Table 4.
Multivariate model of hypocapnia versus normocapnia in relation to neurological outcome
OR | 95% CI | P value | |
---|---|---|---|
Hypocapnia (normocapnia reference) | 0.96 | 0.64–1.45 | 0.85 |
TTM group (33 °C reference) | 1.00 | 0.69–1.46 | 0.99 |
Age (per year) | 1.06 | 1.04–1.08 | < 0.001 |
Sex (male reference) | 1.58 | 0.95–2.63 | 0.08 |
Chronic heart failure (yes/no) | 1.95 | 0.87–4.37 | 0.10 |
Asthma/COPD (yes/no) | 1.41 | 0.74–2.66 | 0.29 |
Bystander witnessed arrest (yes/no) | 0.55 | 0.29–1.05 | 0.07 |
Bystander CPR (yes/no) | 0.97 | 0.62–1.53 | 0.91 |
Time to ROSC (per min) | 1.03 | 1.02–1.05 | < 0.001 |
GCS-Motor score (1 vs 2–5) | 1.92 | 1.32–2.86 | 0.001 |
Shock on admission (yes/no) | 2.4 | 1.33–4.34 | 0.004 |
First rhythm shockable (yes/no) | 0.16 | 0.09–0.29 | < 0.001 |
pH (per 1.0 unit increase) | 0.22 | 0.05–0.89 | 0.03 |
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, PaCO2 arterial carbon dioxide pressure