Out-of-Hospital Cardiac Arrest
Conditions
Keywords
therapeutic hypothermia
Brief summary
Therapeutic hypothermia after out-of-hospital cardiac arrest is considered as a standard care. However, optimal candidates, optimal dose, duration, timing of initiation and rate of rewarming is still unknown. The objective of this project is to improve the outcomes for patients after resuscitation from out-of-hospital cardiac arrest treated with therapeutic hypothermia established from the analysis of multicenter registry data.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* age of older than 18 years * out-of-hospital cardiac arrest * comatose mentality after return of spontaneous circulation (ROSC) * treated with therapeutic hypothermia, regardless of target temperature
Exclusion criteria
* suspected or confirmed to cerebrovascular accident * poor pre-arrest neurologic status (CPC\>3) * patients who are terminally ill or for whom intensive care dose not seem to be appropriate * Do not attempt resuscitation (DNAR) order * patients with tympanic membrane temperature below 30 degree celsius on admission
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| survival | 6 months after cardiac arrest | — |
| Neurologic Outcome | 6 months after cardiac arrest | Cerebral Performance Category (CPC). CPC 1,2 : Good Outcome CPC 3,4,5 : Poor Outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| survival | duration of hospitalization, limit 180 days | — |
| neurological outcome | duration of hospitalization, limit 180 days | Cerebral Performance Category (CPC). CPC 1,2 : Good Outcome CPC 3,4,5 : Poor Outcome |
| Survival | 1 month after cardiac arrest | — |
Countries
South Korea