Rose A. Gates, RN, MSN; Robert H. Gates, MD
To the Editor: Murphy and colleagues (1) recently described the outcomes of cardiopulmonary resuscitation in a retrospective review of 505 elderly patients. Only 19 patients survived to hospital discharge after cardiopulmonary resuscitation, and half of these survivors had serious chronic sequelae. Not discussed at length, but equally disturbing, was the finding that only 14 patients had a documented discussion about resuscitation. Bedell and Delbanco, among (2) others, have reported similar findings. Clearly, a device (3) or mechanism is needed to ensure that a dialogue about resuscitation preferences will occur.
In a preliminary study at Fitzsimons Army Medical Center, a 450-bed
Gates RA, Gates RH. Cardiopulmonary Resuscitation. Ann Intern Med. ;111:686–687. doi: 10.7326/0003-4819-111-8-686
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Published: Ann Intern Med. 1989;111(8):686-687.
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