1 - Therapeutic window of CPR duration for target temperature management in OHCA survivors [post]

Jaehwan Kim
2019 unpublished
Objectives: We investigated the cardiopulmonary resuscitation (CPR) duration effective for target temperature management (TTM) in out-of-hospital cardiac arrest (OHCA) survivor. Methods: We conducted a retrospective analysis of prospective multicenter registered data of 1045 OHCA patients who had sustained return of spontaneous circulation (ROSC) in three academic emergency centers from June 2014 to August 2019. • No-flow time (NFT) and low-flow time (LFT) were defined as the time from cardiac
more » ... rrest to the start of CPR and the time from the start of CPR to ROSC, respectively. • The post-resuscitation care was divided into two groups; a group that maintained the core temperature from 32 to 36°C with temperature feedback system (TTM group) and a group that maintained normal body temperature with fever control (Non-TTM group). • Primary outcome is good cerebral performance category (CPC 1 or 2) scale at 1 months. Results: 500 OHCA survivors were excluded from the analysis, A total of 545 OHCA survivors were finally included in the analysis. OHCA survivors with good CPC who had CPR duration from 6 and 10 min with NFT and from 0 to 10 min with LFT were statistically significantly higher in the TTM group than Non-TTM group. Conclusion:
doi:10.26226/morressier.5d24abdefcc52c7b9b69e5ab fatcat:q3iiziog3ngrbngdcjmnhe6wo4