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Frailty is associated with adverse outcome from in-hospital cardiopulmonary resuscitation

Resuscitation Aug 03, 2019

Wharton C, et al. - Researchers examined how frailty influence cardio-pulmonary resuscitation (CPR) outcomes in a UK setting. Prospectively collected data on in-hospital cardio-respiratory arrests from January 1, 2017, to December 31, 2017, were retrospectively reviewed. The investigators assigned Clinical Frailty Scale (CFS) scores from notes review; patients with CFS scores > 6 signified moderate or greater frailty. CFS could be calculated in 179 in-hospital cardiac arrest cases. In 64% of cases, non-shockable initial rhythm was reported. According to findings, survival to hospital discharge was unlikely for patients with moderate or greater frailty as determined by CFS score, even if return of spontaneous circulation occurs following CPR. They recommended considering this when making resuscitation status and ceiling of care decisions in this patient group.

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