ArticleIntensive care medicine2014
Cardiopulmonary resuscitation among mechanically ventilated patients.
Article in Intensive care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02790788 (Physiologic Effects of Stress Dose Corticosteroids in the Management of Inhospital Cardiac Arrest - CORTICA), which is not on this map. Cited by 10 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Physiologic Effects of Stress Dose Corticosteroids in the Management of Inhospital Cardiac Arrest - CORTICA
Who cites it
10 citing papers in PubMed, 26 citations in OpenAlex.
- Intensive care unit cardiac arrest among very elderly critically ill patients - is cardiopulmonary resuscitation justified?Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Time to death and its predictors among adult patients on mechanical ventilation admitted to intensive care units in West Amhara comprehensive specialized hospitals, Ethiopia: a retrospective follow-up study.BMC anesthesiology · 2024Article
- Characteristics and Risk Factors for Intensive Care Unit Cardiac Arrest in Critically Ill Patients with COVID-19-A Retrospective Study.Journal of clinical medicine · 2021Article
- Automatic identification of compressions and ventilations during CPR based on the fuzzy c-means clustering and deep belief network.Annals of translational medicine · 2020Article
- How to discuss about do-not-resuscitate in the intensive care unit?Revista Brasileira de terapia intensiva · 2019Review
- Real-time compression feedback for patients with in-hospital cardiac arrest: a multi-center randomized controlled clinical trial.Journal of intensive care · 2019Article
- Focus on cardiac arrest.Intensive care medicine · 2016Article
- Temporal trends in cardiac arrest incidence and outcome in Finnish intensive care units from 2003 to 2013.Intensive care medicine · 2014Article
- "No escalation of treatment" as a routine strategy for decision-making in the ICU: con.Intensive care medicine · 2014Article
- Real-time audio-visual feedback with handheld nonautomated external defibrillator devices during cardiopulmonary resuscitation for in-hospital cardiac arrest: A meta-analysis.International journal of critical illness and injury scienceReview
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
purposeTo evaluate the outcomes, including long-term survival, after cardiopulmonary resuscitation (CPR) in mechanically ventilated patients.
methodsWe analyzed Medicare data from 1994 to 2005 to identify beneficiaries who underwent in-hospital CPR. We then identified a subgroup receiving CPR one or more days after mechanical ventilation was initiated [defined by ICD-9 procedure code for intubation (96.04) or mechanical ventilation (96.7x) one or more days prior to procedure code for CPR (99.60 or 99.63)].
resultsWe identified 471,962 patients who received in-hospital CPR with an overall survival to hospital discharge of 18.4 % [95 % confidence interval (CI) 18.3-18.5 %]. Of those, 42,163 received CPR one or more days after mechanical ventilation initiation. Survival to hospital discharge after CPR in ventilated patients was 10.1 % (95 % CI 9.8-10.4 %), compared to 19.2 % (95 % CI 19.1-19.3 %) in non-ventilated patients (p < 0.001). Among this group, older age, race other than white, higher burden of chronic illness, and admission from a nursing facility were associated with decreased survival in multivariable analyses. Among all CPR recipients, those who were ventilated had 52 % lower odds of survival (OR 0.48, 95 % CI 0.46-0.49, p < 0.001). Median long-term survival in ventilated patients receiving CPR who survived to hospital discharge was 6.0 months (95 % CI 5.3-6.8 months), compared to 19.0 months (95 % CI 18.6-19.5 months) among the non-ventilated survivors (p < 0.001 by logrank test). Of all patients receiving CPR while ventilated, only 4.1 % were alive at 1 year.
conclusionsSurvival after in-hospital CPR is decreased among ventilated patients compared to those who are not ventilated. This information is important for clinicians, patients, and family members when discussing CPR in critically ill patients.
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