Author Affiliations: Department of Surgery, Johns Hopkins Medicine, Bethesda, Maryland; and SUNY Downstate School of Public Health, Brooklyn, New York.
During the past 20 years, much has been written about do not resuscitate (DNR) orders and cardiopulmonary resuscitation (CPR) in surgical patients, but because no prospective data are available, most of these articles are opinion pieces. Kazaure et al1 are one of the first to address this matter using information from the National Surgical Quality Improvement Project. Their article gives us a glimpse into the incidence, risk factors, outcomes, and ability to improve our care based on accurate data. The authors do not address the functional status of the patients who survive—their neurologic status, ability to care for themselves, or to where they are ultimately discharged. These are the next questions that need to be asked.
Zenilman ME. Cardiopulmonary Resuscitation in Surgical PatientsComment on “Cardiac Arrest Among Surgical Patients: An Analysis of Incidence, Patient Characteristics, and Outcomes in ACS-NSQIP”. JAMA Surg. 2013;148(1):21-22. doi:10.1001/jamasurg.2013.1003