JAMDA
Volume 7, Issue 6 , Pages 350-354 , July 2006

Cardiac Arrests in Skilled Nursing Facilities: Continuing Room for Improvement?

  • Manish N. Shah, MD

      Affiliations

    • Department of Emergency Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY
    • Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY.
    • M.N.S. developed the study concept and design, assisted with data acquisition, analyzed the data, interpreted the data, and wrote the manuscript.
    • Corresponding Author InformationAddress correspondence to Manish N. Shah, MD, Department of Emergency Medicine, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 655, Rochester, NY 14642.
    • ,
  • Rollin J. Fairbanks, MD

      Affiliations

    • Department of Emergency Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY
    • R.J.F. developed the study concept and design, acquired the data, assisted with data analysis, assisted with data interpretation, and edited the manuscript.
    • ,
  • E. Brooke Lerner, PhD

      Affiliations

    • Department of Emergency Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY
    • Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY.
    • E.B.L. assisted with developing the study concept and design, assisted with data analysis, assisted with data interpretation, and edited the manuscript.

References 

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  2. Becker LB , Ostrander MP , Barrett J , et al.   Outcome of CPR in a large metropolitan area—where are the survivors? . Ann Emerg Med . 1991;20:355–361
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  4. Lombardi G . Outcome of out-of-hospital cardiac arrest in New York City (The Pre-Hospital Arrest Survival Evaluation (PHASE) Study) . JAMA . 1994;271:678–683
  5. Spaite DW , Hanlon T , Criss EA , et al.   Prehospital cardiac arrest (The impact of witnessed collapse and bystander CPR in a metropolitan EMS system with short response times) . Ann Emerg Med . 1990;19:1264–1269
  6. Stiell IG , Wells GA , Field B , et al.   Advanced cardiac life support in out-of-hospital cardiac arrest . N Engl J Med . 2004;351:647–656
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  10. Awoke S , Mouton CP , Parrott M . Outcomes of skilled cardiopulmonary resuscitation in a long-term-care facility (Futile therapy?) . J Am Geriatr Soc . 1992;40:593–595
  11. Duthie E , Mark D , Tresch D , et al.   Utilization of cardiopulmonary resuscitation in nursing homes in one community (Rates and nursing home characteristics) . J Am Geriatr Soc . 1993;41:384–388
  12. Finucane TE . Attempted cardiopulmonary resuscitation in nursing home . Am J Med . 1993;95:121–122
  13. Tresch DD , Neahring JM , Duthie EH , et al.   Outcomes of cardiopulmonary resuscitation in nursing homes (Can we predict who will benefit?) . Am J Med . 1993;95:123–130
  14. Ghusn HF , Teasdale TA , Pepe PE , et al.   Older nursing home residents have a cardiac arrest survival rate similar to that of older persons living in the community . J Am Geriatr Soc . 1995;43:520–527
  15. Becker LJ , Yeargin K , Rea TD , et al.   Resuscitation of residents with do not resuscitate orders in long-term care facilities . Prehosp Disaster Med . 2003;7:303–306
  16. Clawson JJ , Dernocoeur KB . Principles of Emergency Medical Dispatch . 2nd ed.. Salt Lake City, UT: Priority Press; 1998;
  17. Cummins RO . The Utstein style for uniform reporting of data from out-of-hospital cardiac arrest . Ann Emerg Med . 1993;22:37–41
  18. Social Security Death Index Interactive Search. Rootsweb.com (online). Available at http://ssdi.genealogy.rootsweb.com/cgi–bin/ssdi.cgi. Accessed September 23, 2004.
  19. Gilbert EH , Lowenstein SR , Koziol–McLain J , et al.   Chart reviews in emergency medicine research (Where are the methods?) . Ann Emerg Med . 1996;27:305–308
  20. Foutz RA , Sayre MR . Automated external defibrillators in long-term care facilities are cost-effective . Prehosp Emerg Care . 2000;4:314–317
  21. Kane RS , Burns EA . Cardiopulmonary resuscitation polices in long-term care facilities . J Am Geriatr Soc . 1997;45:154–157
  22. Applebaum GE , King JE , Finucane TE . The outcome of CPR initiated in nursing homes . J Am Geriatr Soc . 1990;38:197–200
  23. Finucane TE , Leal-Mora D . From Jezebel to a dead man walking (Attempting resuscitation in long-term care) . J Am Geriatr Soc . 1997;45:245–246

 This work was supported in part by an award from the Dennis W. Jahnigen Career Development Scholars Awards Program (Dr. Shah), which is administered by the American Geriatrics Society and funded by The John A. Hartford Foundation of New York City and The Atlantic Philanthropies.

 Portions of this work were presented in abstract at the 2004 Annual Meeting of the Society for Academic Emergency Medicine.

 None of the authors have any financial conflicts of interest to disclose.

PII: S1525-8610(05)00648-1

doi: 10.1016/j.jamda.2005.11.009

JAMDA
Volume 7, Issue 6 , Pages 350-354 , July 2006

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