Survival and functional outcomes after cardiopulmonary resuscitation in the intensive care unit

Gershengorn, Hayley B.; Li, Guohua; Kramer, Andrew A.; Wunsch, Hannah

doi:10.1016/j.jcrc.2011.11.001

Cited by 33 publications

(26 citation statements)

References 43 publications

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“…This rate is higher than that reported in another large cohort of ICU patients in the United States from Project IMPACT (2%) (6). Some reasons may explain the difference.…”

Section: Discussioncontrasting

confidence: 66%

“…We also found that only 7% of ICU patients with sepsis who received CPR survived to hospital discharge; this rate is much lower than that reported for a population of septic and nonseptic ICU patients in the United States (16-27%) (5-7), but similar to that reported in a sepsis subcohort (8.4%) extracted from the U.S. National Registry of Cardiopulmonary Resuscitation for the period 2000-2008 (5). However, information on long-term outcomes in sepsis survivors after CPR remains limited (5,6,16,17). Postdischarge outcome was examined in a small cohort (n = 517) of ICU patients in four Canadian hospitals; the rate of survival to discharge after successful CPR in this cohort was 27% (n = 138), among which 91% of patients (n = 126) survived at least 1 year and 60% (n = 83) survived at least 5 years (7).…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies (5)(6)(7) involving critically ill patients have focused on short-term outcomes after CPR and have reported discharge survival rates ranging from 15.9% to 26.9%. Estimates of long-term outcome have been biased by the examination of small samples, differences in ICU-admitting diagnoses, and heterogeneity of acute illness severity (7,8).…”

mentioning

confidence: 99%

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Long-Term Outcomes in Critically Ill Septic Patients Who Survived Cardiopulmonary Resuscitation*

Chao

Chu

Chen

et al. 2016

Critical Care Medicine

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“…This rate is higher than that reported in another large cohort of ICU patients in the United States from Project IMPACT (2%) (6). Some reasons may explain the difference.…”

Section: Discussioncontrasting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long-Term Outcomes in Critically Ill Septic Patients Who Survived Cardiopulmonary Resuscitation*

Chao

Chu

Chen

et al. 2016

Critical Care Medicine

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“…2017; 26:128-135) [1][2][3][4] It is estimated that between 40% and 84% of all resuscitation attempts within critical care units result in immediate or imminent death of the patient within 24 hours. [1][2][3]5,6 Because critical care nurses have frequent and cumulative exposures to unsuccessful cardiopulmonary resuscitations, psychological trauma often ensues. 7 The literature in this area is nascent.…”

mentioning

confidence: 99%

Stress and Coping of Critical Care Nurses After Unsuccessful Cardiopulmonary Resuscitation

McMeekin

Hickman

Douglas

et al. 2017

American Journal of Critical Care

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Background Participation by a critical care nurse in an unsuccessful resuscitation can create a unique heightened level of psychological stress referred to as postcode stress, activation of coping behaviors, and symptoms of posttraumatic stress disorder (PTSD). Objectives To explore the relationships among postcode stress, coping behaviors, and PTSD symptom severity in critical care nurses after experiencing unsuccessful cardiopulmonary resuscitations and to see whether institutional support attenuates these repeated psychological traumas. Methods A national sample of 490 critical care nurses was recruited from the American Association of CriticalCare Nurses' eNewsline and social media. Participants completed the Post-Code Stress Scale, the Brief COPE (abbreviated), and the Impact of Event Scale-Revised, which were administered through an online survey. Results Postcode stress and PTSD symptom severity were weakly associated (r = 0.20, P = .01). No significant associations between coping behaviors and postcode stress were found. Four coping behaviors (denial, selfdistraction, self-blame, and behavioral disengagement) were significant predictors of PTSD symptom severity. Severity of postcode stress and PTSD symptoms varied with the availability of institutional support. Conclusions Critical care nurses show moderate levels of postcode stress and PTSD symptoms when asked to recall an unsuccessful resuscitation and the coping behaviors used. Identifying the critical care nurses most at risk for PTSD will inform the development of interventional research to promote critical care nurses' psychological well-being and reduce their attrition from the profession. (American Journal of Critical Care. 2017; 26:128-135) [1][2][3][4] It is estimated that between 40% and 84% of all resuscitation attempts within critical care units result in immediate or imminent death of the patient within 24 hours. [1][2][3]5,6 Because critical care nurses have frequent and cumulative exposures to unsuccessful cardiopulmonary resuscitations, psychological trauma often ensues. 7 The literature in this area is nascent. Despite a growing workforce demand for registered nurses in critical care, turnover and vacancy rates are high.7,8 Investigation of the cumulative psychological injuries associated with unsuccessful cardiopulmonary resuscitation is warranted and may offer new insights on strategies to attenuate the psychological morbidity associated with providing life-sustaining care and highlight a need for psychological support processes that may aid in the retention of critical care nurses in the workforce.The influence of postcode stress and coping behaviors on the psychological health of critical care nurses is unclear. However, it is hypothesized that critical care nurses who are exposed to the psychological trauma of cardiopulmonary resuscitation efforts that fail to prolong the patient's life will perceive heightened states of postcode stress, coping behaviors, and lower states of psychological health. Therefore the aims of this art...

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“…Additionally, patients with a BMI <18.5 were less likely to survive a nonshockable rhythm than were patients with a BMI 18.5. Importantly, a 63.4 percent decrease in discharge functional status has been demonstrated in survivors of CPR compared with other non-CPR discharges [9] and one-third of in-hospital CPR survivors wish that CPR had not been performed [7].…”

Section: Introductionmentioning

confidence: 99%

Survival of patients with spinal cord injury after cardiac arrest in Department of Veterans Affairs hospital: Pilot study

Caruso¹,

Carter²,

Cifu³

et al. 2014

J Rehabil Res Dev

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Abstract-Survivability characteristics after cardiopulmonary resuscitation in the population with spinal cord injury (SCI) are unclear but may be useful for advanced care planning discussions with patients. Retrospective evaluation from records of all SCI patients over 10 yr at a Department of Veterans Affairs medical center who experienced in-hospital cardiac arrest was performed. Demographic data and other common measurements were recorded. Thirty-six male subjects were identified, and only two patients survived to discharge (5.5% survival rate), both of whom were admitted for nonacute issues and were asymptomatic shortly before the cardiac arrest. The mean age at the time of cardiopulmonary arrest was 62.4 yr, with a mean time from cardiac arrest to death of 3.02 d. No significant demographic parameters were identified. Overall, SCI likely portends worse outcome for acutely ill patients in the situation of a cardiac arrest. Conclusions are limited by sample size.

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Survival and functional outcomes after cardiopulmonary resuscitation in the intensive care unit

Cited by 33 publications

References 43 publications

Long-Term Outcomes in Critically Ill Septic Patients Who Survived Cardiopulmonary Resuscitation*

Long-Term Outcomes in Critically Ill Septic Patients Who Survived Cardiopulmonary Resuscitation*

Stress and Coping of Critical Care Nurses After Unsuccessful Cardiopulmonary Resuscitation

Survival of patients with spinal cord injury after cardiac arrest in Department of Veterans Affairs hospital: Pilot study

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