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Do not resuscitate
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===Risks=== {{Main|Cardiopulmonary resuscitation#Consequences}} As noted above, patients considering DNR mention the risks of CPR. Physical injuries, such as broken bones, affect 13% of CPR patients,<ref name="boland">{{cite journal | vauthors = Boland LL, Satterlee PA, Hokanson JS, Strauss CE, Yost D | title = Chest Compression Injuries Detected via Routine Post-arrest Care in Patients Who Survive to Admission after Out-of-hospital Cardiac Arrest | journal = Prehospital Emergency Care | volume = 19 | issue = 1 | pages = 23–30 | date = January–March 2015 | pmid = 25076024 | doi = 10.3109/10903127.2014.936636 | s2cid = 9438700 }}</ref> and an unknown additional number have broken cartilage which can sound like breaking bones.<ref name="creighton">{{Cite web |url=http://heartsavercpromaha.com/cpr-review---keeping-it-real.html |title=CPR Review - Keeping It Real |website=HEARTSAVER (BLS Training Site) CPR/AED & First Aid (Bellevue, NE) |access-date=2018-12-12 |archive-date=2018-12-15 |archive-url=https://web.archive.org/web/20181215222028/http://heartsavercpromaha.com/cpr-review---keeping-it-real.html |url-status=dead }}</ref><ref name="emt">{{Cite web |url=http://emtlife.com/threads/cpr-breaking-bones.23116/ |title=CPR Breaking Bones |website=EMTLIFE |date=25 May 2011 |access-date=2018-12-12}}</ref> Mental problems affect some patients, both before and after CPR. After CPR, up to 1 more person, among each 100 survivors, is in a coma than before CPR (and most people come out of comas<ref name="katz">{{Cite journal |last1=Katz |first1=Douglas I. |last2=Polyak |first2=Meg |last3=Coughlan |first3=Daniel |last4=Nichols |first4=Meliné |last5=Roche |first5=Alexis |date=2009-01-01 |editor-last=Laureys |editor-first=Steven |editor2-last=Schiff |editor2-first=Nicholas D. |editor3-last=Owen |editor3-first=Adrian M. |title=Natural history of recovery from brain injury after prolonged disorders of consciousness: outcome of patients admitted to inpatient rehabilitation with 1–4 year follow-up |series=Coma Science: Clinical and Ethical Implications |publisher=Elsevier |volume=177 |pages=73–88}}</ref><ref name="neurol">{{Cite journal |last1=Giacino |first1=Joseph T. |last2=Katz |first2=Douglas I. |last3=Schiff |first3=Nicholas D. |last4=Whyte |first4=John |last5=Ashman |first5=Eric J. |last6=Ashwal |first6=Stephen |last7=Barbano |first7=Richard |last8=Hammond |first8=Flora M. |last9=Laureys |first9=Steven |date=2018-08-08 |title=Practice guideline update recommendations summary: Disorders of consciousness |journal=Neurology |volume=91 |issue=10 |pages=450–460 |doi=10.1212/WNL.0000000000005926 |pmid=30089618 |pmc=6139814 |issn=0028-3878}}</ref>). Five to 10 more people, of each 100 survivors, need more help with daily life than they did before CPR. Five to 21 more people, of each 100 survivors, decline mentally, but stay independent.<ref name="mental">The ranges given in the text above represent outcomes ''inside'' and ''outside'' of hospitals: * ''In US hospitals'' a study of 12,500 survivors after CPR, 2000–2009, found: 1% more survivors of CPR were in comas than before CPR (3% before, 4% after), 5% more survivors were dependent on other people, and 5% more had moderate mental problems but were still independent. '''['''{{cite journal | vauthors = Chan PS, Spertus JA, Krumholz HM, Berg RA, Li Y, Sasson C, Nallamothu BK | title = Supplement of A validated prediction tool for initial survivors of in-hospital cardiac arrest | journal = Archives of Internal Medicine | volume = 172 | issue = 12 | pages = 947–53 | date = June 2012 | pmid = 22641228 | pmc = 3517176 | doi = 10.1001/archinternmed.2012.2050}}''']''' * ''Outside hospitals'', half a percent more survivors were in comas after CPR (0.5% before, 1% after), 10% more survivors were dependent on other people because of mental problems, and 21% more had moderate mental problems which still let them stay independent. This study covered 419 survivors of CPR in Copenhagen in 2007-2011. {{doi|10.1016/j.resuscitation.2013.10.033}} and works cited.</ref>
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