The chance of survival and the functional outcome after in-hospital cardiopulmonary resuscitation in older people: a systematic review

Myke S. van Gijn*, Dionne Frijns, Esther M. M. van de Glind, Barbara C. van Munster, Marije E. Hamaker

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

39 Citations (Scopus)

Abstract

Methods: a systematic search was performed in MEDLINE, Embase and Cochrane up to November 2012. Studies that were included described the chance of survival, the social status and functional outcome after in-hospital CPR in older people aged 70 years and above.

Results: we identified 11,377 publications of which 29 were included in this review; 38.6% of the patients who were 70 years and older had a return of spontaneous circulation. More than half of the patients who initially survived resuscitation died in the hospital before hospital discharge. The pooled survival to discharge after in-hospital CPR was 18.7% for patients between 70 and 79 years old, 15.4% for patients between 80 and 89 years old and 11.6% for patients of 90 years and older. Data on social and functional outcome after surviving CPR were scarce and contradictory.

Conclusions: the chance of survival to hospital discharge for in-hospital CPR in older people is low to moderate (11.6-18.7%) and decreases with age. However, evidence about functional or social outcomes after surviving CPR is scarce. Prospective studies are needed to address this issue and to identify pre-arrest factors that can predict survival in the older people in order to define subgroups that could benefit from CPR.

Original languageEnglish
Pages (from-to)456-463
Number of pages8
JournalAge and Ageing
Volume43
Issue number4
DOIs
Publication statusPublished - Jul-2014
Externally publishedYes

Keywords

  • cardiopulmonary resuscitation
  • geriatrics
  • in-hospital
  • prognostic factors
  • systematic review
  • older people
  • CARDIAC-ARREST
  • AGE

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