Abstract | PURPOSE: MATERIALS AND METHODS: Eligible patients' surrogates were interviewed using a structured questionnaire more than 24 hours after admission to the medical ICUs at 2 university-affiliated medical centers. Data from surrogates who did and did not participate in a CPR discussion were compared and correlated with patient characteristics and outcomes. RESULTS: Of 84 surrogates interviewed, 54% participated in more than 1 CPR discussion. Although most (73%) recalled discussing endotracheal intubation, 49% and 44% recalled discussing chest compressions or electrical cardioversion, respectively, and 68% to 84% stated they understood these components. Mortality was higher in the discussion group compared to the no-discussion group (37% vs. 8%; P < .05), although changes in CPR decisions were similar in both groups (25% vs 18%, P = .5). CONCLUSIONS: Only half of critically ill patients' surrogates participated in CPR discussions. For those who did participate, most reported good understanding of resuscitation techniques, but less than half recalled the core components of CPR.
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Authors | Khalid F Almoosa, Linda M Goldenhar, Ralph J Panos |
Journal | Journal of critical care
(J Crit Care)
Vol. 24
Issue 2
Pg. 280-7
(Jun 2009)
ISSN: 1557-8615 [Electronic] United States |
PMID | 19427765
(Publication Type: Journal Article)
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Topics |
- APACHE
- Adult
- Aged
- Aged, 80 and over
- Cardiopulmonary Resuscitation
- Community Participation
- Critical Illness
- Decision Making
- Female
- Humans
- Intensive Care Units
- Male
- Middle Aged
- Patient Advocacy
- Perception
- Physicians
- Prevalence
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