Research shows older frailpatients have a 1 in 3 chance of surviving CPR during surgery brighamwomens jamanetworkopen
Such uncertainty has led some doctors to wonder: are efforts to resuscitate frail patients in the operating room futile?
To address this question, a team from Brigham and Women's Hospital, a founding member of the Mass General Brigham health care system, analyzed a national cohort of over 3,000 patients and determined that around one in three older frail patients survive surgical CPR. They also discovered that frail patients were more likely to die from cardiac arrests that occurred during non-emergency procedures than non-frail individuals, which could translate into higher overall surgery risks for frail patients. They say their findings, published in, can help physicians navigate the risks of performing surgical CPR in frail patients.
"CPR should not be considered futile for frail patients in the context of surgery," said lead author Matt Allen, MD, an attending physician in the Brigham's Department of Anesthesiology."But it's not the case that these patients do just as well as anybody else. In fact, we see a significant association between frailty and mortality."
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