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W. T. Longstreth, Jr, MD, MPH; Leonard A. Cobb, MD; Carol E. Fahrenbruch, MSPH; Michael K. Copass, MD

JAMA. 1990;264(16):2109-2110.

Abstract
We examined the relation between age and outcomes in patients treated for out-of-hospital cardiac arrest in Seattle, Wash. Considering all out-of-hospital cardiac arrests treated by paramedics over a recent 5-year period, 386 (27%) of 1405 consecutive patients aged 70 years or older were resuscitated and admitted to a hospital vs 474 (29%) of 1624 younger patients; 140 elderly patients (10%) were discharged alive vs 223 younger patients (14%). Of the 140 elderly patients, 112 went home and 28 went to a nursing home. Considering only patients whose initial rhythms were ventricular fibrillation, the percent of patients discharged alive was substantially higher: 120 (24%) of 493 for elderly patients and 194 (30%) of 639 for younger patients. Elderly patients can benefit from attempted resuscitation from out-of-hospital cardiac arrest.

(JAMA. 1990;264:2109-2110)

Author Affiliations
From the Divisions of Neurology (Drs Longstreth and Copass) and Cardiology (Dr Cobb and Ms Fahrenbruch), Harborview Medical Center, University of Washington, Seattle.

Footnotes
Reprint requests to Division of Neurology, ZA-95, Harborview Medical Center, 325 Ninth Ave, Seattle, WA 98104-2499 (Dr Longstreth).

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