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Cardiopulmonary resuscitation in older people – a review

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  27 January 2010

R Lannon  and
ST O'Keeffe
R Lannon
Affiliation:
Department of Geriatric Medicine, Galway University Hospitals, Ireland
ST O'Keeffe*
Affiliation:
Department of Geriatric Medicine, Galway University Hospitals, Ireland
*
Address for correspondence: Dr S O'Keeffe, Unit 4, Merlin Park Regional Hospital, Galway, Ireland. Email: s.okeeffe@hse.ie and sokanc@iolfree.ie
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Summary

Survival to discharge after in-hospital cardiopulmonary resuscitation (CPR) is about 20% in those aged 65–69 years, declining with advancing age to about 10% in those aged 90 years or more. There are conflicting reports on whether or not advanced age, independent of the severity of acute and chronic illness, is a determinant of outcome. Recognition that the outcome of CPR in hospital patients is often poor has prompted extensive debate regarding the appropriate use of this procedure. In particular, there has been concern about unnecessary CPR in extended-care and hospice settings. Conversely, there has also been evidence that doctors and families may be prone to underestimate the quality of life and likelihood of benefit from CPR in older people and to make resuscitation decisions without considering the preferences of older people themselves. Recent guidelines have attempted to strike a balance between ensuring patient participation whenever possible but without offering illusory choices where CPR is very unlikely to succeed.

Keywords

Cardiopulmonary resuscitationaged
Type
Clinical geriatrics
Information
Reviews in Clinical Gerontology , Volume 20 , Issue 1 , February 2010 , pp. 20 - 29
Copyright
Copyright © Cambridge University Press 2010

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