Table 1.
Study (Reference) (IH or PH/NT) |
Presenting Rhythm |
Method of Cooling |
Duration of Cooling |
Time That Cooling Was Commenced |
Target Temperature (Degrees Celsius) |
Follow-Up Period |
ROSC (Time in Minutes) (TTM/NT) |
Age (Years) (TTM/NT) |
Male (%) (TTM/NT) |
Patients Receiving Bystander CPR (%) (IH or PH/NT) |
---|---|---|---|---|---|---|---|---|---|---|
Bernard et al 20022 (N=43 PH/34 NT) | VF | Ice packs | 12 hours | After ROSC | 33° | Till discharge | 27/25 | 67/65 | 58/79 | 49/71 |
Holzer et al 20023 (N=137 IH/138 NT) | VF/Pulseless VT | External cooling device | 24 hours | After ROSC | 32–34° | 6 months | 21/22 | 59/59 | 77/75 | 49/43 |
Hachimi-Idrissi et al 200518 (N=30 IH/31 NT) | Asystole/PEA and VF/Pulseless VT | Cooling helmet | Up to 24 hours | After ROSC | 33° | 6 months | 29/28 | 67/69 | 77/68 | 30/26 |
Kämäräinen et al 200923 (N=19 IH/18 NT) | Asystole/PEA and VF/Pulseless VT | Coooled intravenous fluid infusion | - | After ROSC | 33° | Till discharge | 23/22 | 59/63 | 95/94 | 58/22 |
Nielsen et al 20135 (N=473 IH/466 NT) | Asystole/PEA and VF/Pulseless VT | Ice packs and cooled intravenous fluid infusion | 28 hours | After ROSC | 33° | 8.5 months | 25/25 | 64/64 | 83/79 | 73/73 |
Study (PH/IH) |
Presenting Rhythm |
Method of Cooling |
Duration of Cooling |
Time That Cooling Was Commenced |
Target Temperature (Degrees Celsius) |
Follow-Up Period |
ROSC (Time in Minutes) (PH/IH) |
Age (Years) (PH/IH) |
Male (%) (PH/IH) |
Patients Receiving Bystander CPR (%) (PH/IH) |
---|---|---|---|---|---|---|---|---|---|---|
Castrén et al 201019 (N=93/101) | Asystole/PEA and VF/Pulseless VT | Transnasal evaporative cooling then systemic cooling | - | Intra-arrest | 34° | 7 days | 32/30 | 66/64 | 67/79 | 33/46 |
Bernard et al 201020 (N=118/116) | VF | Cooled intravenous fluid infusion | 24 hours | After ROSC | 33° | Till discharge | 26/26 | 63/63 | 83/86 | 69/67 |
Bernard et al 201221 (N=82/81) | Asystole/PEA | Surface cooling using machines, blankets, and ice packs; cooled intravenous fluid infusion | 24 hours | After ROSC | 32–34° | Till discharge | 29/29 | 64/61 | 57/48 | 36/31 |
Debaty et al 201425 (N=123/122) | Asystole/PEA and VF/Pulseless VT | Cooled intravenous fluid infusion and external cooling | 24 hours | Intra-arrest | 32–34° | 12 months | 27/30 | 66/69 | 72/71 | 50/52 |
Maynard et al 201524 (N=688/671) | Asystole/PEA and VF | Cooled intravenous fluid infusion | Up to 24 hours | After ROSC | 34° | 12 months for mortality outcomes and three months for neurological outcomes | 27/26 | 66/65 | 64/63 | 57/59 |
Bernard et al 201622 (N=618/580) | Asystole/PEA and VF/Pulseless VT | Cooled intravenous fluid infusion | 24 hours | After ROSC | 33° | Till discharge | 23/20 | 65/64 | 75/74 | 66/67 |
Footnote: CPR=Cardiopulmonary Resuscitation, IH=In-Hospital Hypothermia, N=Number, NT=Normothermia, PEA=Pulseless Electrical Activity, PH=Pre-Hospital Hypothermia, ROSC=Return of Spontaneous Circulation, TTM=Targeted Temperature Management, VF=Ventricular Fibrillation, VT=Ventricular Tachycardia.