Featured Research

from universities, journals, and other organizations

Hospitalized Patients Need Better Understanding Of CPR And Outcomes, Experts Urge

Date:
June 3, 2009
Source:
University of Iowa
Summary:
Many hospitalized patients overestimate their chance of surviving an in-hospital cardiac arrest and do not know what CPR really involves, a new study has shown.

Many hospitalized patients overestimate their chance of surviving an in-hospital cardiac arrest and do not know what CPR really involves, a University of Iowa study has shown.

Related Articles


The study further showed that this lack of understanding of cardiopulmonary resuscitation may affect a patient's choice about whether to have orders in place to be resuscitated if they are dying.

The study, which also involved researchers in the Iowa City Veterans Affairs Medical Center, appeared in the June 1 issue of the Journal of Medical Ethics.

"The investigation indicates that doctors need to do more to help patients understand CPR procedures and 'do not resuscitate', or DNR, orders to avoid gaps between treatments used and patients' actual preferences," said the study's lead author Lauris Kaldjian, M.D., Ph.D., associate professor of internal medicine at the UI Roy J. and Lucille A. Carver College of Medicine and a physician with UI Hospital and Clinics.

"Our study showed that after people were asked about their goals of care and then informed about the chances of survival and good brain function after CPR, nearly one in five said their preferences about CPR had changed," added Kaldjian, who also directs the college's Program in Bioethics and Humanities.

The study involved 135 adults who were interviewed within 48 hours of being admitted to the hospital for general medical treatment from June to August 2007. Many other studies on resuscitation preferences have been based in outpatient settings or on hypothetical scenarios. In contrast, this study interviewed patients while they were being treated in the hospital, Kaldjian noted.

The patients' average age was 48 and just over half were women. Ethnicity was 92 percent white, 4 percent black, 3 percent Hispanic and 1 percent Asian. Very few patients had cancer or heart disease, but 61 percent of them had received intensive care in the past, indicating that they had already experienced serious illness.

The study showed that approximately three out of four patients thought they knew what CPR stood for and what it entails. However, only about 30 percent of patients actually knew that CPR stands for cardiopulmonary resuscitation. More important, only one in four patients (27 percent) understood that CPR in a hospital setting involves the use of an external defibrillator (electricity), and even fewer (7 percent) knew that dying patients would have a tube placed through the mouth and into the windpipe (intubation) and then be placed on a breathing machine. More than half of patients (59 percent) knew that manual chest compressions were used in CPR.

"CPR as it is used in the hospital setting is a more intensive procedure than many patients realized," Kaldjian said.

When patients were asked about the likelihood that CPR would allow them to survive and be discharged from hospital, the average prediction was 60 percent. The actual chance, on average, is about 18 percent.

When patients were additionally told that the odds of surviving CPR and still having good brain function are even lower -- only about 7 percent -- nearly one in five said that would influence them to change their preference regarding the use of resuscitation.

Kaldjian said that doctors should identify better ways to discuss resuscitation preferences with patients. "Placing these discussions in a wider context of goals of care may make it easier for patients to understand whether CPR is preferable, depending on the likelihood that CPR would help them achieve their care goals," he said.

"The hospital setting is often very busy, and it's hard to take time to talk about resuscitation preferences in a clear, informed and patient-centered way" he said. "We need to find feasible ways of having meaningful discussions, so that patients understand what doctors are telling them, and doctors understand what patients value and prefer."

The investigation involved researchers with the Center for Research in the Implementation of Innovative Strategies in Practice at the Iowa City Veterans Affairs Medical Center.

The study was funded in part by a grant from the UI Carver College of Medicine to two research team members and by funding from the Veterans Administration National Quality Scholars Program to two additional team members.


Story Source:

The above story is based on materials provided by University of Iowa. Note: Materials may be edited for content and length.


Cite This Page:

University of Iowa. "Hospitalized Patients Need Better Understanding Of CPR And Outcomes, Experts Urge." ScienceDaily. ScienceDaily, 3 June 2009. <www.sciencedaily.com/releases/2009/06/090603113708.htm>.
University of Iowa. (2009, June 3). Hospitalized Patients Need Better Understanding Of CPR And Outcomes, Experts Urge. ScienceDaily. Retrieved March 29, 2015 from www.sciencedaily.com/releases/2009/06/090603113708.htm
University of Iowa. "Hospitalized Patients Need Better Understanding Of CPR And Outcomes, Experts Urge." ScienceDaily. www.sciencedaily.com/releases/2009/06/090603113708.htm (accessed March 29, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Sunday, March 29, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

S. Leone in New Anti-Ebola Lockdown

S. Leone in New Anti-Ebola Lockdown

AFP (Mar. 28, 2015) — Sierra Leone imposed a three-day nationwide lockdown Friday for the second time in six months in a bid to prevent a resurgence of the deadly Ebola virus. Duration: 01:17 Video provided by AFP
Powered by NewsLook.com
These Popular Antibiotics Can Cause Permanent Nerve Damage

These Popular Antibiotics Can Cause Permanent Nerve Damage

Newsy (Mar. 27, 2015) — A popular class of antibiotic can leave patients in severe pain and even result in permanent nerve damage. Video provided by Newsy
Powered by NewsLook.com
WH Plan to Fight Antibiotic-Resistant Germs

WH Plan to Fight Antibiotic-Resistant Germs

AP (Mar. 27, 2015) — The White House on Friday announced a five-year plan to fight the threat posed by antibiotic-resistant bacteria amid fears that once-treatable germs could become deadly. (March 27) Video provided by AP
Powered by NewsLook.com
House Ready to Pass Medicare Doc Bill

House Ready to Pass Medicare Doc Bill

AP (Mar. 26, 2015) — In rare bipartisan harmony, congressional leaders pushed a $214 billion bill permanently blocking physician Medicare cuts toward House passage Thursday, moving lawmakers closer to resolving a problem that has plagued them for years. (March 26) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins