The purpose of this study is to determine whether the blood transcriptome of patients resuscitated after out-of-hospital could be an early predictor of the neurological outcome.
Assessing the prognosis of the patients resuscitated after out-of-hospital cardiac arrest (OHCA) is still highly challenging. Beyond usual neurological markers, experimental and clinical studies have also shown that blood levels of several cytokines or miRNA could be significantly different after cardiac arrest in subjects prematurely died as compared to survivors with a good neurological recovery. Here the investigators propose to investigate a screening approach assessing simultaneously multiple targets of the post-cardiac arrest syndrome through analysis of the whole transcriptome of patients after OHCA. For this purpose, the investigators will collect blood samples from 60 patients after admission at hospital and then 1 and 3 days later. The Pittsburgh Cerebral Performance Category of each patient will be evaluated for each patient at day 60 after cardiac arrest. At the end of the collection period, the blood samples will be prepared for whole genome analysis and RNA sequencing. The primary analysis of the investigators will be the comparison of the transcriptome at day 0 after cardiac arrest in patients reaching Cerebral Performance Category (CPC) 1 at day 60 as compared to all other patients.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
60
Sampling of 15 ml of blood during a blood test at Day 0, Day 1 and Day 3
Hôpital Cochin, Assistance Publique Hôpitaux de Paris
Paris, France
Early Transcriptome at hospital admission
Blood samples will be collected for each patient early after admission at hospital and blood whole transcriptome will be assessed by RNA sequencing
Time frame: Day 0
Pittsburgh Cerebral Performance Category at Day 60
Pittsburgh Cerebral Performance Category will be evaluated for each patient at day 60
Time frame: Day 60
Transcriptome at day 1
Blood samples will be collected for each patient at day 1 and blood whole transcriptome will be assessed by RNA sequencing
Time frame: Day 1
Transcriptome at day 3
Blood samples will be collected for each patient at day 3 and blood whole transcriptome will be assessed by RNA sequencing
Time frame: Day 3
Pittsburgh Cerebral Performance Category at Day 28
Pittsburgh Cerebral Performance Category will be evaluated for each patient at day 28
Time frame: day 28
Number of participants with death at day 28
Time frame: day 28
Number of participants with death at day 60
Time frame: day 60
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