Table 1. Characteristics of the randomized controlled trials included in the meta-analysis.
Author | Year | Country | Population setting |
Total number of patients |
Mean age (years) |
Men (%) |
Mean cardiac arrest duration (min) |
Hypothermia group target temperature (°C) |
Normothermia group temperature (°C) |
Cooling technique | Infusion type | Duration of cooling (min) |
Study Quality |
Definition of AKI |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Clifton | 1993 | USA | Traumatic brain injury | 46 | 29 | NR | NA | 32-33 | 37 | Cooling blanket | NA | 2880 | 1 | Not specified |
Lajos | 1993 | USA | CABG-CPB | 163 | 63 | 71 | 73 | 30 | 37 | Fluid infusion | Crystalloid | 91 | 1 | Not specified |
30 | 37 | Fluid infusion | Blood | 98 | ||||||||||
Ip-Yam | 1994 | UK | CABG-CPB | 23 | 60 | 83 | 62 | 28 | 37 | Fluid infusion | Hartmann's solution | 112 | 1 | Change in Cr clearance |
Kaukoranta | 1995 | Finland | CABG-CPB | 101 | 59 | 81 | 103 | 32-33 | 37 | Fluid infusion | Blood | 126 | 1 | Not specified |
Regragui | 1995 | UK | CABG-CPB | 30 | 59 | 57 | 35 | 28 | 37 | Fluid infusion | Crystalloid | 75 | 2 | Change in sCr and |
32 | 37 | Fluid infusion | Crystalloid | 72 | Cr clearance | |||||||||
Engelman | 1999 | USA | CABG-CPB | 291 | 63 | 77 | 86 | 23-28 | 35-36 | Fluid infusion | (Blood:crystall oid 4:1) | 135 | 2 | Not specified |
32-33 | 35-36 | Fluid infusion | (Blood:crystall oid 4:1) | 139 | ||||||||||
Jacquet | 1999 | Belgium | CABG-CPB | 200 | 65 | 73 | 65 | 30 | 37 | Fluid infusion | Crystalloid | 115 | 1 | Change in sCr not specified; need for dialysis |
Kuhn-Regnier | 1999 | Germany | CABG-CPB | 60 | 65 | 77 | 55 | NR | NR | Fluid infusion | Blood | 89 | 1 | Change in sCr |
Bernard | 2002 | Australia | Out-of hospital cardiac arrest | 77 | 59 | 67 | 26 | 33 | 37 | Ice packs | NA | 720 | 3 | Change in sCr |
Gaudino | 2002 | Italy | CABG-CPB | 113 | NA | 93 | 62 | 26 | 37 | Fluid infusion | Blood | 88 | 2 | Not specified |
Koksoy | 2002 | USA | AAA-CPB | 34 | 64 | 53 | 62 | 15a | 37 | Fluid infusion | Ringer' solution | 23 | 3 | > 50% increase in sCr within first 10 postoperative days; need for dialysis |
HACA | 2002 | European countries | Out-of hospital cardiac arrest | 275 | 59 | 76 | 22 | 32-34 | 37 | Mattress & ice packs | NA | 1440 | 3 | Not specified |
Baron | 2003 | France | CABG-CPB | 69 | 64 | 87 | 49 | 15b | 37 | Fluid infusion | Blood+ crystalloid | 98 | 1 | Not specified |
Zeiner | 2004 | Austria | Out-of hospital cardiac arrest | 88 | 54 | 73 | 22 | 32-34 | 37 | Mattress & ice pack | NA | 1440 | 3 | Change in sCr and Cr clearance, need for dialysis |
Qiu | 2007 | China | Traumatic brain injury | 80 | 41 | 65 | NA | 34.5-36 | 37 | Cooling blanket, and cooling cap ice pack | NA | 5760 | 4 | Not specified |
Boodhwani | 2009 | Canada | CABG-CPB | 267 | 69 | 88 | 46 | 34 | 37 | Thermal pads connected to thermal control system | NA | 77.3 | 2 | >25% increase in sCr or decrease in Cr clearance |
Kamarainen | 2009 | Finland | Out-of hospital cardiac arrest | 43 | 61 | 95 | 23 | 33 | 37 | Fluid infusion | Ringer' solution | 37 | 3 | Single sCr measurement (in emergency room) |
Castrén | 2010 | European countries | Out-of hospital cardiac arrest | 200 | 65 | 75 | 31 | 34 | 37 | Intranasal cooling | NA | 32 | 3 | Not specified |
Hemmen | 2010 | USA | Ischemic stroke | 58 | 66 | 55 | NA | 33 | 37 | Intravascular cooling with thermal control system | NA | 1440 | 3 | sCr & urea nitrogen measurement at day 2 & 7 |
AAA denotes abdominal aortic aneurysm; CABG, coronary artery bypass graft; CPB, cardiopulmonary bypass pump; HACA, Hypothermia after Cardiac Arrest Study Group; NR, not reported; Cr, creatinine; sCr, serum creatinine;
renal temperature
temperature of solution. A study quality score of 0-1, 2-3, and 4-5 corresponds to a study of poor, fair, and good quality, respectively.