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J R Soc Med. 1989 July; 82(7): 402–405.
PMCID: PMC1292204

Exclusion from resuscitation.

Abstract

Resuscitation was attempted for 156 (19.9%) of the 783 cases in St Thomas's Hospital, aged 16 or over, who suffered first cardiac or respiratory arrest of the current admission during the year to 13 April 1987. Seventeen (11%) of the 156 were discharged alive from hospital after resuscitation. All seventeen had been active outside the home before admission, and all except one remained so after discharge. The factors which were associated with exclusion from resuscitation attempts are analysed. Most accorded with known prognostic factors, but resuscitation was attempted for some persons who seemed to have little chance of benefiting from resuscitation attempts. Routine collection, analysis, and dissemination of information on pre-arrest characteristics in relation to their outcome, on which clinicians can base their decision to with-hold resuscitation in the event of an arrest, is recommended.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Paton A. Resuscitation in hospital: again. Br Med J (Clin Res Ed) 1985 Nov 23;291(6507):1445–1446. [PMC free article] [PubMed]
  • Baskett PJ. ABC of resuscitation. The ethics of resuscitation. Br Med J (Clin Res Ed) 1986 Jul 19;293(6540):189–190. [PMC free article] [PubMed]
  • Bedell SE, Delbanco TL, Cook EF, Epstein FH. Survival after cardiopulmonary resuscitation in the hospital. N Engl J Med. 1983 Sep 8;309(10):569–576. [PubMed]
  • Urberg M, Ways C. Survival after cardiopulmonary resuscitation for an in-hospital cardiac arrest. J Fam Pract. 1987 Jul;25(1):41–44. [PubMed]
  • Bedell SE, Pelle D, Maher PL, Cleary PD. Do-not-resuscitate orders for critically ill patients in the hospital. How are they used and what is their impact? JAMA. 1986 Jul 11;256(2):233–237. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press