Irish Journal of Medical Science

, 178:423

Resuscitation decisions in Irish long-stay units

Original Article

DOI: 10.1007/s11845-009-0285-9

Cite this article as:
O’Brien, M. & O’Keeffe, S.T. Ir J Med Sci (2009) 178: 423. doi:10.1007/s11845-009-0285-9

Abstract

Background

Little is known of how cardiopulmonary resuscitation (CPR) decisions are made in Irish long-term care settings.

Aim

To examine how CPR decisions are made in Irish long-stay units and those factors associated with use or non-use of CPR.

Methods

We surveyed each public long-stay unit and a random sample of private nursing homes across the country.

Results

Of the 84 long-stay units that responded (response rate 58%), basic CPR had been performed in 32% and advanced CPR (including defibrillation) in 10%. Only 13% of the units had a written CPR policy. Units performing CPR (= 35) were closer to an acute hospital, more likely to have short-term residents and more likely to have a CPR policy (all P < 0.05). There were no significant differences between public and private units.

Conclusion

The widely disparate approaches to CPR in different Irish long-stay units suggest the need for national guidelines on this issue.

Keywords

Cardiopulmonary resuscitationLong-term careAged

Copyright information

© Royal Academy of Medicine in Ireland 2009

Authors and Affiliations

  1. 1.Department of Geriatric MedicineGalway University HospitalsGalwayIreland
  2. 2.Unit 4Merlin Park University HospitalGalwayIreland