Abstract
Cardiopulmonary resuscitation (CPR) can be a life-saving intervention after cardiac arrest; however, the indiscriminate use of CPR among unselected populations, and particularly among those with preexisting terminal disease, confers little chance of benefit and a great possibility of harm. Cancer patients have particularly low rates of return of spontaneous circulation (ROSC) and survival to hospital discharge after CPR. An increased emphasis on palliative care for cancer patients and the incorporation of patient goals of care in planning therapeutic interventions holds the promise that CPR might be used more selectively among those with cancer, thereby resulting in higher rates of ROSC and longer-term survival after cardiac arrest. Our study objective was to determine rates of ROSC and survival to hospital discharge among cancer patients undergoing CPR in the emergency department (ED) of a comprehensive cancer center. Additionally, we examined whether these rates changed over the past decade.
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