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Summary
| Description |
English:
Survival from CPR among various groups
|
| Date | |
| Source | Own work |
| Author | Numbersinstitute |
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]
| Survival Rate of Group at Left | Average Survival in Study | Group Rate as Fraction of Average | Subgroup Sample Size | Patients | |
|---|---|---|---|---|---|
| Current Total, Adults Outside Hospitals | 10% | 10% | 1.0 | 79,356 | 2018 [2] |
| AED used by Bystander on Adult Outside Hospitals, not in health facility or nursing home | 35% | 10% | 3.3 | 1,349 | 2018 |
| Adults Outside Hospitals, Witnessed, with or without AED | 16% | 10% | 1.6 | 39,976 | 2018 |
| Adults Outside Hospitals, Unwitnessed | 4% | 10% | 0.4 | 39,378 | 2018 |
| OUTSIDE HOSPITALS, MULTIPLE CONDITIONS , King County WA | |||||
| 4-8 Major health conditions | 18% | 34% | 0.5 | 98 | 1999-2003 [6] |
| 3 Major health conditions | 24% | 34% | 0.7 | 125 | 1999-2003 |
| 2 Major health conditions | 33% | 34% | 1.0 | 211 | 1999-2003 |
| 1 Major health condition | 35% | 34% | 1.0 | 323 | 1999-2003 |
| 0 Major health conditions | 43% | 34% | 1.3 | 286 | 1999-2003 |
| OUTSIDE HOSPITALS, NURSING HOMES | |||||
| Nursing homes | 4.3% | 10.4% | 0.4 | 9,105 | 2018 [2] |
| Nursing homes | 4.1% | 10.4% | 0.4 | 8,655 | 2017 [2] |
| Nursing homes | 4.4% | 10.8% | 0.4 | 6,477 | 2016 [2] |
| Nursing homes | 4.4% | 10.6% | 0.4 | 5,695 | 2015 [2] |
| Nursing homes | 4.5% | 10.8% | 0.4 | 4,786 | 2014 [2] |
| Nursing homes | 5.0% | 10.8% | 0.5 | 3,713 | 2013 [2] |
| AED used by staff or bystander in nursing home or health facility | 9.5% | 10.4% | 0.9 | 3,809 | 2018 [2] |
| AED used by staff or bystander in nursing home or health facility | 10.1% | 10.4% | 1.0 | 3,329 | 2017 [2] |
| AED used by staff or bystander in nursing home or health facility | 12.2% | 10.8% | 1.1 | 2,229 | 2016 [2] |
| AED used by staff or bystander in nursing home or health facility | 10.0% | 10.6% | 0.9 | 1,887 | 2015 [2] |
| AED used by staff or bystander in nursing home or health facility | 11.4% | 10.8% | 1.1 | 1,422 | 2014 [2] |
| Nursing homes, group homes, assisted living, King Co. WA | 4% | na | na | 218 | 99-00 [11] |
| Nursing homes, Denmark, best case, 30 days (witnessed, bystander CPR, AED before hospital) | 8% | 23% | 0.3 | 135 | 2001-14 [9] |
| Nursing homes in Denmark, live 30 days | 2% | 5% | 0.4 | 2,516 | 2001-14 |
| Nursing homes, Copenhagen | 9% | 17% | 0.6 | 245 | 2007-11 [7] |
| Nursing homes, Denmark, ROSC | 12% | 13% | 0.9 | 2,516 | 2001-14 [9] |
| Nursing homes, Rochester, ROSC | 19% | 20% | 1.0 | 42 | 98-01 [10] |
| . | |||||
| Current Total, Inside Hospitals | 26% | 26% | 1.0 | 26,178 | 2017 [1] |
| IN HOSPITALS, NURSING HOME RESIDENTS | |||||
| Nursing home residents, mental CPC=3, dependent | 9% | 16% | 0.5 | 1,299 | 2000-08 [8] |
| Skilled nursing facility before hospital | 12% | 18% | 0.6 | 10,924 | 92-2005 [5] |
| Nursing home residents | 11% | 16% | 0.7 | 2,845 | 2000-08 [8] |
| Nursing home or other not home | 17% | 19% | 0.9 | 34,342 | 2001-10 [3] |
| IN HOSPITALS, BURDEN OF CHRONIC ILLNESS , Deyo-Charlson score | |||||
