dialysis patients died a mean of 4.4 days later; 95% were on mechanical ventilation in an intensive care unit at the time of death. It was concluded that cardiopulmonary resuscitation is a procedure that rarely results in extended survival for dialysis patients. In discussions about cardiopulmonary resuscitation with dialysis patients, nephrologists should provide this information. SN - 1046-6673 UR - https://www.unboundmedicine.com/medline/citation/1477319/full_citation L2 - http://jasn.asnjournals.org/cgi/pmidlookup?view=long&pmid=1477319 DB - PRIME DP - Unbound Medicine ER -