Efficacy of the cooling method for targeted temperature management in post-cardiac arrest patients: A systematic review and meta-analysis

被引：18

作者：

Kim, Jae Guk ^{[1
,2
]}

Ahn, Chiwon ^{[3
,4
]}

Shin, Hyungoo ^{[5
]}

Kim, Wonhee ^{[1
,4
]}

Lim, Tae Ho ^{[6
]}

Jang, Bo-Hyoung ^{[7
]}

Cho, Youngsuk ^{[1
,4
]}

Choi, Kyu-Sun ^{[8
]}

Lee, Juncheol ^{[9
]}

Na, Min Kyun ^{[10
]}

机构：

[1] Hallym Univ, Coll Med, Dept Emergency Med, Chunchon, South Korea

[2] Kangwon Natl Univ, Grad Sch Med, Dept Emergency Med, Chunchon, South Korea

[3] Armed Forces Yangju Hosp, Dept Emergency Med, Yangju, South Korea

[4] Hanyang Univ, Grad Sch Med, Dept Biomed Engn, Seoul, South Korea

[5] Hanyang Univ, Guri Hosp, Coll Med, Dept Emergency Med, Guri, South Korea

[6] Hanyang Univ, Coll Med, Dept Emergency Med, Seoul, South Korea

[7] Kyung Hee Univ, Coll Korean Med, Dept Prevent Med, Seoul, South Korea

[8] Hanyang Univ, Coll Med, Dept Neurosurg, Seoul, South Korea

[9] Armed Forces Capital Hosp, Dept Emergency Med, Seongnam, South Korea

[10] Yonsei Univ Hlth Syst, Severance Hosp, Brain Tumour Ctr, Dept Neurosurg, Seoul, South Korea

来源：

RESUSCITATION | 2020年 / 148卷

关键词：

Hypothermia; induced; Heart arrest; Patient outcome assessment; Meta-analysis; INTERNATIONAL LIAISON COMMITTEE; CARDIOVASCULAR CARE COMMITTEE; HEART-ASSOCIATION GUIDELINES; WHITE-MATTER RATIO; THERAPEUTIC HYPOTHERMIA; CARDIOPULMONARY-RESUSCITATION; BODY-TEMPERATURE; GRAY-MATTER; HETEROGENEITY; COUNCIL;

D O I：

10.1016/j.resuscitation.2019.12.025

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: This review aimed to compare the efficacy of endovascular cooling devices (ECD), such as Thermogard (R), with surface cooling devices (SCD), such as Arctic Sun (R), in reducing mortality and improving neurological status for patients with post-cardiac arrest undergoing targeted temperature management. Data sources: A systematic literature search was conducted using MEDLINE, EMBASE, and the Cochrane Library to identify randomized controlled trials (ACT) and observational studies (OS) comparing mortality and neurological status for patients treated with ECD or SCD. Results: The meta-analysis comprised 4,401 patients from 2 ACT and 7 OS. For mortality, the overall pooled analysis showed no statistically significant difference between ECD and SCD recipients (RR, 0.93; 95% CI 0.86-1.00; I-2 =0%). Further, no statistically significant difference was observed between ACT (RR, 0.80; 95% CI 0.56-1.14; I-2 =0%) and OS (RR, 0.94; 95% CI 0.85-1.04; I-2 =18%) for in-hospital mortality. For good neurological status of survivors after TTM, the overall pooled analysis showed no statistically significant difference between ECD and SCD (RR, 1.08; 95% CI 0.99 1.18;I-2 = 71%). No statistically significant difference was found between ECD and SCD at hospital discharge in RCT (RR, 0.88; 95% CI 0.61-1.28; I-2 =0%) and at 6 months in OS (RR, 1.03; 95% CI 0.99-1.09; I-2 =32%). Conclusions: The study findings could not show that either ECD or SCD was more effective in terms of survival and improved neurological status for post-cardiac arrest patients.

