Do not attempt resuscitation orders at the emergency department of a teaching hospital

Detalhes bibliográficos
Autor(a) principal: Vancini-Campanharo,Cássia Regina
Data de Publicação: 2017
Outros Autores: Vancini,Rodrigo Luiz, Machado Netto,Marcelo Calil, Lopes,Maria Carolina Barbosa Teixeira, Okuno,Meiry Fernanda Pinto, Batista,Ruth Ester Assayag, Góis,Aécio Flávio Teixeira de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Einstein (São Paulo)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000400409
Resumo: ABSTRACT Objective: To identify factors associated with not attempting resuscitation. Methods: A cross-sectional study conducted at the emergency department of a teaching hospital. The sample consisted of 285 patients; in that, 216 were submitted to cardiopulmonary resuscitation and 69 were not. The data were collected by means of the in-hospital Utstein Style. To compare resuscitation attempts with variables of interest we used the χ2 test, likelihood ratio, Fisher exact test, and analysis of variance (p<0.05). Results: No cardiopulmonary resuscitation was considered unjustifiable in 56.5% of cases; in that, 37.7% did not want resuscitation and 5.8% were found dead. Of all patients, 22.4% had suffered a previous cardiac arrest, 49.1% were independent for Activities of Daily Living, 89.8% had positive past medical/surgical history; 63.8% were conscious, 69.8% were breathing and 74.4% had a pulse upon admission. Most events (76.4%) happened at the hospital, the presumed cause was respiratory failure in 28.7% and, in 48.4%, electric activity without pulse was the initial rhythm. The most frequent cause of death was infection. The factors that influenced non-resuscitation were advanced age, history of neoplasm and the initial arrest rhythm was asystole. Conclusion: Advanced age, past history of neoplasia and asystole as initial rhythm were factors that significantly influenced the non-performance of resuscitation. Greater clarity when making the decision to resuscitate patients can positively affect the quality of life of survivors.
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spelling Do not attempt resuscitation orders at the emergency department of a teaching hospitalHeart arrestCardiopulmonary resuscitation/ethicsResuscitation ordersDecision making/ethicsEmergency servicehospitalABSTRACT Objective: To identify factors associated with not attempting resuscitation. Methods: A cross-sectional study conducted at the emergency department of a teaching hospital. The sample consisted of 285 patients; in that, 216 were submitted to cardiopulmonary resuscitation and 69 were not. The data were collected by means of the in-hospital Utstein Style. To compare resuscitation attempts with variables of interest we used the χ2 test, likelihood ratio, Fisher exact test, and analysis of variance (p<0.05). Results: No cardiopulmonary resuscitation was considered unjustifiable in 56.5% of cases; in that, 37.7% did not want resuscitation and 5.8% were found dead. Of all patients, 22.4% had suffered a previous cardiac arrest, 49.1% were independent for Activities of Daily Living, 89.8% had positive past medical/surgical history; 63.8% were conscious, 69.8% were breathing and 74.4% had a pulse upon admission. Most events (76.4%) happened at the hospital, the presumed cause was respiratory failure in 28.7% and, in 48.4%, electric activity without pulse was the initial rhythm. The most frequent cause of death was infection. The factors that influenced non-resuscitation were advanced age, history of neoplasm and the initial arrest rhythm was asystole. Conclusion: Advanced age, past history of neoplasia and asystole as initial rhythm were factors that significantly influenced the non-performance of resuscitation. Greater clarity when making the decision to resuscitate patients can positively affect the quality of life of survivors.Instituto Israelita de Ensino e Pesquisa Albert Einstein2017-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000400409einstein (São Paulo) v.15 n.4 2017reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/s1679-45082017ao3999info:eu-repo/semantics/openAccessVancini-Campanharo,Cássia ReginaVancini,Rodrigo LuizMachado Netto,Marcelo CalilLopes,Maria Carolina Barbosa TeixeiraOkuno,Meiry Fernanda PintoBatista,Ruth Ester AssayagGóis,Aécio Flávio Teixeira deeng2018-01-18T00:00:00Zoai:scielo:S1679-45082017000400409Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2018-01-18T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false
