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Cardiac arrest

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%

  


Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   S   Straus
CAT Writers   CM   Ball , CJ   Wotton