Journal of Clinical Oncology, Vol 9, 111-115, Copyright © 1991 by American Society of Clinical Oncology
Cardiopulmonary resuscitation and the patient with cancer
CE Vitelli, K Cooper, A Rogatko and MF Brennan
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
The records of 114 cancer patients suffering cardiopulmonary arrests (CPA)
during a 3-year period at Memorial Sloan-Kettering Cancer Center (MSKCC)
were retrospectively reviewed to identify variables predicting final
outcome in these patients. Although 65.7% of the patients were successfully
resuscitated, only 12 (10.5%) were discharged alive from the hospital.
Median survival after discharge was 150 days. By univariate and
multivariate analysis, the only variable predicting the likelihood of a
patient's being discharged alive after a CPA was the performance status of
the patient at the time of admission to the hospital. Thus, a patient
spending more than 50% of the time in bed at the time of admission had only
a 2.3% chance of being discharged alive after CPA. A thorough discussion of
these findings between physicians and patients and their families is
strongly recommended at the time of admission to spare cancer patients
unnecessary invasive resuscitative procedures.
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