title: Cardiopulmonary resuscitation is not addressed in the admitting medical records for the majority of patients who undergo CPR in the hospital.
abstract: Cardiopulmonary resuscitation (CPR) is routinely performed on patients who develop cardiopulmonary arrest in the hospital. In some situations, it is performed on terminally or critically ill patients where death is predicted to be inevitable despite CPR. Since prior consent is not required for this procedure, CPR may be performed without patient consent or foreknowledge. Many of these patients may not want CPR if the anticipated outcome is reviewed with them. This study investigated the frequency of occurrence of a CPR discussion at the time of hospital admission for patients who undergo CPR during hospitalization. Results showed that CPR is infrequently addressed in the hospital orders or medical records in patients who undergo CPR during their hospital stay. In addition, the severity of illness at the time of admission does not appear to influence whether physicians discuss CPR with patients and their families.
authors.affiliation: Department of Internal Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA.
authors.forename: Ayoub
authors.initials: A
authors.lastname: Mirza
authors.forename: Rishi
authors.initials: R
authors.lastname: Kad
authors.forename: Neil M
authors.initials: NM
authors.lastname: Ellison
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016887:Cardiopulmonary Resuscitation / Q000941:ethics / Q000706:statistics & numerical data*; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006753:Hospital Records / Q000706:statistics & numerical data; D006801:Humans; D007258:Informed Consent / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D028701:Patient Rights; D010414:Pennsylvania; D026684:Personal Autonomy; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013727:Terminal Care / Q000941:ethics / Q000379:methods*; D019452:Terminally Ill / Q000523:psychology / Q000706:statistics & numerical data*; D013997:Time Factors