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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]

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 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

  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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