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John J. Gregory, MD; Dorothea Dunn, RN
Overlook Hospital Summit, NJ

JAMA. 1992;267(19):2601.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—The well-designed study reported by Sack et al¹ showed significantly improved outcome with interposed abdominal counterpulsation (IAC) during in-hospital cardiopulmonary resuscitation (CPR). Our concern with their results stems from the low rate (27%) of early spontaneous return of circulation (ROC) and the low number of patients who survived to discharge (7%) among the group receiving standard CPR. The authors indicate that this 27% rate of ROC for standard CPR is consistent with three previously published reports.

However, our experience with outcome from standard inhospital CPR is quite different. Data collected at our institution over the past 5 years indicate an average initial 51% rate of ROC among 995 resuscitation attempts and an average survival to discharge of 18% among 831 patients who received standard CPR for in-hospital cardiopulmonary arrest. Furthermore, others^2-4 have reported similar outcomes and recently, George and coworkers⁵ reported a 55% rate . . . [Full Text PDF of this Article]

Footnotes
Edited by Drummond Rennie, MD, Deputy Editor (West), and Bruce B. Dan, MD, Senior Editor.

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