Target temperature in post-arrest comatous patients. Is something changed in the postpandemic era? - 03/08/23
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Abstract |
Introduction |
The recommended target temperature in the treatment of comatous patients after cardiac arrest has recently changed. We analyzed the impact on the neurological outcome of a change in the target temperature from July 2021.
Material and methods |
This was a retrospective analysis comparing the discharge status of 78 patients with a target temperature of 33 °C (group 1) with that of 24 patients with a target temperature of 36.5 °C (group 2). Pearson chi-square and Mann-Whitney U tests were used.
Results |
The initial rhythm was defibrillable in 65% of group 1 and 71% of group 2, and cardiac arrest was witnessed in 93% of group 1 and 96% of group 2. There was an adverse outcome (death or vegetative state) in 37 patients in group 1 (47%) compared to 18 in group 2 (74%) (Pearson chi-square 5.612, p = 0.018).
Conclusions |
In our series of patients, the temperature control target temperature change from 33 °C to 36.5 °C was associated with worse neurological outcome. Further studies are needed to evaluate the outcome of a generalized modification of temperature control targets in comatose patients after cardiac arrest in our postpandemic era.
Le texte complet de cet article est disponible en PDF.Keywords : Cardiac arrest, Comatose, Therapeutic hypothermia
Abbreviations : CPC, TTM, ROSC, ECMO
Plan
Vol 71
P. 14-17 - septembre 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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