Cardiac arrest & resuscitation

Duration of Device-Based Fever Prevention after Cardiac Arrest

N Engl J MedPublished Randomised controlled trial

Primary resultResult — go to the resultHazard ratio 0.99 95% CI 0.77–1.26

Authors' conclusion

Active device-based fever prevention for 36 or 72 hours after cardiac arrest did not result in significantly different percentages of patients dying or having severe disability or coma.

Study context

Population
Comatose patients resuscitated after OHCA of presumed cardiac cause
Participants
393 vs 396
Comparison
Device-based fever prevention for 36 vs 72 hours
  • 36-hourn = 393
  • 72-hourn = 396reference
Primary endpoint
Composite of death from any cause or hospital discharge with Cerebral Performance Category 3 or 4 (severe cerebral disability or coma)
Follow-up
Within 90 days after randomization

Primary result

As reported in the abstract

90 days

Hazard ratio

0.99

95% CI 0.77–1.26

P = 0.70

Events by treatment group

36-hour vs 72-hour
HR 0.99 (95% CI 0.77–1.26); P = 0.70

Secondary outcomes

Mortality · 90 days

Median

Outcome36-hour72-hour
Montreal Cognitive Assessment score (range 0 to 30, higher = better) · 3 months26 (IQR 24–29)27 (IQR 24–28)

Safety

No significant between-group difference in the incidence of adverse events

Original publication

Duration of Device-Based Fever Prevention after Cardiac Arrest. N Engl J Med. Published 6 November 2022. doi:10.1056/nejmoa2212528

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