Cardiac arrest & resuscitation

Resuscitation outcomes in patients with cancer: experience in a large urban cancer centre

Can J AnaesthPublished Retrospective cohort study

Authors' conclusion

Hospitalized patients with cancer requiring CPR have poor hospital and long-term outcomes.

Study context

Population
Hospitalised patients with cancer who had a "code blue" activated at a large Canadian cancer centre, January 2007 to December 2018
Participants
225 patients
Exposure
Patients meeting "poor prognosis" criteria vs patients not meeting them
  • Poor prognosisn = 114
Outcome
ICU mortality
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

P < 0.001

Overall intensive care unit (ICU) mortality among 164 admitted to ICU
49% (81/164)

Observational data: associations, not effects.

Further findings

In-hospital mortality

P < 0.001

Goals-of-care discussions prior to the code blue

P < 0.001

Alive at one year

Overall survival of the code blue

Survived the code blue
173/225 (77%)
Survived to hospital discharge
31%
Alive at one year
16% (n = 27)

Patients requiring chest compressions (subgroup)

Required chest compressions
120 out of 225 (53%)
ROSC
61% (73/120)
Survived to hospital discharge
12% (14/120)

Original publication

Resuscitation outcomes in patients with cancer: experience in a large urban cancer centre. Can J Anaesth. Published 21 June 2023. doi:10.1007/s12630-023-02505-3

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