Researchers’ article published in New England Journal of Medicine

Paul Chan, M.D., and John Spertus, M.D.
Paul Chan, M.D., and John Spertus, M.D.

Two UMKC School of Medicine researchers have co-written an article published in the March 14, 2013 issue of the New England Journal of Medicine that focuses on the long-term outcomes of elderly patients who survive in-hospital cardiac arrest.

Paul Chan, M.D., associate professor of medicine, is the lead author and John Spertus, M.D., professor and Daniel Lauer, M.D., Chair in Metabolism and Vascular Disease Research, is co-author of the article that is the last in a series of three cardiac arrest articles published in the journal throughout the previous six months. Both are also members of the Mid America Heart Institute at Saint Luke’s Hospital of Kansas City.

Their latest article explored the long-term survival and readmission rates of survivors of in-hospital cardiac arrest and found that those outcomes varied among patients according to demographic characteristics and neurologic status at the time of their discharge from the hospital.

According to the article, nearly 6,972 patients at 401 hospitals were included in the study. Nearly 60 percent of those who survived the in-hospital episode were still alive after one year and the rate of three-year survival was similar to that of other patients with heart failure. The study results showed that the first three months after discharge are the most vulnerable, with 56 percent of total deaths that occur during the first two years having occurred during that time frame.

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