dc.title.none.fl_str_mv Do not attempt resuscitation orders at the emergency department of a teaching hospital
title Do not attempt resuscitation orders at the emergency department of a teaching hospital
spellingShingle Do not attempt resuscitation orders at the emergency department of a teaching hospital
Vancini-Campanharo,Cássia Regina
Heart arrest
Cardiopulmonary resuscitation/ethics
Resuscitation orders
Decision making/ethics
Emergency service
hospital
title_short Do not attempt resuscitation orders at the emergency department of a teaching hospital
title_full Do not attempt resuscitation orders at the emergency department of a teaching hospital
title_fullStr Do not attempt resuscitation orders at the emergency department of a teaching hospital
title_full_unstemmed Do not attempt resuscitation orders at the emergency department of a teaching hospital
title_sort Do not attempt resuscitation orders at the emergency department of a teaching hospital
author Vancini-Campanharo,Cássia Regina
author_facet Vancini-Campanharo,Cássia Regina
Vancini,Rodrigo Luiz
Machado Netto,Marcelo Calil
Lopes,Maria Carolina Barbosa Teixeira
Okuno,Meiry Fernanda Pinto
Batista,Ruth Ester Assayag
Góis,Aécio Flávio Teixeira de
author_role author
author2 Vancini,Rodrigo Luiz
Machado Netto,Marcelo Calil
Lopes,Maria Carolina Barbosa Teixeira
Okuno,Meiry Fernanda Pinto
Batista,Ruth Ester Assayag
Góis,Aécio Flávio Teixeira de
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Vancini-Campanharo,Cássia Regina
Vancini,Rodrigo Luiz
Machado Netto,Marcelo Calil
Lopes,Maria Carolina Barbosa Teixeira
Okuno,Meiry Fernanda Pinto
Batista,Ruth Ester Assayag
Góis,Aécio Flávio Teixeira de
dc.subject.por.fl_str_mv Heart arrest
Cardiopulmonary resuscitation/ethics
Resuscitation orders
Decision making/ethics
Emergency service
hospital
topic Heart arrest
Cardiopulmonary resuscitation/ethics
Resuscitation orders
Decision making/ethics
Emergency service
hospital
description ABSTRACT Objective: To identify factors associated with not attempting resuscitation. Methods: A cross-sectional study conducted at the emergency department of a teaching hospital. The sample consisted of 285 patients; in that, 216 were submitted to cardiopulmonary resuscitation and 69 were not. The data were collected by means of the in-hospital Utstein Style. To compare resuscitation attempts with variables of interest we used the χ2 test, likelihood ratio, Fisher exact test, and analysis of variance (p<0.05). Results: No cardiopulmonary resuscitation was considered unjustifiable in 56.5% of cases; in that, 37.7% did not want resuscitation and 5.8% were found dead. Of all patients, 22.4% had suffered a previous cardiac arrest, 49.1% were independent for Activities of Daily Living, 89.8% had positive past medical/surgical history; 63.8% were conscious, 69.8% were breathing and 74.4% had a pulse upon admission. Most events (76.4%) happened at the hospital, the presumed cause was respiratory failure in 28.7% and, in 48.4%, electric activity without pulse was the initial rhythm. The most frequent cause of death was infection. The factors that influenced non-resuscitation were advanced age, history of neoplasm and the initial arrest rhythm was asystole. Conclusion: Advanced age, past history of neoplasia and asystole as initial rhythm were factors that significantly influenced the non-performance of resuscitation. Greater clarity when making the decision to resuscitate patients can positively affect the quality of life of survivors.
publishDate 2017
dc.date.none.fl_str_mv 2017-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000400409
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/s1679-45082017ao3999
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
dc.source.none.fl_str_mv einstein (São Paulo) v.15 n.4 2017
reponame:Einstein (São Paulo)
instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
instacron:IIEPAE
instname_str Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
instacron_str IIEPAE
institution IIEPAE
reponame_str Einstein (São Paulo)
collection Einstein (São Paulo)
repository.name.fl_str_mv Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
repository.mail.fl_str_mv ||revista@einstein.br
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