Outcome of stage IV cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study

Abstract The effects of cardiopulmonary resuscitation (CPR) on patients with advanced cancer remain to be elucidated. We identified a cohort of patients with stage-IV cancer who received in-hospital CPR from the Taiwan Cancer Registry and National Health Insurance claims database, along with a match...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Meng-Rui Lee, Kai-Lun Yu, Hung-Yang Kuo, Tsung-Hao Liu, Jen-Chung Ko, Jaw-Shiun Tsai, Jann-Yuan Wang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2019
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3ee842a102ff4bf68c19bf80d58acb07
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3ee842a102ff4bf68c19bf80d58acb07
record_format	dspace
spelling	oai:doaj.org-article:3ee842a102ff4bf68c19bf80d58acb072021-12-02T16:08:46ZOutcome of stage IV cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study10.1038/s41598-019-45977-42045-2322https://doaj.org/article/3ee842a102ff4bf68c19bf80d58acb072019-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-019-45977-4https://doaj.org/toc/2045-2322Abstract The effects of cardiopulmonary resuscitation (CPR) on patients with advanced cancer remain to be elucidated. We identified a cohort of patients with stage-IV cancer who received in-hospital CPR from the Taiwan Cancer Registry and National Health Insurance claims database, along with a matched cohort without cancer who also received in-hospital CPR. The main outcomes were post-discharge survival and in-hospital mortality. In total, 3,446 stage-IV cancer patients who underwent in-hospital CPR after cancer diagnosis were identified during January 2009–June 2014. A vast majority of the patients did not survive to discharge (n = 2,854, 82.8%). The median post-discharge survival was 22 days; 10.1% (n = 60; 1.7% of all patients) of the hospital survivors received anticancer therapy after discharge. We created 1:1 age–, sex–, Charlson comorbidity index (CCI)–, and year of CPR–matched noncancer and stage-IV cancer cohorts (n = 3,425 in both; in-hospital mortality rate = 82.1% and 82.8%, respectively). Regression analysis showed that the stage-IV cancer cohort had shorter post-discharge survival than did the noncancer cohort. The outcome of patients with advanced cancer was poor. Even among the survivors, post-discharge survival was short, with only few patients receiving further anticancer therapy.Meng-Rui LeeKai-Lun YuHung-Yang KuoTsung-Hao LiuJen-Chung KoJaw-Shiun TsaiJann-Yuan WangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 9, Iss 1, Pp 1-9 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Meng-Rui Lee Kai-Lun Yu Hung-Yang Kuo Tsung-Hao Liu Jen-Chung Ko Jaw-Shiun Tsai Jann-Yuan Wang Outcome of stage IV cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study
description	Abstract The effects of cardiopulmonary resuscitation (CPR) on patients with advanced cancer remain to be elucidated. We identified a cohort of patients with stage-IV cancer who received in-hospital CPR from the Taiwan Cancer Registry and National Health Insurance claims database, along with a matched cohort without cancer who also received in-hospital CPR. The main outcomes were post-discharge survival and in-hospital mortality. In total, 3,446 stage-IV cancer patients who underwent in-hospital CPR after cancer diagnosis were identified during January 2009–June 2014. A vast majority of the patients did not survive to discharge (n = 2,854, 82.8%). The median post-discharge survival was 22 days; 10.1% (n = 60; 1.7% of all patients) of the hospital survivors received anticancer therapy after discharge. We created 1:1 age–, sex–, Charlson comorbidity index (CCI)–, and year of CPR–matched noncancer and stage-IV cancer cohorts (n = 3,425 in both; in-hospital mortality rate = 82.1% and 82.8%, respectively). Regression analysis showed that the stage-IV cancer cohort had shorter post-discharge survival than did the noncancer cohort. The outcome of patients with advanced cancer was poor. Even among the survivors, post-discharge survival was short, with only few patients receiving further anticancer therapy.
format	article
author	Meng-Rui Lee Kai-Lun Yu Hung-Yang Kuo Tsung-Hao Liu Jen-Chung Ko Jaw-Shiun Tsai Jann-Yuan Wang
author_facet	Meng-Rui Lee Kai-Lun Yu Hung-Yang Kuo Tsung-Hao Liu Jen-Chung Ko Jaw-Shiun Tsai Jann-Yuan Wang
author_sort	Meng-Rui Lee
title	Outcome of stage IV cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study
title_short	Outcome of stage IV cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study
title_full	Outcome of stage IV cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study
title_fullStr	Outcome of stage IV cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study
title_full_unstemmed	Outcome of stage IV cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study
title_sort	outcome of stage iv cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study
publisher	Nature Portfolio
publishDate	2019
url	https://doaj.org/article/3ee842a102ff4bf68c19bf80d58acb07
work_keys_str_mv	AT mengruilee outcomeofstageivcancerpatientsreceivinginhospitalcardiopulmonaryresuscitationapopulationbasedcohortstudy AT kailunyu outcomeofstageivcancerpatientsreceivinginhospitalcardiopulmonaryresuscitationapopulationbasedcohortstudy AT hungyangkuo outcomeofstageivcancerpatientsreceivinginhospitalcardiopulmonaryresuscitationapopulationbasedcohortstudy AT tsunghaoliu outcomeofstageivcancerpatientsreceivinginhospitalcardiopulmonaryresuscitationapopulationbasedcohortstudy AT jenchungko outcomeofstageivcancerpatientsreceivinginhospitalcardiopulmonaryresuscitationapopulationbasedcohortstudy AT jawshiuntsai outcomeofstageivcancerpatientsreceivinginhospitalcardiopulmonaryresuscitationapopulationbasedcohortstudy AT jannyuanwang outcomeofstageivcancerpatientsreceivinginhospitalcardiopulmonaryresuscitationapopulationbasedcohortstudy
_version_	1718384462147878912

Outcome of stage IV cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study

Ejemplares similares