In addition to an outstanding statewide EMS system, the POLST Program likely contributes to the 50% better survival rates of out of hospital arrest with CPR in Oregon vs national data (15.4% vs 10.6%) and with better cognitive outcomes.  For those nearing the end of their lives who do not want CPR (often with low odds of survival if we tried), the POLST Program makes it possible for them to refuse CPR (removing people with a poorer prognosis from these statistics likely contributes to Oregon’s improved resuscitation rates).  Note the low rate of attempted resuscitation in Oregon Nursing homes (6.2% vs 10.6%).  In 2015, only 120 attempted resuscitations were done in Oregon skilled nursing facilities (and some/most may have wanted CPR or not planned ahead to avoid it).  Being able to find POLST orders in a crisis via the Registry also helps assure that patient preferences are honored.  Click here to view the Cardiac Arrest Registry to Enhance Survival (CARES) 2015 report.

   

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