引用

页码：14 / 24

页数：11

共 58 条

[1] A prospective, multicenter pilot study to evaluate the feasibility and safety of using the CoolGard™ System and Icy™ catheter following cardiac arrest [J].

Al-Senani, FM ;

Graffagnino, C ;

Grotta, JC ;

Saiki, R ;

Wood, D ;

Chung, W ;

Palmer, G ;

Collins, KA .

RESUSCITATION, 2004, 62 (02) :143-150

[2] Early- versus late-initiation of therapeutic hypothermia after cardiac arrest: Preliminary observations from the experience of 17 Italian intensive care units [J].

Alongi, S. ;

Raffaeli, M. ;

Guatteri, L. ;

Panigada, M. ;

Colombo, R. ;

Ronzoni, G. ;

Beck, E. ;

Rossi, S. ;

Balicco, B. ;

Dossena, R. ;

Pontecorvo, C. ;

Armani, S. ;

Artini, D. ;

Campanile, V. ;

Verginella, F. ;

Pellis, T. ;

Todesco, L. ;

Bianchin, A. ;

Lodi, G. ;

Perzolla, D. ;

Cubattoli, L. ;

Ciani, A. ;

Benanti, C. ;

Viaggi, B. ;

Polli, Federico .

RESUSCITATION, 2012, 83 (07) :823-828

[3] Use of ice-cold crystalloid for inducing mild therapeutic hypothermia following out-of-hospital cardiac arrest [J].

Arulkumaran, N. ;

Suleman, R. ;

Ball, J. .

RESUSCITATION, 2012, 83 (02) :151-158

[4] Body temperature regulation and outcome after cardiac arrest and therapeutic hypothermia [J].

Benz-Woerner, Jakobea ;

Delodder, Frederik ;

Benz, Romedi ;

Cueni-Villoz, Nadine ;

Feihl, Francois ;

Rossetti, Andrea O. ;

Liaudet, Lucas ;

Oddo, Mauro .

RESUSCITATION, 2012, 83 (03) :338-342

[5] Induced hypothermia using large volume, ice-cold intravenous fluid in comatose survivors of out-of-hospital cardiac arrest: a preliminary report [J].

Bernard, S ;

Buist, M ;

Monteiro, O ;

Smith, K .

RESUSCITATION, 2003, 56 (01) :9-13

[6] Part 8: Post-Cardiac Arrest Care 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care [J].

Callaway, Clifton W. ;

Donnino, Michael W. ;

Fink, Ericka L. ;

Geocadin, Romergryko G. ;

Golan, Eyal ;

Kern, Karl B. ;

Leary, Marion ;

Meurer, William J. ;

Peberdy, Mary Ann ;

Thompson, Trevonne M. ;

Zimmerman, Janice L. .

CIRCULATION, 2015, 132 (18) :S465-S482

[7]

Chiota Nicole A, 2011, J Vasc Interv Neurol, V4, P14

[8] CURRENT CONCEPTS - ACCIDENTAL HYPOTHERMIA [J].

DANZL, DF ;

POZOS, RS .

NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (26) :1756-1760

[9] Intravascular versus surface cooling for targeted temperature management after out-of-hospital cardiac arrest: an analysis of the TTH48 trial [J].

De Fazio, Chiara ;

Skrifvars, Markus B. ;

Soreide, Eldar ;

Creteur, Jacques ;

Grejs, Anders M. ;

Kjaergaard, Jesper ;

Laitio, Timo ;

Nee, Jens ;

Kirkegaard, Hans ;

Taccone, Fabio Silvio .

CRITICAL CARE, 2019, 23 (1)

[10] Intravascular versus surface cooling speed and stability after cardiopulmonary resuscitation [J].

de Waard, M. C. ;

Banwarie, R. P. ;

Jewbali, L. S. D. ;

Struijs, A. ;

Girbes, A. R. J. ;

Groeneveld, A. B. J. .

EMERGENCY MEDICINE JOURNAL, 2015, 32 (10) :775-780

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