Preparation
Immediate
management
Investigations
Prevention
Prognosis
|  |  | | Preparation |
Ask patients on admission whether they want cardiopulmonary resuscitation
a
and educate them about the chance of survival c
Why?
-
Most patients want to be resuscitated. (88%; (95% CI: 81% to
96%).
a
Information on chances of survival reduce the number of patients who want to be resuscitated
c
-
Neither physicians
c
nor clinical prediction rules
a
accurately predict which patients will survive in-hospital cardiac arrest using information available in the first 24 hours.
-
Neither physicians nor family members are good at guessing elderly patients' wishes
a
Elderly patients are less slightly likely to want CPR if family members predict this
| Patient |
Target Disorder and Reference Standard |
Diagnostic Test |
LR+
(95% CI)
|
Post-test Probability |
LR-
(95% CI)
|
Post-test Probability |
healthy elderly
a
(pre-test probability: 88%)
|
desire resuscitation
(patients' wishes)
|
family member's prediction
|
1.4
(0.8 to
2.5)
|
92% |
0.18
(0.036 to
0.85)
|
60% |
|