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Multicenter Study
Implementation of cardiopulmonary resuscitation guidelines in elderly care departments across: a survey of 13 hospitals shows wide variability in practice.
- Lisa Cauchi, Jane Vigus, and Paul Diggory.
- Department of Elderly Care Medicine, Mayday University Hospital, Croydon CR7 7YE, London, UK.
- Resuscitation. 2004 Nov 1; 63 (2): 157-60.
ObjectiveThe United Kingdom Department of Health advises hospitals that they should implement a policy relating to cardiopulmonary resuscitation (CPR) that takes account of published guidelines relating to decision making for resuscitation. We wished to see if these guidelines were leading to implementation of a similar policy in different Elderly Care (EC) departments.SettingThe acute and rehabilitation wards in 13 hospitals from the South Thames West region.DesignOn one day the notes of all in-patients, over 55 years, under the care of an EC physician were reviewed.ResultsA CPR decision had been made in 465 (47%) of the 990 in-patients, 379 Do Not Attempt Resuscitation (DNAR) orders were made. The percentage of patients in whom a CPR decision had been made varied from 15 to 97% between departments.ConclusionsImplementation of the guidelines for decision making for resuscitation varies greatly across this region of the United Kingdom.
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