Cardiac arrest & resuscitation

Mild therapeutic hypothermia after cardiac arrest – effect on survival with good neurological outcome outside of randomised controlled trials: A registry-based analysis

Eur J AnaesthesiolPublished Observational cohort study

Main findingResult — go to the resultOdds ratio 1.60 95% CI 1.49–1.72

Authors' conclusion

Our data indicate the existence of a positive association between MTH and a favourable neurological outcome after cardiac arrest.

Study context

Population
Adults with OHCA or IHCA, comatose on admission, German Resuscitation Registry (Germany and Austria), 2006–2022analysed
Participants
33,933 adults
Exposure
Mild therapeutic hypothermia (MTH) vs no MTH after cardiac arrest
  • MTHn = 10,034
  • Without MTHn = 23,899reference
Outcome
Hospital discharge with good neurological outcome (cerebral performance categories (CPC) 1 or 2)
Methodological detailsmultivariate binary logistic regression, registry
  • Multivariate binary logistic regression
  • Registry

Main finding

As reported in the abstract

Odds ratio

1.60

95% CI 1.49–1.72

P < 0.001

MTH vs Without MTH
OR 1.60 (95% CI 1.49–1.72); P < 0.001

Observational data: associations, not effects.

Secondary outcomes

OutcomeOR (95% CI)P value
Hospital dischargeMultivariate regression1.89 (1.76–2.02)P < 0.001

Original publication

Mild therapeutic hypothermia after cardiac arrest – effect on survival with good neurological outcome outside of randomised controlled trials: A registry-based analysis. Eur J Anaesthesiol. Published 27 May 2024. doi:10.1097/eja.0000000000002016

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