Author/Editor		Kavčič, Marko; Grošelj, Urh; Noč, Marko; Ploj, Tom
Title		Nadzorovana podhladitev upočasni kratkoročni nevrološki napredek pri bolnikih po srčnem zastoju
Translated title		Induced hypothermia prolongs short term neurological recovery in patients after resuscitated cardiac arrest
Type		članek
Source		In: Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 13. mednarodni simpozij o urgentni medicini; 2006 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2006
Volume		str. 169-72
Language		slo
Abstract		In cardiac arrest (pVT/VF) survivors who remain comatose, the decision of withholding of the active treatment may be based on the clinical neurological examination 7 days after resuscitation. The purpose of our study was to evaluate yet unpublished clinical observations on slower neurological recovery of patients who undergo hypothermia during their treatment after cardiac arrest. We included patients who were treated at the CIIM in the period from 1 st January 2001 to 31 st December 2005 following primary cardiac arrest. All enrolled patients fulfilled the criteria for treatment with controlled hypothermia. The test group consisted of patients treated after 1 )anuary 2004 when induced hypothermia was adopted as the standard treatment method. Control group Included all other patients from the observed time period. The median time (25th, 75th percentile) to response was 3 days (2-5) in the hypothermic group, compared with 1,5 days (1-3) in the control group (P<0,01). The median time (25th, 75th percentile) to meaningful response was 4,25 days (3-6) in the hypothermic group, compared with 2 days (1-3) in the control group (P< 0,01). In patients who regain consciousness, neurological recovery is slower in patients treated with hypothermia.
Descriptors		HEART ARREST HYPOTHERMIA, INDUCED UNCONSCIOUSNESS WAKEFULNESS NEUROLOGIC EXAMINATION