Vitelli C E, Cooper K, Rogatko A, Brennan M F
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
J Clin Oncol. 1991 Jan;9(1):111-5. doi: 10.1200/JCO.1991.9.1.111.
The records of 114 cancer patients suffering cardiopulmonary arrests (CPA) during a 3-year period at Memorial Sloan-Kettering Cancer Center (MSKCC) were retrospectively reviewed to identify variables predicting final outcome in these patients. Although 65.7% of the patients were successfully resuscitated, only 12 (10.5%) were discharged alive from the hospital. Median survival after discharge was 150 days. By univariate and multivariate analysis, the only variable predicting the likelihood of a patient's being discharged alive after a CPA was the performance status of the patient at the time of admission to the hospital. Thus, a patient spending more than 50% of the time in bed at the time of admission had only a 2.3% chance of being discharged alive after CPA. A thorough discussion of these findings between physicians and patients and their families is strongly recommended at the time of admission to spare cancer patients unnecessary invasive resuscitative procedures.
对纪念斯隆凯特琳癌症中心（MSKCC）3年内发生心肺骤停（CPA）的114例癌症患者的记录进行了回顾性研究，以确定预测这些患者最终结局的变量。尽管65.7%的患者成功复苏，但只有12例（10.5%）存活出院。出院后的中位生存期为150天。通过单因素和多因素分析，预测患者心肺骤停后存活出院可能性的唯一变量是入院时患者的体能状态。因此，入院时卧床时间超过50%的患者心肺骤停后存活出院的几率仅为2.3%。强烈建议在入院时医生与患者及其家属就这些发现进行深入讨论，以免癌症患者接受不必要的侵入性复苏程序。
