Duthie E, Mark D, Tresch D, Kartes S, Neahring J, Aufderheide T
Department of Medicine (Geriatrics/Gerontology and Cardiology), Medical College of Wisconsin, Milwaukee.
J Am Geriatr Soc. 1993 Apr;41(4):384-8. doi: 10.1111/j.1532-5415.1993.tb06945.x.
To determine the rate of cardiopulmonary resuscitation use among all nursing homes in a large urban area, to examine CPR use over time, to discover whether CPR use varies among nursing homes, and to describe characteristics of patients undergoing CPR.
Retrospective survey.
Nursing homes in a large urban area.
One hundred ninety-six nursing home residents of 68 nursing homes underwent cardiopulmonary resuscitation over a 4-year period (1986-1989). Over this time there were 9,486 deaths in these homes, which comprised 10,252 beds.
The CPR:death ratio was determined for each facility. The ratio was analyzed over time and by type of facility (eg, proprietary, non-profit, size of facility). The ratio was also examined among facilities with variable death rates. Patients undergoing CPR are described.
The ratio of CPR:death over the 4-year period was 0.02. CPR:death ratio was higher (0.03) for the proprietary homes compared with the non-profit homes (0.01) P < 0.0001. A significant downward trend of CPR:death was noted over the study period for the non-profit homes; no such trend was noted in the proprietary homes. Size of nursing home did not influence the rate of CPR use. Homes with greater numbers of deaths per bed had a lower utilization of CPR. Patients undergoing CPR were old, frail, and had multiple medical problems. CPR attempts were frequent around the time of nursing home admission.
The utilization of CPR in nursing homes is quite low. Non-profit homes utilize CPR less than proprietary homes. Nursing homes with the highest numbers of deaths per bed utilize CPR less than homes with lower numbers of deaths per bed. Nursing home residents receiving CPR are quite old, have multiple illnesses, and are impaired.
确定大城市地区所有养老院中心肺复苏术（CPR）的使用比例，研究CPR使用情况随时间的变化，探究不同养老院之间CPR使用情况是否存在差异，并描述接受CPR患者的特征。
回顾性调查。
大城市地区的养老院。
在4年期间（1986 - 1989年），68家养老院的196名居民接受了心肺复苏术。在此期间，这些养老院共有9486人死亡，床位总数为10252张。
确定每个机构的CPR与死亡比例。分析该比例随时间以及机构类型（如私立、非营利性、机构规模）的变化情况。还对死亡率不同的机构之间的比例进行了研究。描述接受CPR的患者情况。
4年期间CPR与死亡的比例为0.02。私立养老院的CPR与死亡比例（0.03）高于非营利性养老院（0.01），P < 0.0001。在研究期间，非营利性养老院的CPR与死亡比例呈现显著下降趋势；私立养老院则未观察到这种趋势。养老院规模不影响CPR的使用比例。每张床位死亡人数较多的养老院CPR使用率较低。接受CPR治疗患者年龄较大、身体虚弱且患有多种疾病。在养老院入院前后频繁进行CPR尝试。
养老院中心肺复苏术的使用率相当低。非营利性养老院的CPR使用率低于私立养老院。每张床位死亡人数最多的养老院CPR使用率低于每张床位死亡人数较少的养老院。接受CPR的养老院居民年龄较大、患有多种疾病且身体功能受损。
