Outcomes of In-Hospital Cardiopulmonary Resuscitation in Patients with CKD

Outcomes of In-Hospital Cardiopulmonary Resuscitation in Patients with CKD
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DOI:
10.2215/cjn.07530715
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发表时间:
2016-10-01
影响因子:
9.8
通讯作者:
Nally, Joseph V., Jr.
Nally, Joseph V., Jr.
中科院分区:
医学1区
文献类型:
--
作者:
Saeed, Fahad;Adil, Malik M.;Nally, Joseph V., Jr.

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背景和目的预先护理计划,包括急救/复苏状态的讨论,是CKD患者医疗护理的重要组成部分。关于这些患者的心肺复苏结果的信息很少。我们的目的是测量这些患者的心肺复苏结果。设计、设置、参与者和测量我们的研究本质上是观察性的。通过全国住院患者样本(2005-2011),我们比较了以下CKD患者与普通人群的心肺复苏相关结局:(1)存活至出院;(2)出院目的地;(3)住院时间。所有患者年龄均在18岁及以上。结果在研究期间,71961例CKD患者接受了住院心肺复苏,而普通人群中有323620例患者接受了心肺复苏。CKD患者未经调整的住院死亡率更高(75% vs 72%; P
Background and objectives Advance care planning, including code/resuscitation status discussion, is an essential part of the medical care of patients with CKD. There is little information on the outcomes of cardiopulmonary resuscitation in these patients. We aimed to measure cardiopulmonary resuscitation outcomes in these patients.Design, setting, participants, & measurements Our study is observational in nature. We compared the following cardiopulmonary resuscitation-related outcomes in patients with CKD with those in the general population by using the Nationwide Inpatient Sample (2005-2011): (1) survival to hospital discharge, (2) discharge destination, and (3) length of hospital stay. All of the patients were 18 years old or older.Results During the study period, 71,961 patients with CKD underwent in-hospital cardiopulmonary resuscitation compared with 323,620 patients from the general population. Unadjusted in-hospital mortality rates were higher in patients with CKD (75% versus 72%; P