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Functional status among survivors of in-hospital cardiopulmonary resuscitation. SUPPORT Investigators Study to Understand Progress and Preferences for Outcomes and Risks of Treatment.
Arch Intern Med. 1997 Jan 13; 157(1):72-6.AI

Abstract

OBJECTIVES

To describe functional outcomes of seriously III 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 prospective observational analysis of 162 seriously ill hospitalized patients who survived 2 months after CPR. Analysis of clinical characteristics associated 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 before CPR.

CONCLUSIONS

More than half of CPR survivors had preserved functional status 2 months after CPR. However, patients with worse function are profoundly disabled. In anticipation of possible severe disability after CPR, preferences for care in such health states should be discussed with patients before the need for CPR, particularly among older patients and those with long hospital stays.

Authors+Show Affiliations

Department of Medicine, UCLA 90095, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

8996043

Citation

FitzGerald, J D., et al. "Functional Status Among Survivors of In-hospital Cardiopulmonary Resuscitation. SUPPORT Investigators Study to Understand Progress and Preferences for Outcomes and Risks of Treatment." Archives of Internal Medicine, vol. 157, no. 1, 1997, pp. 72-6.
FitzGerald JD, Wenger NS, Califf RM, et al. Functional status among survivors of in-hospital cardiopulmonary resuscitation. SUPPORT Investigators Study to Understand Progress and Preferences for Outcomes and Risks of Treatment. Arch Intern Med. 1997;157(1):72-6.
FitzGerald, J. D., Wenger, N. S., Califf, R. M., Phillips, R. S., Desbiens, N. A., Liu, H., Lynn, J., Wu, A. W., Connors, A. F., & Oye, R. K. (1997). Functional status among survivors of in-hospital cardiopulmonary resuscitation. SUPPORT Investigators Study to Understand Progress and Preferences for Outcomes and Risks of Treatment. Archives of Internal Medicine, 157(1), 72-6.
FitzGerald JD, et al. Functional Status Among Survivors of In-hospital Cardiopulmonary Resuscitation. SUPPORT Investigators Study to Understand Progress and Preferences for Outcomes and Risks of Treatment. Arch Intern Med. 1997 Jan 13;157(1):72-6. PubMed PMID: 8996043.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Functional status among survivors of in-hospital cardiopulmonary resuscitation. SUPPORT Investigators Study to Understand Progress and Preferences for Outcomes and Risks of Treatment. AU - FitzGerald,J D, AU - Wenger,N S, AU - Califf,R M, AU - Phillips,R S, AU - Desbiens,N A, AU - Liu,H, AU - Lynn,J, AU - Wu,A W, AU - Connors,A F,Jr AU - Oye,R K, PY - 1997/1/13/pubmed PY - 2001/3/28/medline PY - 1997/1/13/entrez KW - Death and Euthanasia KW - Empirical Approach KW - Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) SP - 72 EP - 6 JF - Archives of internal medicine JO - Arch. Intern. Med. VL - 157 IS - 1 N2 - OBJECTIVES: To describe functional outcomes of seriously III 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 prospective observational analysis of 162 seriously ill hospitalized patients who survived 2 months after CPR. Analysis of clinical characteristics associated 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 before CPR. CONCLUSIONS: More than half of CPR survivors had preserved functional status 2 months after CPR. However, patients with worse function are profoundly disabled. In anticipation of possible severe disability after CPR, preferences for care in such health states should be discussed with patients before the need for CPR, particularly among older patients and those with long hospital stays. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/8996043/Functional_status_among_survivors_of_in_hospital_cardiopulmonary_resuscitation__SUPPORT_Investigators_Study_to_Understand_Progress_and_Preferences_for_Outcomes_and_Risks_of_Treatment_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/157/pg/72 DB - PRIME DP - Unbound Medicine ER -