Cardiac arrest & resuscitation

The role of accidental hypothermia in drowning patients with out-of-hospital cardiac arrest: A nationwide registry-based cohort study

ResuscitationPublished Retrospective 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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