Unique ID issued by UMIN | UMIN000003203 |
---|---|
Receipt number | R000003881 |
Scientific Title | Effectiveness of therapeutic hypothermia for unconscious adult patients with return of spontaneous circulation (ROSC) after out-of-hospital cardiac arrest |
Date of disclosure of the study information | 2010/03/01 |
Last modified on | 2012/09/04 08:42:29 |
Effectiveness of therapeutic hypothermia for unconscious adult
patients with return of spontaneous circulation (ROSC) after
out-of-hospital cardiac arrest
Hypothermia first
Effectiveness of therapeutic hypothermia for unconscious adult
patients with return of spontaneous circulation (ROSC) after
out-of-hospital cardiac arrest
Hypothermia first
Japan |
cardiac arrest
Cardiology | Emergency medicine | Intensive care medicine |
Others
NO
By the spread of cardiopulmonary resuscitation, the survival rate after cardiac arrest was improved. However, post cardiac arrest brain injury are not rare present. Only cardiopulmonary resuscitation was insufficient, cardio-pilmonary-cerebral resuscitation is important for cardiac arrest. In 2002, 2 randomized studies of mild therapeutic hypothermia after out-of-hospital cardiac arrest showed a neurological benefit with a low risk of complications, however, the optimal candidates, the procedure of cooling, the timing of initiation, target temperature, the therapeutic duration and the rate for rewarming have not been clearly defined and should be established. The purpose of this study was to evaluate the effect, limit of therapeutic hypothermia on the outcomes of patients with coma after resuscitation from out-of-hospital cardiac arrest.
Safety,Efficacy
a favorable neurological outcome at hospital discharge
(CPC: Cerebral Performance Categories)
survival to hospital discharge or death
Observational
18 | years-old | <= |
Not applicable |
Male and Female
(1) aged 18 years and older, (2) a presumed cardiac origin of the arrest according to the Utstein Style reporting guidelines, (3) ROSC by standard CPR or/and ACLS, and (4) persistent coma after ROSC(GCS 3,4,5).
(1) not cardiac origin, (2) tympanic-membrane temperature below 30degree on arrival at the emergency room, (3) cardiogenic shock after ROSC, (4) pregnancy, (5) the Glasgow-Pittsburgh overall performance category of 2 (moderate overall disability), 3 (severe overall disability), or 4 (vegetative state) before cardiac arrest, and (6) their families refused to give informed consent to participate in the study.
50
1st name | |
Middle name | |
Last name | Ken Nagao |
Surugadai Nihon University Hospital
Department of resuscitation and emergency cardio-vascular unit
1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo
0332931711
1st name | |
Middle name | |
Last name | Taketomo Soga |
Surugadai Nihon University Hospital
Department of emergency medicine
1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo
0332931711
Surugadai Nihon University Hospital
none
Other
NO
2010 | Year | 03 | Month | 01 | Day |
Unpublished
Completed
2010 | Year | 01 | Month | 01 | Day |
2010 | Year | 01 | Month | 01 | Day |
cohort study
2010 | Year | 02 | Month | 17 | Day |
2012 | Year | 09 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003881