Recently, early defibrillation and cardiopulmonary resuscitation (CPR) for sudden onset of cardiac arrest are advancing, however, survival rate is still very low in the world. Furthermore, post-cardiac arrest brain injury is a common cause of morbidity and mortality after successful resuscitation which is urgent issue to be solved. Therapeutic hypothermia is part of a standardized treatment strategy for comatose survivors of cardiac arrest in the metabolic phase usually about 15 minutes after cardiac arrest. However, the evidences of the efficacy of therapeutic hypothermia are still few. The optimal candidates, temperature, the timing of initiation, the therapeutic windows and the rate for rewarming have not been defined clinically and should be established. The purpose of this research is the improvement in the outcomes for patients with coma after resuscitation from out-of-hospital cardiac arrest using therapeutic hypothermia established from the analysis of multicenter registry data.
Study Type
OBSERVATIONAL
Enrollment
452
Kokura Memorial Hospital
Kitakyushu, Fukuoka, Japan
Hiroshima City Hospital
Hiroshima, Hiroshima, Japan
Sapporo City University Hopistal
Sapporo, Hokaido, Japan
Kagawa University Hospital
Takamatsu, Kagawa-ken, Japan
Yokohama City University Medical Center
Yokohama, Kanagawa, Japan
Osaka City General Hospital
Osaka, Osaka, Japan
Osaka Police Hospital
Osaka, Osaka, Japan
Sumitomo Hospital
Osaka, Osaka, Japan
National Cardiovascular Center
Suita, Osaka, Japan
Osaka Saiseikai Senri Hospital
Suita, Osaka, Japan
...and 4 more locations
Survival and functional outcome (CPC: Cerebral Performance Categories)
Time frame: after 3 months
Survival and/or functional outcome
Time frame: after 24 hours
Survival and/or functional outcome
Time frame: after 7 days
Survival and/or functional outcome
Time frame: after one month
Survival and/or functional outcome
Time frame: at discharge
Survival or functional outcome
Time frame: after three months
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