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March 17, 1989

In-Hospital Cardiopulmonary Resuscitation-Reply

Author Affiliations

Veterans Administration Medical Center Houston, Tex

Veterans Administration Medical Center Houston, Tex

JAMA. 1989;261(11):1581-1582. doi:10.1001/jama.1989.03420110053014

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In Reply.—  We applaud the efforts of Evers et al, Gregory and Dunn, and Draur and encourage additional studies. Their information assists in meaningful and informed dialogue between patients, families, and physicians in each respective setting. Revealing the differences between populations highlights the importance of our caveats concerning widespread application of our findings. The contribution of future studies will be uncertain without reporting arrest definition, selection ratio, and relationships between gender and outcome. The data in all three studies are notably consistent with other cited CPR studies: the 70 years and older group did more poorly, although ageassociated differences were not statistically significant.Drs Rutherford and Sherman have difficulty in two areas of interpretation with our study. While we submit that a prospective study would allow the neurological consequences of CPR to be assessed more directly, we still believe that our implication that the elderly frequently regain cardiac, but lesser