Cardiac arrest & resuscitation

Effects of Sedation, TEmperature and Pressure After Cardiac Arrest and REsuscitation on Major Adverse Kidney Events ( STEPCARE ‐ Major Adverse Kidney Events (MAKE) ): A Protocol for a Pre‐Planned Sub‐Study of a Randomized Clinical Trial

Acta Anaesthesiol ScandPublished Protocol for a pre-planned sub-study of the STEPCARE randomised clinical trial

Study context

Population
Post-cardiac arrest patientsplanned, main trial
Participants
3,500 patients
Planned comparison
Deep sedation for 36 h vs minimal sedation; fever management with vs without feedback-controlled device; Mean arterial pressure (MAP) target ≥ 65 mmHg vs ≥ 85 mmHg
Primary endpoint
MAKE: composite of death from any cause by day 30, initiation of Kidney Replacement Therapy (KRT), or persistent renal dysfunction (final creatinine ≥ 200% of baseline at discharge from primary hospital or at day 30, whichever first)
Follow-up
Day 30
Methodological detailspredefined prospective sub-study, international, 2 × 2 × 2 factorial
  • Predefined prospective sub-study
  • International
  • 2 × 2 × 2 factorial

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Effects of Sedation, TEmperature and Pressure After Cardiac Arrest and REsuscitation on Major Adverse Kidney Events ( STEPCARE ‐ MAKE ): A Protocol for a Pre‐Planned Sub‐Study of a Randomized Clinical Trial. Acta Anaesthesiol Scand. Published 15 June 2026. doi:10.1111/aas.70276

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