To the Editor.
—The article by Farber et al1 on patient factors and decision-making in cardiopulmonary resuscitation (CPR) brought into focus an important and commonplace situation that deserves analysis and thought. The amount of influence that some of their patient factors had on code status in the minds of the house staff that they studied is sizable. The sources of that influence were not addressed by the study methodology, though the comment section of their article did address this to some degree. One of the strongest factors to influence the decision to perform CPR was patient age and the authors referred to medical literature which, they said, shows that age does not alter the survival nor level of functioning after CPR. Studies that they did not quote, however, have shown that at least for out-of-hospital cardiac arrest, age is a strong prognostic indicator and that the likelihood of discharge
Mogielnicki RP. Cardiopulmonary Resuscitation. Arch Intern Med. 1985;145(6):1142. doi:10.1001/archinte.1985.00360060210044