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October 28, 1992

The Issue of CPR

Author Affiliations

From the Scientific Publications Group, American Medical Association, Chicago, Ill.

JAMA. 1992;268(16):2297-2298. doi:10.1001/jama.1992.03490160167034

The 1992 Guidelines on Cardiopulmonary Resuscitation and Emergency Cardiac Care are published in this issue of The JOURNAL as reports of low rates of meaningful survival from attempted cardiopulmonary resuscitation (CPR) continue to raise questions about the efficacy and appropriateness of CPR in certain instances and among certain populations.

Survival to hospital discharge has been reported as 2% among 3221 victims of nontraumatic out-of-hospital cardiac arrest in Chicago—and only 3% among those whose initial rhythm was ventricular fibrillation1; 0 among 185 people who arrested outside the hospital and failed attempts at prehospital resuscitation2; and 0 among 45 residents of long-term care facilities who were at least 60 years old.3

Earlier reports of survival to hospital discharge have been similarly dismal for those failing prehospital resuscitation4; for nursing home residents5; for patients at least 70 years old arresting either6 in or out of the hospital