Effect of Palliative Care on Quality of Life and Survival after Cardiopulmonary Resuscitation: A Systematic Review.

Cardiopulmonary resuscitation palliative care postcardiopulmonary resuscitation survival quality of life

Journal

International journal of preventive medicine
ISSN: 2008-7802
Titre abrégé: Int J Prev Med
Pays: Iran
ID NLM: 101535380

Informations de publication

Date de publication:
2019
Historique:
received: 08 05 2018
accepted: 05 09 2018
entrez: 4 10 2019
pubmed: 4 10 2019
medline: 4 10 2019
Statut: epublish

Résumé

Cardiac and respiratory arrest is reversible through immediate cardiopulmonary resuscitation (CPR). However, survival after CPR is very low for various reasons. This systematic review study was conducted to assess the effect of palliative care on quality of life and survival after CPR. In the present meta-analysis and systematic review study, two researchers independently searched Google Scholar and MagIran, MedLib, IranMedex, SID, and PubMed for articles published during 1994-2016 and containing a number of relevant keywords and their Medical Subject Headings (MeSH) combinations. A total of 156 articles were initially extracted. The success of initial resuscitation was reported to be much higher than the success of secondary resuscitation (survival until discharge). Moreover, the early detection of cardiac arrest, a high-quality CPR, immediate defibrillation, and effective postresuscitation care improved short- and long-term outcomes in these patients and significantly affected their quality of life after CPR. Most survivors of CPR can have a reasonable quality of life if they are given proper follow-up and persistent treatment. Concerns about the low quality of life after CPR are therefore not a worthy reason to end the efforts taken for the victims of cardiac arrest. More comprehensive education programs and facilities are required for the resuscitation of patients and the provision of post-CPR intensive care.

Sections du résumé

BACKGROUND BACKGROUND
Cardiac and respiratory arrest is reversible through immediate cardiopulmonary resuscitation (CPR). However, survival after CPR is very low for various reasons. This systematic review study was conducted to assess the effect of palliative care on quality of life and survival after CPR.
METHODS METHODS
In the present meta-analysis and systematic review study, two researchers independently searched Google Scholar and MagIran, MedLib, IranMedex, SID, and PubMed for articles published during 1994-2016 and containing a number of relevant keywords and their Medical Subject Headings (MeSH) combinations. A total of 156 articles were initially extracted.
RESULTS RESULTS
The success of initial resuscitation was reported to be much higher than the success of secondary resuscitation (survival until discharge). Moreover, the early detection of cardiac arrest, a high-quality CPR, immediate defibrillation, and effective postresuscitation care improved short- and long-term outcomes in these patients and significantly affected their quality of life after CPR. Most survivors of CPR can have a reasonable quality of life if they are given proper follow-up and persistent treatment.
CONCLUSIONS CONCLUSIONS
Concerns about the low quality of life after CPR are therefore not a worthy reason to end the efforts taken for the victims of cardiac arrest. More comprehensive education programs and facilities are required for the resuscitation of patients and the provision of post-CPR intensive care.

Identifiants

pubmed: 31579159
doi: 10.4103/ijpvm.IJPVM_191_18
pii: IJPVM-10-147
pmc: PMC6767805
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

147

Informations de copyright

Copyright: © 2019 International Journal of Preventive Medicine.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

Références

Resuscitation. 2014 Sep;85(9):1127-8
pubmed: 24976073
Hepat Mon. 2010 Summer;10(3):218-22
pubmed: 22308142
Resuscitation. 2010 Oct;81(10):1277-92
pubmed: 20956051
Ann Neurol. 2010 Mar;67(3):301-7
pubmed: 20373341
Crit Care. 2008;12(4):R92
pubmed: 18638367
Am J Emerg Med. 2009 May;27(4):470-4
pubmed: 19555620
PLoS One. 2017 Oct 11;12(10):e0186152
pubmed: 29020031
Acad Emerg Med. 1999 Feb;6(2):95-102
pubmed: 10051899
Resuscitation. 2016 Apr;101:1-5
pubmed: 26826564
Acta Med Iran. 2016 Jul;54(7):430-6
pubmed: 27424013
Ont Health Technol Assess Ser. 2014 Dec 01;14(15):1-38
pubmed: 26339301
Resuscitation. 2005 Oct;67(1):75-80
pubmed: 16199289
Chest. 1994 Aug;106(2):524-30
pubmed: 7774331
Am J Crit Care. 2007 May;16(3):240-6; quiz 247
pubmed: 17460315
CMAJ. 2002 Aug 20;167(4):343-8
pubmed: 12197686
Circulation. 2009 Oct 20;120(16):1640-5
pubmed: 19805654
J Rehabil Med. 2010 Jun;42(6):553-8
pubmed: 20549160
Crit Care Med. 2010 Jan;38(1):101-8
pubmed: 19770741
Arch Intern Med. 1999 Feb 8;159(3):249-54
pubmed: 9989536
N Engl J Med. 2015 Jun 11;372(24):2307-15
pubmed: 26061835
Circulation. 2005 Dec 13;112(24 Suppl):IV1-203
pubmed: 16314375
Circulation. 2013 Dec 3;128(23):2488-94
pubmed: 24243885
Resuscitation. 2015 Jun;91:108-15
pubmed: 25676321
Oman Med J. 2017 Sep;32(5):378-385
pubmed: 29026469
Glob J Health Sci. 2014 Jul 29;7(1):52-8
pubmed: 25560341
Int J Prev Med. 2016 Jan 13;7:15
pubmed: 26941916
BMC Nurs. 2016 Jan 09;15:1
pubmed: 26752975
Circulation. 2013 Apr 9;127(14):1538-63
pubmed: 23479672
Resuscitation. 2011 Mar;82(3):247-56
pubmed: 21216080
Int J Cardiol. 2015 Aug 15;193:8-16
pubmed: 26005166
Med J Aust. 2003 Sep 15;179(6):283-7
pubmed: 12964909
BMJ. 2012 Oct 03;345:e6122
pubmed: 23034844
EuroIntervention. 2017 Feb 20;12(14):1782-1788
pubmed: 28216475
Int J Nurs Stud. 2013 Jul;50(7):945-53
pubmed: 23211796
Circulation. 2013 Jul 23;128(4):417-35
pubmed: 23801105
JAMA. 2013 Feb 6;309(5):453-60
pubmed: 23385271
Resuscitation. 2018 Feb;123:43-50
pubmed: 29233740

Auteurs

Ali Hasanpour Dehkordi (A)

Social Determinants of Health Research Center, School of Allied Medical Scinces, Shahrekord University of Medical sciences, Shahrekord, Iran.

Diana Sarokhani (D)

Psychosocial Injuries Research Center, Ilam University of Medical Science, Ilam, Iran.

Mahin Ghafari (M)

Department of Public Health, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Mohsen Mikelani (M)

Department of Radiology, Tehran University of Medical Science, Tehran, Iran.

Leila Mahmoodnia (L)

Department of Internal Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Classifications MeSH