A population-based study on the prevalence and determinants of cardiopulmonary resuscitation in the last month of life for Taiwanese cancer decedents, 2001-2006

Jen Shi Chen, Hung Ming Wang, Shiao Chi Wu, Tsang Wu Liu, Yen Ni Hung, Siew Tzuh Tang

研究成果: 雜誌貢獻文章

11 引文 (Scopus)

摘要

Background: The success rate of cardiopulmonary resuscitation (CPR) for cancer patients following in-hospital cardiac arrest has remained poor over the last 3 decades, but little is known about determinants of undergoing CPR for these patients at the end of life. Objective: To determine the prevalence of CPR for Taiwanese cancer patients in the last month of life and the association between their undergoing CPR and patient demographics, disease characteristics, physician specialty, hospital characteristics, and availability of healthcare resources at the hospital and regional levels. Methods: This retrospective cohort study examined administrative data for a cohort of 204,850 cancer decedents in 2001-2006. Results: Rates of CPR decreased substantially over the study period, from 13.18% to 8.63%, and the adjusted odds ratio of undergoing CPR decreased significantly by a factor of 0.93 for each successive year. Taiwanese cancer patients were predisposed to undergo CPR in their last month of life if they were male, young, and unmarried (except for widowhood); had high comorbidity; had certain cancers (hematological malignancies, head and neck, esophageal, and prostate cancers); had a localized or newly diagnosed (within 1-2 months of death) cancer; had a non-oncologist as their primary physician; and received care at a non-teaching hospital. Conclusion: One-tenth of Taiwanese cancer patients underwent CPR in the last month of life, and the rates of CPR decreased substantially from 2001 to 2006. The propensity for CPR was influenced by patient demographics, disease characteristics, physician specialty, and teaching status of the patient's primary hospital.
原文英語
頁(從 - 到)1388-1393
頁數6
期刊Resuscitation
80
發行號12
DOIs
出版狀態已發佈 - 十二月 2009
對外發佈Yes

指紋

Cardiopulmonary Resuscitation
Cross-Sectional Studies
Population
Neoplasms
Physicians
Demography
Widowhood
Hematologic Neoplasms
Esophageal Neoplasms
Head and Neck Neoplasms
Heart Arrest
Comorbidity
Prostatic Neoplasms
Teaching
Cohort Studies
Retrospective Studies
Odds Ratio
Delivery of Health Care

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency
  • Emergency Medicine

引用此文

A population-based study on the prevalence and determinants of cardiopulmonary resuscitation in the last month of life for Taiwanese cancer decedents, 2001-2006. / Chen, Jen Shi; Wang, Hung Ming; Wu, Shiao Chi; Liu, Tsang Wu; Hung, Yen Ni; Tang, Siew Tzuh.

於: Resuscitation, 卷 80, 編號 12, 12.2009, p. 1388-1393.

研究成果: 雜誌貢獻文章

Chen, Jen Shi ; Wang, Hung Ming ; Wu, Shiao Chi ; Liu, Tsang Wu ; Hung, Yen Ni ; Tang, Siew Tzuh. / A population-based study on the prevalence and determinants of cardiopulmonary resuscitation in the last month of life for Taiwanese cancer decedents, 2001-2006. 於: Resuscitation. 2009 ; 卷 80, 編號 12. 頁 1388-1393.
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abstract = "Background: The success rate of cardiopulmonary resuscitation (CPR) for cancer patients following in-hospital cardiac arrest has remained poor over the last 3 decades, but little is known about determinants of undergoing CPR for these patients at the end of life. Objective: To determine the prevalence of CPR for Taiwanese cancer patients in the last month of life and the association between their undergoing CPR and patient demographics, disease characteristics, physician specialty, hospital characteristics, and availability of healthcare resources at the hospital and regional levels. Methods: This retrospective cohort study examined administrative data for a cohort of 204,850 cancer decedents in 2001-2006. Results: Rates of CPR decreased substantially over the study period, from 13.18{\%} to 8.63{\%}, and the adjusted odds ratio of undergoing CPR decreased significantly by a factor of 0.93 for each successive year. Taiwanese cancer patients were predisposed to undergo CPR in their last month of life if they were male, young, and unmarried (except for widowhood); had high comorbidity; had certain cancers (hematological malignancies, head and neck, esophageal, and prostate cancers); had a localized or newly diagnosed (within 1-2 months of death) cancer; had a non-oncologist as their primary physician; and received care at a non-teaching hospital. Conclusion: One-tenth of Taiwanese cancer patients underwent CPR in the last month of life, and the rates of CPR decreased substantially from 2001 to 2006. The propensity for CPR was influenced by patient demographics, disease characteristics, physician specialty, and teaching status of the patient's primary hospital.",
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T1 - A population-based study on the prevalence and determinants of cardiopulmonary resuscitation in the last month of life for Taiwanese cancer decedents, 2001-2006

