1. Temporal trends in the use of targeted temperature management after cardiac arrest and association with outcome: insights from the Paris Sudden Death Expertise Centre.
- Author
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Lascarrou, Jean-Baptiste, Dumas, Florence, Bougouin, Wulfran, Chocron, Richard, Beganton, Frankie, Legriel, Stephane, Aissaoui, Nadia, Deye, Nicolas, Lamhaut, Lionel, Jost, Daniel, Vieillard-Baron, Antoine, Marijon, Eloi, Jouven, Xavier, Cariou, Alain, and SDEC
- Subjects
SDEC ,Humans ,Treatment Outcome ,Hypothermia ,Induced ,Registries ,Logistic Models ,Odds Ratio ,Time Factors ,Aged ,Aged ,80 and over ,Middle Aged ,Paris ,Female ,Male ,Out-of-Hospital Cardiac Arrest ,Outcome Assessment ,Health Care ,Cardiac arrest ,Induced hypothermia ,Neurological outcome ,Targeted temperature management ,and over ,Hypothermia ,Induced ,Outcome Assessment ,Health Care ,Medical and Health Sciences ,Emergency & Critical Care Medicine - Abstract
PurposeRecent doubts regarding the efficacy may have resulted in a loss of interest for targeted temperature management (TTM) in comatose cardiac arrest (CA) patients, with uncertain consequences on outcome. We aimed to identify a change in TTM use and to assess the relationship between this change and neurological outcome.MethodsWe used Utstein data prospectively collected in the Sudden Death Expertise Center (SDEC) registry (capturing CA data from all secondary and tertiary hospitals located in the Great Paris area, France) between May 2011 and December 2017. All cases of non-traumatic OHCA patients with stable return of spontaneous circulation (ROSC) were included. After adjustment for potential confounders, we assessed the relationship between changes over time in the use of TTM and neurological recovery at discharge using the Cerebral Performance Categories (CPC) scale.ResultsBetween May 2011 and December 2017, 3925 patients were retained in the analysis, of whom 1847 (47%) received TTM. The rate of good neurological outcome at discharge (CPC 1 or 2) was higher in TTM patients as compared with no TTM (33% vs 15%, P
- Published
- 2019