Do not attempt resuscitation orders at the emergency department of a teaching hospital
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , |
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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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 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000400409 |
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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1752129908846362624 |