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Abstract
Purpose: Cardiopulmonary resuscitation (CPR) in end-of-life and critical patients, specifically cancer in hospitals, often faces a dilemma between resuscitation or non-resuscitation. This study will determine the predictors of resuscitation failure for cancer patients by expert agreement.
Materials and Methods: Predictor’s variables were collected from review 20 research journals based on cancer patients who expired and were not successfully resuscitated. From 20 research journal, we found only 11 articles that mentioned the variables involved in resuscitation failure and death in cancer patients. To find out which predictors occur the most in Indonesia, we asked 5 expert palliative anesthesiologists as an expert from a palliative center hospital in Indonesia to choose the predictor that relate to resuscitation failure. To measure the agreement, we use Fleiss–Kappa statistic method with SPSS software ver. 20.
Results: Based on the agreement of the experts (k >0.8), eight of 44 predictors were noted for cardiopulmonary resuscitation failure in cancer patients that are expected to occur in Indonesia, namely: AIDS (acquired immunodeficiency syndrome), CPR > 15′, non-recovery of heart rate after CPR >20 min, electrocardiogram (ECG) rhythm asystole, early coma, hepatic insufficiency, non-shockable heart rhythm, and pulseless electrical activity (PEA).
Conclusions: Experts agree that AIDS, CPR >15′, non-recovery of heart rate after CPR >20 min, ECG asystole rhythm, early coma, hepatic insufficiency, non-shockable heart rhythm, and PEA are dominant predictors for CPR failure in cancer patients.
References
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