| 3-33 highest burden | 16% | 18% | 0.9 | 94,608 | 92-2005 [5] |
| 2 some burden | 19% | 18% | 1.0 | 116,401 | 92-2005 |
| 1 low burden | 19% | 18% | 1.0 | 145,627 | 92-2005 |
| 0 lowest burden | 19% | 18% | 1.0 | 77,349 | 92-2005 |
| IN HOSPITALS, INDIVIDUAL CONDITIONS | |||||
| Liver insufficiency/failure | 10% | 19% | 0.5 | 10,154 | 2001-10 [3] |
| Advanced Cancer | 10% | 18% | 0.5 | 6,585 | 2006-10 [4] |
| Cancer or blood disease | 10% | 19% | 0.5 | 16,640 | 2001-10 [3] |
| Septicemia | 11% | 19% | 0.5 | 21,057 | 2001-10 |
| Mental problems (CPC=3), dependent | 10% | 16% | 0.6 | 4,251 | 2000-08 [8] |
| Dialysis | 12% | 19% | 0.6 | 5,135 | 2001-10 [3] |
| Pneumonia | 14% | 19% | 0.7 | 18,277 | 2001-10 |
| Respiratory insufficiency | 16% | 19% | 0.8 | 57,054 | 2001-10 |
| Congestive heart failure | 19% | 19% | 1.0 | 40,362 | 2001-10 |
| Diabetes | 20% | 19% | 1.0 | 41,154 | 2001-10 |
| Pacemaker/ICD (implanted cardioverter defibrillator) | 20% | 19% | 1.1 | 10,386 | 2001-10 |
| IN HOSPITALS, LOCATION OF CARE | |||||
| Unmonitored | 15% | 19% | 0.8 | 22,899 | 2001-10 [3] |
| Intensive care unit | 18% | 19% | 0.9 | 81,176 | 2001-10 |
| Monitored, other than ICU | 25% | 19% | 1.3 | 30,100 | 2001-10 |
| IN HOSPITALS, PATIENT TRAITS | |||||
| Patients' ages 90 or older | 12% | 18% | 0.7 | 34,069 | 92-2005 [5] |
| Patients' ages 85-89 | 15% | 18% | 0.8 | 62,530 | 92-2005 |
| Patients' ages 80-84 | 17% | 18% | 0.9 | 91,471 | 92-2005 |
| Patients' ages 75-79 | 19% | 18% | 1.0 | 98,263 | 92-2005 |
| Patients' ages 70-74 | 21% | 18% | 1.1 | 84,353 | 92-2005 |
| Patients' ages 65–69 | 22% | 18% | 1.2 | 63,299 | 92-2005 |
| Black race | 15% | 19% | 0.8 | 27,246 | 2001-10 [3] |
| <$15,000 median income in patient's zip code | 13% | 18% | 0.7 | 10,626 | 92-2005 [5] |
| $15-$30,000 median income in patient's zip code | 18% | 18% | 1.0 | 87,164 | 92-2005 |
| IN HOSPITALS, INITIAL HEART RHYTHM BEFORE CPR | |||||
| Stopped (asystole) | 13% | 19% | 0.7 | 46,856 | 2001-10 [3] |
| Pulseless electrical activity | 14% | 19% | 0.7 | 53,965 | 2001-10 |
| Other | 24% | 19% | 1.3 | 7,422 | 2001-10 |
| Ventricular fibrillation (quiver) / ventricular tachycardia (rapid beat) | 38% | 19% | 2.0 | 27,653 | 2001-10 |
| 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
- ↑ 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 .
- ↑ 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 .
- ↑ 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 .
- ↑ 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 .
- ↑ 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 .
- ↑ 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 .
- ↑ 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 .
- ↑ 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 .
- ↑ 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 .
- ↑ 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 .
- ↑ 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 .
- ↑ CARES Fact Sheet « MyCares . mycares.net . Retrieved on 2019-06-27 .
- ↑ 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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