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Determinants of change in code status among patients with cardiopulmonary arrest admitted to the intensive care unit.
Ploch, Michelle; Ahmed, Talha; Reyes, Stephan; Irizarry-Caro, Jorge A; Fossas-Espinosa, Jose E; Shoar, Saeed; Amatullah, Atia; Jogimahanti, Arjun; Antonioli, Matthew; Iliescu, Cesar A; Balan, Prakash; Naeini, Payam Safavi; Madjid, Mohammad.
Afiliación
  • Ploch M; Department of Medicine, University of Texas Health Science Center at Houston, Houston, TX, United States.
  • Ahmed T; Division of Cardiology, Department of Medicine, University of Texas Health Science Center at Houston, Houston, TX, United States; Heart and Vascular Institute, Memorial Hermann Hospital, Houston, TX, United States.
  • Reyes S; Department of Medicine, University of Texas Health Science Center at Houston, Houston, TX, United States.
  • Irizarry-Caro JA; Department of Medicine, University of Texas Health Science Center at Houston, Houston, TX, United States.
  • Fossas-Espinosa JE; Department of Medicine, University of Texas Health Science Center at Houston, Houston, TX, United States.
  • Shoar S; Division of Cardiology, Department of Medicine, University of Texas Health Science Center at Houston, Houston, TX, United States; Heart and Vascular Institute, Memorial Hermann Hospital, Houston, TX, United States.
  • Amatullah A; Department of Medicine, University of Texas Health Science Center at Houston, Houston, TX, United States.
  • Jogimahanti A; Department of Medicine, University of Texas Health Science Center at Houston, Houston, TX, United States.
  • Antonioli M; Department of Medicine, University of Texas Health Science Center at Houston, Houston, TX, United States.
  • Iliescu CA; Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
  • Balan P; Department of Cardiology, Banner University Medical Center, University of Arizona College of Medicine, Phoenix, AZ, United States.
  • Naeini PS; Center for Cardiac Arrhythmias and Electrophysiology, Texas Heart Institute, Houston, TX, United States.
  • Madjid M; Division of Cardiology, Department of Medicine, University of Texas Health Science Center at Houston, Houston, TX, United States; Heart and Vascular Institute, Memorial Hermann Hospital, Houston, TX, United States; Division of Cardiology, Department of Medicine, David Geffen School of Medicine, Univ
Resuscitation ; 181: 190-196, 2022 12.
Article en En | MEDLINE | ID: mdl-36174763
BACKGROUND: Patients with cardiopulmonary arrest often have a poor prognosis, prompting discussion with families about code status. The impact of socioeconomic factors, demographics, medical comorbidities and medical interventions on code status changes is not well understood. METHODS: This retrospective study included adult patients presenting with cardiac arrest to the intensive care unit of a hospital group between 5/1/2010-5/1/2020. We extracted chart data on socioeconomic factors, demographics, and medical comorbidities. RESULTS: We identified 1,254 patients, of which 57.5% were males. Age was different across the groups with (61.2 ± 15.5 years) and without (61.2 ± 15.5 years) code status change (p= <0.0001). Code status was changed in 583 patients (46.5%). Among patients with code status change, the highest prevalence was White patients (34.8%), followed by African Americans (30.9%), and Hispanics (25.4%). Compared to patients who did not have a code status change, those with a change in code status were older (66.7 ± 14.8 years vs 61.2 ± 15.5 years). They were also more likely to receive vasopressor/inotropic support (74.6% vs 58.5%), and broad-spectrum antibiotics (70.3% vs 57.7%). Insurance status, ethnicity, religion, education, and salary did not lead to statistically significant changes in code status. CONCLUSIONS: In patients with cardiopulmonary arrest, code status change was more likely to be influenced by the presence of medical comorbidities and medical interventions during hospitalization rather than by socioeconomic factors.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reanimación Cardiopulmonar / Paro Cardíaco Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Resuscitation Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Irlanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reanimación Cardiopulmonar / Paro Cardíaco Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Resuscitation Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Irlanda