Cardiopulmonary Resuscitation in Outpatient Dialysis Clinics: Perception of Futility?

Imbeault, Benoit; Chan, Christopher T.

doi:10.1681/asn.2019010046

Cited by 1 publication

(1 citation statement)

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“…Therefore, the etiology of in-hospital CPCR, such as the details of the cardiac arrest events including the initial cardiac arrest rhythm, witness status, bystander status and treatments used during and after resuscitation, could not be included. Not like patients with OHCA, witness status and bystander status were less important for patients with in-hospital cardiac arrest [ 22 , 37 , 38 ]. Second, this cohort study only included ESKD patients with in-hospital CPCR and didn’t include ESKD patient with CPCR in emergency departments.…”

Section: Discussionmentioning

confidence: 99%

The incidence and survival after in-hospital cardiopulmonary cerebral resuscitation in end-stage kidney disease patients: A nationwide population-based study

et al. 2020

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Background This study analyzed the survival and protective predictors of in-hospital cardiopulmonary cerebral resuscitation (CPCR) to potentially help physicians create effective treatment plans for End-stage kidney disease (ESKD) patients. Methods We extracted the data of 7,116 ESKD patients who received their first in-hospital CPCR after initial dialysis between 2004 and 2012 from the National Health Insurance Research Database. The primary outcome was the survival rate during the first in-hospital CPCR. The secondary outcome was the median post-discharge survival. Results From 2004 through 2012, the incidence of in-hospital CPCR decreases from 3.97 to 3.67 events per 1,000 admission days ( P for linear trend <0.001). The survival rate for the first in-hospital CPCR did not change significantly across the 9 years ( P for trend = 0.244), whereas the median survival of post-discharge survival increased significantly from 3.0 months in 2004 to 6.8 months in 2011 ( P for linear trend <0.001). In addition, multivariable analysis identified older age as a risk factor and prior intracardiac defibrillator (ICD) or cardiac resynchronization therapy defibrillator (CRT-D) implantation as a protective factor for in-hospital death during the first in-hospital CPCR. Conclusion The incidence of in-hospital CPCR and the duration post-discharge among ESKD patients improved despite there being no significant difference in the survival rate of ESKD patients after CPCP. Either ICD or CRT-D implantation may be advisable for ESKD patients with a high risk of sudden cardiac death.

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Section: Discussionmentioning

confidence: 99%