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Elderly in-hospital cardiac arrest patients who are resuscitated with neurological recovery experience favourable long-term survival similar to non-arrest heart failure patients
  1. T Jared Bunch
  1. Department of Cardiology, Intermountain Medical Center, Intermountain Heart Institute, Murray, Utah, USA
  1. Correspondence to: Dr T Jared Bunch
    Department of Cardiology, Intermountain Medical Center, Intermountain Heart Institute, Eccles Outpatient Care Center, 5169 Cottonwood Street, Suite 510, Murray, Utah, 84107, USA; Thomas.bunch{at}imail.org

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Commentary on: Chan PS, Nallamothu BK, Krumholz HM, et al. American Heart Association Get with the Guidelines-Resuscitation Investigators. Long-term outcomes in elderly survivors of in-hospital cardiac arrest. N Engl J Med 2013;368:1019–26.

Context

In-hospital cardiac arrest is relatively common, with an estimated 370 000–750 000 cardiac arrests with resuscitation performed yearly.1 ,2 Aggregate survival is often poor with only 30% ultimately dismissed with satisfactory neurological recovery.1–3 Furthermore, in adults with non-shockable rhythms, total survival to discharge is approximately 10%.3 As delays in resuscitation can be common, these survival outcomes can be improved with training of medical emergency teams that respond to unstable situations before the arrest develops. Lacking in the literature is a comprehensive understanding of what happens to these patients after hospital discharge. Such data, if favourable, would validate the extensive effort to resuscitate in hospital …

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