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Kevin M. McIntyre, MD
Boston, Mass

Arch Intern Med. 1994;154(2):227.

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

Lewis makes an important point that the apparent failure of cardiopulmonary resuscitation (CPR) outcome predictors to predict CPR outcome in the study by Rosenberg et al¹ may have been due to a bias that resulted from the proper application of DNA orders that, in turn, resulted in the exclusion of those least likely to survive among the attempted CPR population. If this were the case, we would hope that Rosenberg et al would enlighten us as to the manner in which this selection was accomplished. There is no mention, however, by Rosenberg et al that any unusual application of the do-not-resuscitate process was in place at either one or both of the hospitals examined. Indeed, there was a rather wide variation from hospital A to hospital B in survival of resuscitation (Table 2¹) and in survival to discharge (Table 3¹) in a number of the subgroups analyzed. . . . [Full Text PDF of this Article]

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