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Sökning: onr:"swepub:oai:lup.lub.lu.se:7940623b-59a3-4ea4-b317-a2cbef468b01" > Hypothermic versus ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00007282naa a2200841 4500
001oai:lup.lub.lu.se:7940623b-59a3-4ea4-b317-a2cbef468b01
003SwePub
008230508s2022 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:238319850
024a https://lup.lub.lu.se/record/7940623b-59a3-4ea4-b317-a2cbef468b012 URI
024a https://doi.org/10.1056/EVIDoa22001372 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:2383198502 URI
040 a (SwePub)lud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Holgersson, Johanu Lund University,Lunds universitet,Kliniska Vetenskaper, Helsingborg,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Clinical Sciences, Helsingborg,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Helsingborg Hospital4 aut0 (Swepub:lu)jo1784ho
2451 0a Hypothermic versus Normothermic Temperature Control after Cardiac Arrest
264 1c 2022
520 a BACKGROUNDThe evidence for temperature control for comatose survivors of cardiac arrest is inconclusive. Controversy exists as to whether the effects of hypothermia differ per the circumstances of the cardiac arrest or patient characteristics.METHODSAn individual patient data meta-analysis of the Targeted Temperature Management at 33°C versus 36°C after Cardiac Arrest (TTM) and Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest (TTM2) trials was conducted. The intervention was hypothermia at 33°C and the comparator was normothermia. The primary outcome was all-cause mortality at 6 months. Secondary outcomes included poor functional outcome (modified Rankin scale score of 4 to 6) at 6 months. Predefined subgroups based on the design variables in the original trials were tested for interaction with the intervention as follows: age (older or younger than the median), sex (female or male), initial cardiac rhythm (shockable or nonshockable), time to return of spontaneous circulation (above or below the median), and circulatory shock on admission (presence or absence).RESULTSThe primary analyses included 2800 patients, with 1403 assigned to hypothermia and 1397 to normothermia. Death occurred for 691 of 1398 participants (49.4%) in the hypothermia group and 666 of 1391 participants (47.9%) in the normothermia group (relative risk with hypothermia, 1.03; 95% confidence interval [CI], 0.96 to 1.11; P=0.41). A poor functional outcome occurred for 733 of 1350 participants (54.3%) in the hypothermia group and 718 of 1330 participants (54.0%) in the normothermia group (relative risk with hypothermia, 1.01; 95% CI, 0.94 to 1.08; P=0.88). Outcomes were consistent in the predefined subgroups.CONCLUSIONSHypothermia at 33°C did not decrease 6-month mortality compared with normothermia after out-of-hospital cardiac arrest. (Funded by Vetenskapsrådet; ClinicalTrials.gov numbers NCT02908308 and NCT01020916.)
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
700a Meyer, Martin Abild Stengaardu Copenhagen University Hospital4 aut
700a Dankiewicz, Josefu Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital4 aut0 (Swepub:lu)med-jfd
700a Lilja, Giselau Lund University,Lunds universitet,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,Brain Injury After Cardiac Arrest,Center for cardiac arrest,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)med-gal
700a Ullén, Susannu Skåne University Hospital4 aut0 (Swepub:lu)su7040ul
700a Hassager, Christianu Copenhagen University Hospital4 aut
700a Cronberg, Tobiasu Lund University,Lunds universitet,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,Brain Injury After Cardiac Arrest,Center for cardiac arrest,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)efor-tcr
700a Wise, Matt P.u University Hospital of Wales4 aut
700a Bělohlávek, Janu Charles University in Prague4 aut
700a Hovdenes, Janu Oslo university hospital4 aut
700a Pelosi, Paolou Karolinska Institutet4 aut
700a Erlinge, Davidu Lund University,Lunds universitet,Molekylär kardiologi,Forskargrupper vid Lunds universitet,Molecular Cardiology,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)kard-der
700a Schrag, Claudiau Kantonsspital St Gallen4 aut
700a Smid, Ondreju Charles University in Prague4 aut
700a Brunetti, Ioleu University of Genoa4 aut
700a Rylander, Christianu University of Gothenburg4 aut
700a Young, Paul J.4 aut
700a Saxena, Manoj4 aut
700a Åneman, Anders4 aut
700a Cariou, Alain4 aut
700a Callaway, Clifton4 aut
700a Eastwood, Glenn M.4 aut
700a Haenggi, Matthias4 aut
700a Joannidis, Michael4 aut
700a Keeble, Thomas R.4 aut
700a Kirkegaard, Hans4 aut
700a Leithner, Christoph4 aut
700a Levin, Helenau Lund University,Lunds universitet,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,Center for cardiac arrest,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)ores-hal
700a Nichol, Alistair D.4 aut
700a Morgan, Matt P. G.4 aut
700a Nordberg, Peru Karolinska Institutet4 aut0 (Swepub:lu)pe5482no
700a Oddo, Mauro4 aut
700a Storm, Christian4 aut
700a Taccone, Fabio Silvio4 aut
700a Thomas, Matthew4 aut
700a Bro-Jeppesen, John4 aut
700a Horn, Janneke4 aut
700a Kjaergaard, Jesper4 aut
700a Kuiper, Michael4 aut
700a Pellis, Tommaso4 aut
700a Stammet, Pascal4 aut
700a Wanscher, Michael Jaeger4 aut
700a Friberg, Hansu Lund University,Lunds universitet,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,SWECRIT,Center for cardiac arrest,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)efor-hfr
700a Nielsen, Niklasu Lund University,Lunds universitet,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,SEBRA Sepsis and Bacterial Resistance Alliance,Center for cardiac arrest,Lund University Research Groups,Helsingborg Hospital4 aut0 (Swepub:lu)med-nni
700a Jakobsen, Janus Christian4 aut
710a Kliniska Vetenskaper, Helsingborgb Sektion II4 org
773t NEJM Evidenceg 1:11, s. 1-13q 1:11<1-13x 2766-5526
856u http://dx.doi.org/10.1056/EVIDoa2200137y FULLTEXT
8564 8u https://lup.lub.lu.se/record/7940623b-59a3-4ea4-b317-a2cbef468b01
8564 8u https://doi.org/10.1056/EVIDoa2200137
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:238319850

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