Examining the Prognostic Utility of Frailty for Post-arrest Outcomes Following the Provision of Cardiopulmonary Resuscitation: A Systematic Review and Meta-Analysis Protocol

Mowbray, Fabrice; Foroutan, Farid; Fernando, Shannon M.; McIsaac, Daniel I.; Douma, Matthew J.; Wit, Kerstin de; Muscedere, John; Nolan, Jerry; Griffith, Lauren; Worster, Andrew; Couban, Rachel; Costa, Andrew P.; Strum, Ryan P.; Correia, Rebecca H.; Manlongat, Donna

doi:10.21203/rs.3.rs-93108/v1

Cited by 1 publication

(1 citation statement)

References 47 publications

(55 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This hypothesis is di cult to con rm in view of the various different screening tools utilised for frailty. [7] Limitations of this study include the small population, although exhaustive of the CPRs performed on the Maltese Islands in 2019, which was further hindered by incomplete data in the 25 patients mentioned above and lack of accessibility to deceased patient's information. The latter meant that the Clinical Frailty Score could not be calculated, as this score would require knowledge regarding patient's independence, besides comorbidities.…”

Section: Discussionmentioning

confidence: 97%

Outcome of Cardiopulmonary Resuscitation In Frail Patients

Camilleri

Sultana

et al. 2021

Preprint

View full text Add to dashboard Cite

The concept of frailty is one which is gaining increasing attention due to its multifactorial constituents, and its impact on geriatric patient care. This retrospective analysis of cardiopulmonary resuscitation (CPR) in Maltese Hospitals aims to determine the significance of frailty in relation to CPR outcome in one calendar year. In this study, we analysed the outcome of cardiopulmonary resuscitation (CPR) in Maltese Hospitals for the year 2019 in relation to frailty status using the Charlson Comorbidity Index (CCI). 185 eligible patients were obtained from the CPR register after excluding patients <18years of age, peri-arrest cases, a test case, double-recorded CPR documents and patients with insufficient data recorded. From these 185 patients, the statistics were of 123 males and 62 females, with an age range of 26 years to 99 years. The median age was 78 years whilst mean age was 76.2 years. The majority of patients fell within CCI of 4-8 (143 patients), with the largest cohort obtaining a score of 6 (39 patients). The results highlight a low rate of ROSC (4.32%) irrespective of CCI score. However, when ROSC was achieved, survival to discharge was noted to be greater with lower CCI scores. Only 5 patients survived one year post discharge.This data is in keeping with other studies regarding CPR in frail patients, despite the use of other scores such as the Clinical Frailty Score. Smith et al’s study in Australian tertiary centres between 2008 and 2017 used the CCI, and points out a lower rate of discharge home in frail patients who survive an in-hospital cardiac arrest [1]. Limitations of our study include the small population, although exhaustive of the CPRs performed on the Maltese Islands in 2019.

show abstract

Section: Discussionmentioning

confidence: 97%