Cardiac arrest & resuscitation
Defibrillation in patients with accidental hypothermia and core temperatures ≤30°C – A retrospective observational study
Authors' conclusion
Defibrillation attempts can be successful before rewarming at Tc ≤30°C. The success rate is higher during rewarming and at a higher Tc. Tc is a strong and independent predictor of defibrillation success. Defibrillation at Tc <25°C is unlikely.
Study context
- Population
- Patients in hypothermic cardiac arrest (Tc ≤30°C) with shockable rhythms undergoing defibrillation attempts, International Hypothermia Registry
- Participants
- 37 patients
- Exposure
- Defibrillation during rewarming vs before rewarming
- During rewarmingn = 17
- Before rewarmingn = 20reference
- Outcome
- Success rate of defibrillation
Methodological detailsregistry-based (International Hypothermia Registry), multivariate binomial logistic regression
- Registry-based (International Hypothermia Registry)
- Multivariate binomial logistic regression
Main finding
As reported in the abstract
Defibrillation success
P < 0.001
- Overall success rate
- 22/37 (59%)
Observational data: associations, not effects.
Further findings
Tc at defibrillation attempt · spread kind not named in abstract
P < 0.001
Lowest Tc with successful defibrillation
- No defibrillation attempt successful at Tc <24.8°C
Original publication
Defibrillation in patients with accidental hypothermia and core temperatures ≤30°C – A retrospective observational study. Resuscitation. Published 20 January 2026. doi:10. 1016/ j. resuscitation. 2026. 110971
Composed by AI from the published abstract and checked against it. How Briefs are made →