Outcomes of targeted temperature management for in-hospital and out-of-hospital cardiac arrest: A matched case-control study using the national database of taiwan network of targeted temperature management for cardiac arrest (TIMECARD) registry

Yu San Chien, Min Shan Tsai, Chien Hua Huang, Chih Hung Lai, Wei Chun Huang, Lung Chan, Li Kuo Kuo

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1 引文 斯高帕斯(Scopus)

摘要

Background: This study aimed to compare outcomes of targeted temperature management (TTM) for patients with in-hospital and out-of-hospital cardiac arrest using the national database of TaIwan network of targeted temperature ManagEment for CARDiac arrest (TIMECARD) registry. Material/Methods: A retrospective, matched, case-control study was conducted. Patients with in-hospital cardiac arrest (IHCA) treated with TTM after the return of spontaneous circulation (ROSC) were selected as the case group and controls were defined as the same number of patients with out-of-hospital cardiac arrest (OHCA), matched for sex, age, Charlson comorbidity index, and cerebral performance category. Neurological outcome and survival at hospital discharge were the primary outcome measures. Results: Data of 103 patients with IHCA and matched controls with OHCA were analyzed. Patients with IHCA were more likely to experience witnessed arrest and bystander cardiopulmonary resuscitation (CPR). The duration from collapse to the beginning of CPR, CPR time, and the duration from ROSC to initiation of TTM were shorter in the IHCA group but their initial arterial blood pressure after ROSC was lower. Overall, 88% of patients survived to completion of TTM and 43% survived to hospital discharge. Hospital survival (42.7% vs 42.7%, P=1.00) and favorable neurological outcome at discharge (19.4% vs 12.7%, P=0.25) did not differ between the 2 groups. Conclusions: The findings from the national TIMECARD registry showed that clinical outcomes following TTM for patients with IHCA were not significantly different from OHCA when baseline factors were matched.
原文英語
文章編號e931203
期刊Medical Science Monitor
27
DOIs
出版狀態已發佈 - 2021

ASJC Scopus subject areas

  • 醫藥 (全部)

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