Is Therapeutic Hypothermia Beneficial for Out-of-Hospital Cardiac Arrest?

2015 ◽  
pp. 133-140
Author(s):  
Hesham R. Omar ◽  
Devanand Mangar ◽  
Enrico M. Camporesi
Keyword(s):  
Cardiac Arrest ◽  
Therapeutic Hypothermia ◽  
Hospital Cardiac Arrest

Abstract 13131: The Priority of Coronary Arteriography and Therapeutic Hypothermia After Return of Spontaneous Circulation in Patients With Out-of-hospital Cardiac Arrest. the Result of Sos-kanto 2012 Study

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Shuichi Hagiwara ◽  
Kiyohiro Oshima ◽  
Masato Murata ◽  
Makoto Aoki ◽  
Kei Hayashida ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Therapeutic Hypothermia ◽  
Statistical Significance ◽  
Coronary Arteriography ◽  
Spontaneous Circulation ◽  
P Value ◽  
Return Of Spontaneous Circulation ◽  
Overall Performance ◽  
The Mean ◽  
Hospital Cardiac Arrest

Aim: To evaluate the priority of coronary angiography (CAG) and therapeutic hypothermia therapy (TH) after return of spontaneous circulation (ROSC) in patients with out-of-hospital cardiac arrest (OHCA). Patients and Methods: SOS-KANTO 2012 study is a prospective, multicenter (69 emergency hospitals) and observational study and includes 16,452 patients with OHCA. Among the cases with ROSC in that study, we intended for patients treated with both CAG and TH within 24 hours after arrival. Those patients were divided into two groups; patients in whom TH was firstly performed (TH group), and the others in whom CAG was firstly done (CAG group). We statistically compared the prognosis between the two groups. SPSS Statistics 22 (IBM, Tokyo, Japan) was used for the statistical analysis. Statistical significance was assumed to be present at a p value of less than 0.05. Result: 233 patients were applied in this study. There were 86 patients in the TH group (M/F: 74/12, mean age; 60.0±15.2 y/o) and 147 in the CAG group (M/F: 126/21, mean age: 63.4±11.1 y/o) respectively, and no significant differences were found in the mean age and M/F ratio between the two groups. The overall performance categories (OPC) one month after ROSC in the both groups were as follows; in the TH group, OPC1: 21 (24.4%), OPC2: 3 (3.5%), OPC3: 7 (8.1%), OPC4: 8 (9.3%), OPC5: 43 (50.0%), unknown: 4 (4.7%), and in the CAG group, OPC1: 38 (25.9%), OPC2: 13 (8.8%), OPC3: 15 (10.2%), OPC4: 18 (12.2%), OPC5: 57 (38.8%), unknown: 6 (4.1%). There were no significant differences in the prognosis one month after ROSC between the two groups. Conclusion: The results which of TH and CAG you give priority to over do not affect the prognosis in patients with OHCA.

Combining therapeutic hypothermia and emergent coronary angiography in out-of-hospital cardiac arrest survivors: Optimal post-arrest care for the best patient

2014 ◽  
Vol 4 (6) ◽  
pp. 579-588 ◽  
Author(s):  
Gianni Casella ◽  
Valeria Carinci ◽  
Piergiorgio Cavallo ◽  
Paolo Guastaroba ◽  
Pier C Pavesi ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Coronary Angiography ◽  
Therapeutic Hypothermia ◽  
Hospital Cardiac Arrest

scholarly journals Preservation of neurological function following therapeutic hypothermia in a patient of in-hospital cardiac arrest with non-ventricular fibrillation

2010 ◽  
Vol 1 (1) ◽  
pp. e45-e48
Author(s):  
Yuichiro Arima ◽  
Sunao Kojima ◽  
Kenichi Kusuhara ◽  
Yasuhiro Nagayoshi ◽  
Hiroaki Kawano ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Ventricular Fibrillation ◽  
Therapeutic Hypothermia ◽  
Neurological Function ◽  
Hospital Cardiac Arrest

scholarly journals No Benefit to Prehospital Initiation of Therapeutic Hypothermia in Out-of-hospital Cardiac Arrest: A Systematic Review and Meta-analysis

2014 ◽  
Vol 21 (4) ◽  
pp. 355-364 ◽  
Author(s):  
Benton R. Hunter ◽  
Daniel P. O'Donnell ◽  
Kacy L. Allgood ◽  
Rawle A. Seupaul
Keyword(s):  
Systematic Review ◽  
Cardiac Arrest ◽  
Therapeutic Hypothermia ◽  
Meta Analysis ◽  
Hospital Cardiac Arrest
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