Cardiac arrest & resuscitation

Outcomes after decrease in hypothermia usage for out of Hospital Cardiac arrest after targeted temperature management study

J Clin Monit ComputPublished Retrospective cohort study

Main finding · Favorable CPC outcome at hospital dischargeResult — go to the resultOdds ratio 2.4 CI 1.3–4.6

Authors' conclusion

Out of hospital cardiac arrest patients with persistent comatose state treated with hypothermia of 33 °C had improved odds of discharge with good neurologic outcomes when compared to those treated with targeted normothermia.

Study context

Population
Adult non-traumatic OHCA patients with persistent comatose state treated with active targeted temperature management, single tertiary academic community hospital, January 2010–December 2019
Participants
634 patients
Exposure
Hypothermia 33 °C vs targeted normothermia 36.5 °C
  • T33n = 473
  • T36.5n = 161reference
Outcome
Cerebral Performance Category (CPC) 1 or 2 (good outcome)
Follow-up
Hospital discharge
Methodological detailssingle-centre
  • Single-centre

Main finding

Favorable CPC outcome at hospital discharge

Odds ratio

2.4

CI 1.3–4.6

P = 0.006

T33 vs T36.5
OR 2.4 (CI 1.3–4.6); P = 0.006

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

OutcomeORP value
CPC, initial non-shockable rhythm (subgroup)2.5P = 0.04

Cerebral Performance Category (CPC), shockable rhythm (subgroup)

Improvement not maintained in the shockable rhythm group

Hospital LOS

Shorter LOS in T33

Mortality, ICU days, ventilator days

Did not differ between the groups

Original publication

Outcomes after decrease in hypothermia usage for out of Hospital Cardiac arrest after targeted temperature management study. J Clin Monit Comput. Published 8 July 2022. doi:10.1007/s10877-022-00887-1

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