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File:CPR-groups.png

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English: Survival from CPR among various groups
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Data and sources are below:

  • Overall survival in hospitals[1]:e381, e390
  • Overall survival outside hospitals.[2]
  • A study of CPR in a sample of US hospitals from 2001 to 2010,[3]
  • Another study, of advanced cancer patients.[4]
  • An earlier study of Medicare patients in hospitals 1992-2005.[5]
  • A study of King County WA patients who had CPR outside hospitals in 1999-2003.[6]

Nursing home residents' survival has been studied by several authors,[3][5][7][8][9][10][11]and is measured annually by the Cardiac Arrest Registry to Enhance Survival (CARES). CARES reports CPR results from a catchment area of 115 million people, including 23 state-wide registries, and individual communities in 18 other states as of 2019.[12] CARES data show that in health care facilities and nursing homes where AEDs are available and used, survival rates are double the average survival found in nursing homes overall.[2]

Table Showing How Well Groups with Different Illnesses Survive to Hospital Discharge after CPR (USA national data, except where noted)
Survival Rate of Group at LeftAverage Survival in StudyGroup Rate as Fraction of AverageSubgroup Sample SizePatients
Current Total, Adults Outside Hospitals10%10%1.079,3562018[2]
AED used by Bystander on Adult Outside Hospitals, not in health facility or nursing home35%10%3.31,3492018
Adults Outside Hospitals, Witnessed, with or without AED16%10%1.639,9762018
Adults Outside Hospitals, Unwitnessed4%10%0.439,3782018
OUTSIDE HOSPITALS, MULTIPLE CONDITIONS, King County WA
4-8 Major health conditions18%34%0.5981999-2003[6]
3 Major health conditions24%34%0.71251999-2003
2 Major health conditions33%34%1.02111999-2003
1 Major health condition35%34%1.03231999-2003
0 Major health conditions43%34%1.32861999-2003
OUTSIDE HOSPITALS, NURSING HOMES
Nursing homes4.3%10.4%0.49,1052018[2]
Nursing homes4.1%10.4%0.48,6552017[2]
Nursing homes4.4%10.8%0.46,4772016[2]
Nursing homes4.4%10.6%0.45,6952015[2]
Nursing homes4.5%10.8%0.44,7862014[2]
Nursing homes5.0%10.8%0.53,7132013[2]
AED used by staff or bystander in nursing home or health facility9.5%10.4%0.93,8092018[2]
AED used by staff or bystander in nursing home or health facility10.1%10.4%1.03,3292017[2]
AED used by staff or bystander in nursing home or health facility12.2%10.8%1.12,2292016[2]
AED used by staff or bystander in nursing home or health facility10.0%10.6%0.91,8872015[2]
AED used by staff or bystander in nursing home or health facility11.4%10.8%1.11,4222014[2]
Nursing homes, group homes, assisted living, King Co. WA4%nana21899-00[11]
Nursing homes, Denmark, best case, 30 days (witnessed, bystander CPR, AED before hospital)8%23%0.31352001-14[9]
Nursing homes in Denmark, live 30 days2%5%0.42,5162001-14
Nursing homes, Copenhagen9%17%0.62452007-11[7]
Nursing homes, Denmark, ROSC12%13%0.92,5162001-14[9]
Nursing homes, Rochester, ROSC19%20%1.04298-01[10]
.
Current Total, Inside Hospitals26%26%1.026,1782017[1]
IN HOSPITALS, NURSING HOME RESIDENTS
Nursing home residents, mental CPC=3, dependent9%16%0.51,2992000-08[8]
Skilled nursing facility before hospital12%18%0.610,92492-2005[5]
Nursing home residents11%16%0.72,8452000-08[8]
Nursing home or other not home17%19%0.934,3422001-10[3]
IN HOSPITALS, BURDEN OF CHRONIC ILLNESS, Deyo-Charlson score
3-33 highest burden16%18%0.994,60892-2005[5]
2 some burden19%18%1.0116,40192-2005
1 low burden19%18%1.0145,62792-2005
0 lowest burden19%18%1.077,34992-2005
IN HOSPITALS, INDIVIDUAL CONDITIONS
Liver insufficiency/failure10%19%0.510,1542001-10[3]
Advanced Cancer10%18%0.56,5852006-10[4]
Cancer or blood disease10%19%0.516,6402001-10[3]
Septicemia11%19%0.521,0572001-10
Mental problems (CPC=3), dependent10%16%0.64,2512000-08[8]
Dialysis12%19%0.65,1352001-10[3]
Pneumonia14%19%0.718,2772001-10
Respiratory insufficiency16%19%0.857,0542001-10
Congestive heart failure19%19%1.040,3622001-10
Diabetes20%19%1.041,1542001-10
Pacemaker/ICD (implanted cardioverter defibrillator)20%19%1.110,3862001-10
IN HOSPITALS, LOCATION OF CARE
Unmonitored15%19%0.822,8992001-10[3]
Intensive care unit18%19%0.981,1762001-10
Monitored, other than ICU25%19%1.330,1002001-10
IN HOSPITALS, PATIENT TRAITS
Patients' ages 90 or older12%18%0.734,06992-2005[5]
Patients' ages 85-8915%18%0.862,53092-2005
Patients' ages 80-8417%18%0.991,47192-2005
Patients' ages 75-7919%18%1.098,26392-2005
Patients' ages 70-7421%18%1.184,35392-2005
Patients' ages 65–6922%18%1.263,29992-2005
Black race15%19%0.827,2462001-10[3]
<$15,000 median income in patient's zip code13%18%0.710,62692-2005[5]
$15-$30,000 median income in patient's zip code18%18%1.087,16492-2005
IN HOSPITALS, INITIAL HEART RHYTHM BEFORE CPR
Stopped (asystole)13%19%0.746,8562001-10[3]
Pulseless electrical activity14%19%0.753,9652001-10
Other24%19%1.37,4222001-10
Ventricular fibrillation (quiver) / ventricular tachycardia (rapid beat)38%19%2.027,6532001-10
Cancer was also studied by Champigneulle et al.in Paris. In 2015 they reported survival after patients entered ICUs, not overall. Cancer ICU patients had the same ICU mortality and 6-month mortality as matched non-cancer ICU patients.[13]