AU - Chen, Jen Shi

AU - Wang, Hung Ming

AU - Wu, Shiao Chi

AU - Liu, Tsang Wu

AU - Hung, Yen Ni

AU - Tang, Siew Tzuh

PY - 2009/12

Y1 - 2009/12

N2 - Background: The success rate of cardiopulmonary resuscitation (CPR) for cancer patients following in-hospital cardiac arrest has remained poor over the last 3 decades, but little is known about determinants of undergoing CPR for these patients at the end of life. Objective: To determine the prevalence of CPR for Taiwanese cancer patients in the last month of life and the association between their undergoing CPR and patient demographics, disease characteristics, physician specialty, hospital characteristics, and availability of healthcare resources at the hospital and regional levels. Methods: This retrospective cohort study examined administrative data for a cohort of 204,850 cancer decedents in 2001-2006. Results: Rates of CPR decreased substantially over the study period, from 13.18% to 8.63%, and the adjusted odds ratio of undergoing CPR decreased significantly by a factor of 0.93 for each successive year. Taiwanese cancer patients were predisposed to undergo CPR in their last month of life if they were male, young, and unmarried (except for widowhood); had high comorbidity; had certain cancers (hematological malignancies, head and neck, esophageal, and prostate cancers); had a localized or newly diagnosed (within 1-2 months of death) cancer; had a non-oncologist as their primary physician; and received care at a non-teaching hospital. Conclusion: One-tenth of Taiwanese cancer patients underwent CPR in the last month of life, and the rates of CPR decreased substantially from 2001 to 2006. The propensity for CPR was influenced by patient demographics, disease characteristics, physician specialty, and teaching status of the patient's primary hospital.

AB - Background: The success rate of cardiopulmonary resuscitation (CPR) for cancer patients following in-hospital cardiac arrest has remained poor over the last 3 decades, but little is known about determinants of undergoing CPR for these patients at the end of life. Objective: To determine the prevalence of CPR for Taiwanese cancer patients in the last month of life and the association between their undergoing CPR and patient demographics, disease characteristics, physician specialty, hospital characteristics, and availability of healthcare resources at the hospital and regional levels. Methods: This retrospective cohort study examined administrative data for a cohort of 204,850 cancer decedents in 2001-2006. Results: Rates of CPR decreased substantially over the study period, from 13.18% to 8.63%, and the adjusted odds ratio of undergoing CPR decreased significantly by a factor of 0.93 for each successive year. Taiwanese cancer patients were predisposed to undergo CPR in their last month of life if they were male, young, and unmarried (except for widowhood); had high comorbidity; had certain cancers (hematological malignancies, head and neck, esophageal, and prostate cancers); had a localized or newly diagnosed (within 1-2 months of death) cancer; had a non-oncologist as their primary physician; and received care at a non-teaching hospital. Conclusion: One-tenth of Taiwanese cancer patients underwent CPR in the last month of life, and the rates of CPR decreased substantially from 2001 to 2006. The propensity for CPR was influenced by patient demographics, disease characteristics, physician specialty, and teaching status of the patient's primary hospital.

KW - Administrative database analysis

KW - Cardiopulmonary resuscitation (CPR)

KW - End-of-life care

KW - Population-based study

KW - Quality of care

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SN - 0300-9572

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