Table 3.
Multivariate model of hypercapnia versus normocapnia in relation to neurological outcome
OR | 95% CI | P value | |
---|---|---|---|
Hypercapnia (normocapnia reference) | 0.70 | 0.44–1.11 | 0.13 |
TTM group (33 °C reference) | 1.00 | 0.71–1.42 | 0.99 |
Age (per year) | 1.07 | 1.05–1.08 | < 0.001 |
Sex (male reference) | 1.34 | 0.84–2.15 | 0.22 |
Chronic heart failure (yes/no) | 2.09 | 0.98–4.46 | 0.06 |
Asthma/COPD (yes/no) | 1.32 | 0.72–2.43 | 0.37 |
Bystander witnessed arrest (yes/no) | 0.61 | 0.35–1.07 | 0.09 |
Bystander CPR (yes/no) | 0.87 | 0.57–1.33 | 0.53 |
Time to ROSC (per min) | 1.03 | 1.02–1.04 | < 0.001 |
GCS-Motor score (1 vs 2–5) | 2.5 | 1.72–3.57 | < 0.001 |
Shock on admission (yes/no) | 1.56 | 0.88–2.75 | 0.13 |
First rhythm shockable (yes/no) | 0.19 | 0.11–0.33 | < 0.001 |
pH (per 1.0 unit increase) | 0.28 | 0.07–1.17 | 0.08 |
Hypercapnia = PaCO2 > 6.0 kPa, normocapnia = PaCO2 4.5–6.0 kPa, hypocapnia = PaCO2 < 4.5 kPa
OR < 1 indicates better outcome
OR odds ratio, CI confidence interval, TTM Target Temperature Management, COPD chronic obstructive pulmonary disease, CPR cardiopulmonary resuscitation, ROSC return of spontaneous circulation, GCS Glasgow Coma Scale