Resuscitation decisions in Irish long-stay units
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Little is known of how cardiopulmonary resuscitation (CPR) decisions are made in Irish long-term care settings.
To examine how CPR decisions are made in Irish long-stay units and those factors associated with use or non-use of CPR.
We surveyed each public long-stay unit and a random sample of private nursing homes across the country.
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 (N = 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.
The widely disparate approaches to CPR in different Irish long-stay units suggest the need for national guidelines on this issue.
- O’Keeffe ST (2001) Development and implementation of resuscitation guidelines: a personal experience. Age Ageing 30:19–25. doi:10.1093/ageing/30.1.19 CrossRef
- McNamee J, O’Keeffe ST (2004) Documentation of do-not-resuscitate orders in an Irish hospital. Ir J Med Sci 173:99–101. doi:10.1007/BF02914567 CrossRef
- Fennell J, Sheikh A, Butler M, Saaidin N (2006) Dissatisfaction with Do-Not-Attempt-Resuscitation orders: a nationwide study of Irish consultant physician practices. Ir Med J 99:208–210
- Finucane TE, Boyer JT, Bulmash J et al (1991) The incidence of attempted CPR in nursing homes. J Am Geriatr Soc 39:624–626
- Kane RS, Burns EA (1997) Cardiopulmonary resuscitation policies in long-term care facilities. J Am Geriatr Soc 45:154–157
- Conroy SP, Luxton T, Dingwall R, Harwood RH, Gladman JR (2006) Cardiopulmonary resuscitation in continuing care settings: time for a rethink? BMJ 332:479–482. doi:10.1136/bmj.332.7539.479 CrossRef
- O’Keeffe ST, Ebell MH (1994) Prediction of failure to survive following in-hospital cardiopulmonary resuscitation: comparison of two predictive instruments. Resuscitation 28:21–25. doi:10.1016/0300-9572(94)90050-7 CrossRef
- British MedicalAssociation, ResuscitationCouncil (UK), Royal College of Nursing (2002) Decisions relating to cardiopulmonary resuscitation: a joint statement from the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. J Med Ethics 27(5):310–316
- Woollard M (2001) Public access defibrillation: a shocking idea? J Public Health Med 23:98–102. doi:10.1093/pubmed/23.2.98 CrossRef
- O’Neill D (2001) Present, rather than, advance directives. Lancet 358:1921–1922. doi:10.1016/S0140-6736(01)06973-2 CrossRef
- Resuscitation decisions in Irish long-stay units
Irish Journal of Medical Science
Volume 178, Issue 4 , pp 423-425
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Cardiopulmonary resuscitation
- Long-term care
- Industry Sectors