Combined effects of targeted blood pressure, oxygenation, and duration of device-based fever prevention after out-of-hospital cardiac arrest on 1-year survival: post hoc analysis of a randomized controlled trial

Crit CarePublished Post hoc analysis of the BOX randomised controlled trial

Authors' conclusion

There was no difference in 1-year mortality rates for a low compared to high blood pressure target, a liberal compared to restrictive oxygenation target, or a longer compared to shorter duration of device-based fever prevention after cardiac arrest. No combination of the interventions affected these findings.

Study context

Population
Comatose resuscitated OHCA patients
Participants
789 participants
Comparison
Low vs high BP target, restrictive vs liberal oxygenation target, 36 vs 72 h device-based fever prevention
  • Low BP targetn = 396
  • High BP targetn = 393reference
  • Restrictive oxygenationn = 394
  • Liberal oxygenationn = 395reference
  • 36 hn = 393
  • 72 hn = 396reference
Primary endpoint
All-cause mortality
Follow-up
1 year
Methodological detailstwo-centre, factorial
  • Two-centre
  • Factorial

Primary result

As reported in the abstract

1-year mortality
Hazard ratio (CI)P value
Low BP target vs High BP target
0.92(0.73–1.16)
P = 0.47
Restrictive oxygenation vs Liberal oxygenation
0.92(0.73–1.16)
P = 0.46
36 h vs 72 h
0.98(0.78–1.24)
P = 0.89

Original publication

Combined effects of targeted blood pressure, oxygenation, and duration of device-based fever prevention after out-of-hospital cardiac arrest on 1-year survival: post hoc analysis of a randomized controlled trial. Crit Care. Published 12 January 2024. doi:10.1186/s13054-023-04794-y

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