Cardiac resuscitation: The 'smoker's paradox' after in-hospital cardiac arrest

摘要

A retrospective, observational analysis of data from a large US hospital database has shown that smokers have higher rates of survival and lower rates of poor neurological status after in-hospital cardiac arrest (IHCA) than do nonsmokers. This 'smoker's paradox' of improved outcomes has been recognized in patients with acute myocardial infarction for 25 years, but whether the phenomenon is present after cardiopulmonary resuscitation (CPR) was unknown.