References

  1. ↑ a b Benjamin Emelia J. (2019-03-05). "Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association". Circulation 139 (10): e56–e528. DOI:10.1161/CIR.0000000000000659.
  2. ↑ a b c d e f g h i j k l m n National Reports by Year « MyCares. mycares.net. Retrieved on 2018-12-12.
  3. ↑ a b c d e f g h i (January 2014). "Hospital variation in survival after in-hospital cardiac arrest". Journal of the American Heart Association 3 (1): e000400. DOI:10.1161/jaha.113.000400. PMID 24487717. PMC: 3959682.
  4. ↑ a b (October 2017). "Patterns of Resuscitation Care and Survival After In-Hospital Cardiac Arrest in Patients With Advanced Cancer". Journal of Oncology Practice 13 (10): e821-e830. DOI:10.1200/JOP.2016.020404. PMID 28763260. PMC: 5640412.
  5. ↑ a b c d e f (July 2009). "Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly". The New England Journal of Medicine 361 (1): 22–31. DOI:10.1056/NEJMoa0810245. PMID 19571280. PMC: 2917337.
  6. ↑ a b (June 2007). "Chronic health conditions and survival after out-of-hospital ventricular fibrillation cardiac arrest". Heart 93 (6): 728–31. DOI:10.1136/hrt.2006.103895. PMID 17309904. PMC: 1955210.
  7. ↑ a b Søholm, Helle, John Bro-Jeppesen, Freddy K. Lippert, Lars Køber, Michael Wanscher, Jesper Kjaergaard, Christian Hassager (March 2014). "Resuscitation". Resuscitation 85 (3): 369–375. DOI:10.1016/j.resuscitation.2013.10.033. PMID 24269866.
  8. ↑ a b c d (January 2013). "Cardiopulmonary resuscitation outcomes in hospitalized community-dwelling individuals and nursing home residents based on activities of daily living". Journal of the American Geriatrics Society 61 (1): 34–9. DOI:10.1111/jgs.12068. PMID 23311551.
  9. ↑ a b c Pape, Marianne (April 2018). "Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study". Resuscitation 125: 90–98. DOI:10.1016/j.resuscitation.2018.02.004. PMID 29425977. ISSN 1873-1570.
  10. ↑ a b Shah, Manish N. (March 2007). "Cardiac arrests in skilled nursing facilities: continuing room for improvement?". Journal of the American Medical Directors Association 8 (3 Suppl 2): e27–31. DOI:10.1016/j.jamda.2006.12.005. PMID 17352981. ISSN 1538-9375.
  11. ↑ a b Becker, Linda J. (July 2003). "Resuscitation of residents with do not resuscitate orders in long-term care facilities". Prehospital emergency care: official journal of the National Association of EMS Physicians and the National Association of State EMS Directors 7 (3): 303–306. PMID 12879377. ISSN 1090-3127.
  12. ↑ CARES Fact Sheet « MyCares. mycares.net. Retrieved on 2019-06-27.
  13. ↑ Champigneulle, B. (July 2015). "What is the outcome of cancer patients admitted to the ICU after cardiac arrest? Results from a multicenter study". Resuscitation 92: 38–44. DOI:10.1016/j.resuscitation.2015.04.011. PMID 25917260. ISSN 1873-1570.

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current17:15, 18 July 2019Thumbnail for version as of 17:15, 18 July 2019737 × 1,506 (164 KB)NumbersinstituteClarified labeling at top and AED in NH
22:33, 27 June 2019Thumbnail for version as of 22:33, 27 June 2019737 × 1,506 (157 KB)NumbersinstituteClearer title
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19:52, 27 June 2019Thumbnail for version as of 19:52, 27 June 2019737 × 1,473 (151 KB)Numbersinstitutemore recent data on nursing homes
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