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We welcome Dr Mogielnicki's comments and agree that the most important aspect of this subject is the physician's assessment of prognostic importance of various factors. It was our intent to demonstrate that patient factors do play a role in how the physician makes these decisions and that they are often in conflict with the decisions made by the patient and/or family, rather than indicating the "correctness" in using such factors. If we have stimulated interest, discussion, and thought about these patient factors and CPR decisions, then our goals have been met.
It is of interest to note that the reference cited by Mogielnicki was published after our paper was submitted. At the time our study was completed, the studies on CPR demonstrated no effect of advancing age on subsequent mortality or functional status. We therefore thank Mogielnicki for alerting us to the newer information that is now available.
Farber NJ, Bowman SM, Major DA, Green WP. Cardiopulmonary Resuscitation-Reply. Arch Intern Med. 1985;145(6):1142. doi:10.1001/archinte.1985.00360060210045