Scientists at Brigham and Women’s Hospital found that about one in three patients with frailty survived CPR during surgery. Research published JAMA Network Open.
Researchers analyzed data from more than 3,149 patients over the age of 50 who received cardiopulmonary resuscitation (CPR) for cardiac arrest on the day of non-emergency surgery.
Of the 792 patients with frailty, 67% (534 people) died within 30 days of CPR. This means that one in three elderly debilitated patients survive CPR.
Senile asthenia is a term combining characteristic changes of the elderly associated with a decrease in quality of life and an increased risk of death. It includes a rapid decrease in body weight, physical activity and strength, as well as general weakness, fatigue and mental disorders (depression, anxiety).
Of the 214 asthenia patients who lived at home before hospitalization, 59% (127) went to other hospitals, nursing homes, or rehabilitation centers after discharge.
It is estimated that approximately 25% of cardiac arrest patients who undergo CPR in normal hospital settings survive. This chance increases to 50% in patients who undergo cardiopulmonary resuscitation during or immediately after surgery, who are closely followed by specialists who know their medical history and can intervene without delay.
However, uncertainty remained about the chances of survival of frail elderly patients, who are generally older and at higher risk for injuries and complications from CPR.
The scientists noted that CPR should not be considered useless for weakened patients in the context of surgery. However, patients need to be informed of the risks of resuscitation prior to surgery so that they can make an informed decision about whether or not they want resuscitation.
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