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- Title
Identification of a potentially avoidable cardiopulmonary resuscitation in hematology and oncology wards.
- Authors
Choi, Yeonjoo; Kim, Jin Won; Suh, Koung Jin; Lim, Yoo-Joo; Lee, Ji Yun; Kang, Beo-Deul; Kim, Ji-Won; Kim, Se-Hyun; Lee, Jeong-Ok; Kim, Yu Jung; Lee, Keun-Wook; Kim, Jee Hyun; Bang, Soo-Mee; Lee, Jong Seok
- Abstract
Background: In-hospital cardiopulmonary resuscitation (CPR) is one of undesirable situations. We tried to identify and characterize a potentially avoidable CPR in cancer patients who were hospitalized in hematology and oncology wards. Methods: A potentially avoidable CPR was determined based on chemotherapy setting, disease status and clinical situation at the time when a cardiopulmonary arrest occurred, by using a consensus-driven medical records review of two physicians. Results: One hundred thirty-seven patients among 12,437 patients hospitalized at hematology and oncology wards between March 2003 and June 2015 (1.1%) underwent a CPR. Eighty-eight patients (64.2%) were men. The majority of patients with a CPR had lung cancer (41, 29.9%), hematologic malignancy (24, 17.5%), stomach cancer (23, 16.8%) or lymphoma (20, 14.6%). A potentially avoidable CPR was identified in 51 patients (37.2%). In a multivariate analysis, advanced diseases and certain tumor types (e.g., lung cancer, lymphoma) were significant risk factors for a potentially avoidable CPR. Of patients who received a potentially avoidable CPR, 29 patients (56.9%) did not have a do-not-resuscitate documentation. A first return of spontaneous circulation rate (ROSC) and in-hospital survival rate (IHSR) were much lower in patients with a potentially avoidable CPR than those with a CPR that was not avoidable (ROSC: 39.2% vs 53.5%, P = 0.106; IHSR: 2.0% vs 12.8%, P = 0.032, respectively). Conclusions: A potentially avoidable CPR was common at hematology and oncology wards. A potentially avoidable CPR frequently occurred in advanced diseases and certain tumor types. Furthermore, cancer patients who received a potentially avoidable CPR showed the worse prognosis.
- Subjects
CANCER chemotherapy; CANCER patients; CARDIAC arrest; CONSENSUS (Social sciences); CARDIOPULMONARY resuscitation; DO-not-resuscitate orders; HEALTH status indicators; HEMATOLOGY; HOSPITAL wards; LUNG tumors; LYMPHOMAS; MEDICAL records; MULTIVARIATE analysis; ONCOLOGY; STOMACH tumors; SURVIVAL; DESCRIPTIVE statistics; HEMATOLOGIC malignancies; ACQUISITION of data methodology
- Publication
BMC Palliative Care, 2019, Vol 18, Issue 1, pN.PAG
- ISSN
1472-684X
- Publication type
Article
- DOI
10.1186/s12904-019-0477-7