Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 7, 2014
   Pages 1103 — 1108

Abstract — Survival of male patients with spinal cord injury after cardiac arrest in Department of Veterans Affairs hospital: Pilot study

Deborah Caruso, MD;1 William E. Carter, MD/MPH;1–2* David X. Cifu, MD;2–3 William Carne, PhD4

1Spinal Cord Injury and Disorders Center of Excellence, Hunter Holmes McGuire Department of Veterans Affairs Medical Center (VAMC), Richmond, VA; 2Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA; 3Physical Medicine and Rehabilitation Services, Veterans Health Administration, Washington, DC; 4Neurology Service, Hunter Holmes McGuire VAMC, Richmond, VA

Abstract — Survivability characteristics after cardiopulmonary resuscitation in the population with spinal cord injury (SCI) are unclear but may be useful for advanced care planning discussions with patients. Retrospective evaluation from records of all SCI patients over 10 yr at a Department of Veterans Affairs medical center who experienced in-hospital cardiac arrest was performed. Demographic data and other common measurements were recorded. Thirty-six male subjects were identified, and only two patients survived to discharge (5.5% survival rate), both of whom were admitted for nonacute issues and were asymptomatic shortly before the cardiac arrest. The mean age at the time of cardiopulmonary arrest was 62.4 yr, with a mean time from cardiac arrest to death of 3.02 d. No significant demographic parameters were identified. Overall, SCI likely portends worse outcome for acutely ill patients in the situation of a cardiac arrest. Conclusions are limited by sample size.

Key words: advanced care planning, cardiac arrest, cardiopulmonary resuscitation, CPR, inpatient, SCI, spinal cord injury, survival, VA hospitals, Veteran population.

View HTML ¦ View PDF ¦ Contents Vol. 51, No.7

This article and any supplementary material should be cited as follows:
Caruso D, Carter WE, Cifu DX, Carne W. Survival of male patients with spinal cord injury after cardiac arrest in Department of Veterans Affairs hospital: Pilot study. J Rehabil Res Dev. 2014;51(7):1103–8.

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Last Reviewed or Updated  Wednesday, November 12, 2014 11:36 AM

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