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. Author manuscript; available in PMC: 2014 Sep 24.
Published in final edited form as: Curr Mol Med. 2012 Dec;12(10):1282–1296. doi: 10.2174/156652412803833517

Table 3.

Recent Randomized Controlled Clinical Trials on Systemic Hypothermia for the Management of TBI

Injury
Types
No. of
Patients
Admission
GCS
Hypothermia
(°C)
Cooling
Length
(Hour)
Follow-Up
(Month)
Neurological Outcome Refs.
TBI 232 3–8 33 48 6 Poor outcome (severe disability, vegetative
state, or death) in 31 of 52 patients in HT
group and 25 of 56 in NT group (RR = 1.08,
95% CI 0.76-1.53; p = 0.67). 12 patients in
HT group died compared with eight in NT
group (RR 1.30, 95% CI 0.58-2.52; p =
0.52)
[106]
TBI 86 3–8 33–35 103.2 24 Recovery rates were 65.1% in HT group
and 37. 2% in NT group (p < 0.05). The
mortality rates were
25.6% in HT group and 51.2% in NT group
(p < 0.05)
[124]
TBI 392 3–8 33 48 6 57% had poor outcome in both groups.
Mortality was 28% in HT group and 27% in
NT group (p = 0.79). Patients in HT group
had more hospital days with complications
[102]
TBI 91 3–8 34 48 3 No difference in clinical outcome.
Significantly greater use of neuromuscular
blocking agents (p = 0.011) and higher
rates of medical complications (p < 0.05) in
HT group
*[125]
TBI 87 3–8 33–35 72–336 12 Favorable outcome (good recovery or
moderate disability) in 20 out of 43 patients
(46.5%) in HT group and 27.3% in NT
group. Mortality rates were 25.6% in HT
group and 45.5% (p < 0.05)
[126]
TBI 82 3–7 32–33 24 12 62% in hypothermia group and 38% in
normothermia group had good outcomes
(OR = 0.5, 95% CI = 0.2–1.2, p = 0.18)
[100]

Explanation of abbreviations can be found in the list of abbreviations.

*

includes patients with low ICP.