Abstract | OBJECTIVE: METHODS: Fifty-four infants (48h to <1year of age) with ALTE who received chest compressions for ≥2min, were comatose, and required mechanical ventilation after return of circulation were included. Infants were randomised to therapeutic hypothermia (33°C) (n=26) or therapeutic normothermia (36.8°C) (n=28) within six hours of return of circulation. Outcomes included 12-month survival with Vineland Adaptive Behaviour Scales, Second Edition (VABS-II) score ≥70, 12-month survival, change in VABS-II score from pre-arrest to 12 months post-arrest, and select safety measures. RESULTS: Amongst infants with pre-arrest VABS-II ≥70 (n=52), there was no difference in 12-month survival with VABS-II ≥70 between therapeutic hypothermia and therapeutic normothermia groups (2/25 (8.0%) vs. 1/27 (3.7%); relative risk 2.16; 95% confidence interval 0.21-22.38, p=0.60). Amongst all evaluable infants (n=53), the change in VABS-II score from pre-arrest to 12 months post-arrest did not differ (p=0.078) between therapeutic hypothermia and therapeutic normothermia groups, nor did 12-month survival (5/26 (19.2%) vs. 1/27 (3.7%); relative risk 5.19; 95% confidence interval 0.65-41.50, p=0.10). CONCLUSIONS:
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Authors | Kathleen Meert, Russell Telford, Richard Holubkov, Beth S Slomine, James R Christensen, J Michael Dean, Frank W Moler, Therapeutic Hypothermia after Paediatric Cardiac Arrest (THAPCA) Trial Investigators |
Journal | Resuscitation
(Resuscitation)
Vol. 109
Pg. 40-48
(12 2016)
ISSN: 1873-1570 [Electronic] Ireland |
PMID | 27737774
(Publication Type: Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural)
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Copyright | Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. |
Topics |
- Cardiopulmonary Resuscitation
- Coma
(etiology, therapy)
- Female
- Heart Massage
- Humans
- Hypothermia, Induced
(methods)
- Infant
- Male
- Out-of-Hospital Cardiac Arrest
(complications, mortality, therapy)
- Treatment Outcome
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