title: Intensive care unit admission following successful cardiopulmonary resuscitation: resource utilization, functional status and long-term survival.
abstract: A retrospective review of consecutive admissions (n = 285) to a university hospital intensive care unit (ICU) following cardiopulmonary resuscitation was conducted to determine long-term outcome, length of stay (LOS), and ICU resource consumption. Ninety-four patients (33%) survived to hospital discharge. Hospital survivors had longer ICU LOS than non-survivors (5.1 +/- 0.8 vs. 2.8 +/- 0.4 days, P < 0.001) and longer hospital stays (22.5 +/- 3.7 vs. 2.9 +/- 1.2 days, P < 0.001). Average laboratory and pharmacy costs per admission were greater in hospital survivors than non-survivors. Most patients returned to their pre-arrest homes functionally independent and 58% of hospital survivors were alive 2 years after discharge. It is possible that attempts to appropriately limit therapy in patients with poor prognosis may help direct resources towards patients who will benefit.
authors.affiliation: Department of Medicine, University of Manitoba, Winnipeg, Canada.
authors.forename: A
authors.initials: A
authors.lastname: Dhar
authors.forename: T
authors.initials: T
authors.lastname: Ostryzniuk
authors.forename: D E
authors.initials: DE
authors.lastname: Roberts
authors.forename: D D
authors.initials: DD
authors.lastname: Bell
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016887:Cardiopulmonary Resuscitation; D003422:Critical Care; D005260:Female; D015276:Health Care Rationing; D006295:Health Resources / Q000706:statistics & numerical data; D006323:Heart Arrest / Q000628:therapy; D017721:Hospital Costs; D006801:Humans; D007755:Laboratories, Hospital / Q000191:economics; D007902:Length of Stay; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D010351:Patient Discharge; D010607:Pharmacy Service, Hospital / Q000191:economics; D011379:Prognosis; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome