Cardiac arrest & resuscitation
The role of accidental hypothermia in drowning patients with out-of-hospital cardiac arrest: A nationwide registry-based cohort study
Authors' conclusion
Hypothermic drowning patients with OHCA had a higher risk of mortality or poor neurological outcome at 180 days compared to normothermic drowning patients with OHCA.
Study context
- Population
- Drowning patients with out-of-hospital cardiac arrest (OHCA), Danish Cardiac Arrest Registry, 2016–2021
- Participants
- 118 patients
- Exposure
- Accidental hypothermia vs normothermia
- Outcome
- Mortality or poor neurological outcome (modified Rankin Scale [mRS] score > 3)
- Follow-up
- 180 days after the drowning incident
Methodological detailsnationwide, registry-based, Utstein Style For Drowning
- Nationwide
- Registry-based
- Utstein Style For Drowning
Main finding
As reported in the abstract
mRS > 3 · 180 days
P < 0.001
Observational data: associations, not effects.
Further findings
Mortality (mRS = 6) · 180 days
P < 0.001
Ongoing CPR at hospital admission
P < 0.001
ICU admission
P = 0.003
Mechanical ventilation during hospitalisation
P < 0.001
Original publication
The role of accidental hypothermia in drowning patients with out-of-hospital cardiac arrest: A nationwide registry-based cohort study. Resuscitation. Published 10 January 2025. doi:10. 1016/ j. resuscitation. 2024. 110486
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