Evidence map›Paper›PMID 25086252›Full record

ArticleChest2014

Long-term outcomes after in-hospital CPR in older adults with chronic illness.

Renee D Stapleton, William J Ehlenbach, Richard A Deyo, J Randall Curtis

Open access · bronzeAbstract read
In one paragraph

Article in Chest, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Resuscitation preference conversation typologies: a constructivist grounded theory study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Renee D StapletonFrom the Division of Pulmonary and Critical Care, University of Vermont, Burlington, VT. Electronic address: renee.stapleton@uvm.edu.
William J EhlenbachDivision of Pulmonary and Critical Care, University of Wisconsin, Madison, WI.
Richard A DeyoDepartments of Family Medicine, Medicine, Public Health, and Preventative Medicine and Center for Research in Occupational and Environmental Toxicology, Oregon Health and Science University, Portland, OR.
J Randall CurtisDivision of Pulmonary and Critical Care, Harborview Medical Center, University of Washington, Seattle, WA.
Oregon Health & Science University · USUniversity of Vermont · USUniversity of Washington · USUniversity of Wisconsin–Madison · US

Funding

WEIGHT LOSS & ASTHMAP20RR015557 · NCRR · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI LUNDBLAD, LENNART KARL ALF · 2000 to 2009
$21.4M
UW Multidisciplinary Clinical Research Training (RMI)K12RR023265 · NCRR · UNIVERSITY OF WASHINGTON · PI PROBSTFIELD, JEFFREY LYNN · 2005 to 2007
$6.1M
Improving the Quality of Communication about End-of-LifeK24HL068593 · NHLBI · UNIVERSITY OF WASHINGTON · PI CURTIS, J RANDALL · 2002 to 2011
$1.2M
Cognitive outcomes and neuropathology in older adults following critical illnessK23AG038352 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI EHLENBACH, WILLIAM JOSEPH · 2011 to 2015
$759k
NCRR NIH HHS 5P20RR015557NCRR NIH HHS 8K12RR023265NCRR NIH HHS K12 RR023265NCRR NIH HHS P20 RR015557NHLBI NIH HHS K24 HL068593NHLBI NIH HHS K24 HL68593NIA NIH HHS 5K23AG038352NIA NIH HHS K23 AG038352
6 · The paper itself

Abstract

backgroundOutcomes after in-hospital CPR in older adults with chronic illness are unclear.

methodsWe examined inpatient Medicare data from 1994 through 2005 to identify CPR recipients. We grouped beneficiaries aged ≥ 67 years by severity of six chronic diseases-COPD, congestive heart failure (CHF), chronic kidney disease (CKD), malignancy, diabetes, and cirrhosis-and investigated survival to discharge, discharge destination, rehospitalizations, and long-term survival.

resultsWe identified 358,682 CPR recipients. Most patients with chronic disease were less likely to survive to discharge (eg, 14.8% in the advanced COPD group [P < .001] and 11.3% in the advanced malignancy group [P < .001]) than patients without chronic illness (17.3%). Among discharge survivors, the median long-term survival was shorter in patients with chronic illness (eg, 5.0, 3.5, and 2.8 months in the advanced COPD, malignancy, and cirrhosis groups, respectively; P < .001 for all) than without (26.7 months). Although 7.2% of CPR recipients without chronic disease were discharged home and survived at least 6 months without readmission, ≤ 2.0% of recipients with advanced COPD, CHF, malignancy, and cirrhosis (P < .001 for all) met these criteria. Adjusted analyses confirmed that most subgroups with chronic illness had lower hospital discharge survival, and among discharge survivors, most were discharged home less often, experienced more hospital readmissions, and had worse long-term survival.

conclusionsOlder CPR recipients with any of the six underlying chronic diseases investigated generally have much worse outcomes than CPR recipients without chronic disease. These findings may substantially affect decisions about CPR in patients with chronic illness.

Indexed as

Cardiopulmonary ResuscitationInpatientsAgedChronic DiseaseFemaleFollow-Up StudiesHeart ArrestHospital MortalityHumansMaleRetrospective StudiesSurvival RateTime FactorsUnited States

Identifiers

PMID25086252
PMCPMC4219338
OpenAlexW2048059004

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.