Outcome and cost implications of cardiopulmonary resuscitation in the medical intensive care unit of a comprehensive XXXX center.

@entity1 @entity943 @entity5 @entity1583 @entity1167 @entity204
Intensive care unit (ICU) resources are frequently utilized in the supportive care of hospitalized @entity1 with @entity5 . @entity1 with @entity5 reportedly have poor outcomes from cardiopulmonary resuscitation (CPR). The goal of this study was to evaluate the effectiveness and @entity1 care costs of CPR applied to @entity1 already receiving life support in an ICU. The medical records of @entity1 who developed @entity1167 and underwent CPR in the ICU of a comprehensive @entity5 center between 1993 and 2000 were reviewed. ICU charges after the first episode of CPR were analyzed. There were 5,196 admissions to the ICU during this time; 406 (8%) of the @entity1 underwent CPR; 67% had @entity1583 or had undergone hematopoietic stem cell transplantation: 256 @entity1 (63%) died at the time of the arrest, and in 150 (37%) spontaneous circulation was restored. There were 104 @entity1 (26%) who survived more than 24 hours but ultimately died during their hospitalization; their mean time to @entity204 was 4.3 days (95% confidence interval [CI] 2.9-5.6), and mean ICU charges were  45,877 (95% CI  24,802- 66,952). Seven @entity1 (2%) survived to be discharged. @entity1 who survived after CPR and were discharged from the hospital were those who had acute @entity943 and were resuscitated promptly. The application of CPR to @entity5 @entity1 receiving life support is costly and typically does not lead to long-term survival. @entity5 @entity1 requiring admission to an ICU should receive full supportive care short of resuscitation. Providing assurances that care will remain appropriate, aggressive, and in accordance with the @entity1 's and family's wishes can optimize compassionate care while avoiding futile life-sustaining interventions.
