Cooling Activity is Associated with Neurological Outcome in Patients with Severe Cerebrovascular Disease Undergoing Endovascular Temperature Control
| Autor: | Erich Schmutzhard, Peter Lackner, Dietmar Schneider, Raimund Helbok, Marlene Fischer, Bettina Pfausler, Ronny Beer, Gregor Broessner |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Subarachnoid hemorrhage Neurology medicine.medical_treatment Targeted temperature management Critical Care and Intensive Care Medicine Neuroprotection Body Temperature Hypothermia Induced Outcome Assessment Health Care medicine Humans In patient Aged Cerebral Hemorrhage Randomized Controlled Trials as Topic Intracerebral hemorrhage business.industry Cerebral infarction Cerebral Infarction Middle Aged Subarachnoid Hemorrhage Hypothermia medicine.disease Anesthesia Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Neurocritical Care. 23:205-209 |
| ISSN: | 1556-0961 1541-6933 |
| Popis: | Neuroprotection through targeted temperature management is currently investigated in patients with severe brain injury in multiple trials. Feedback devices have been shown to precisely reach and maintain target temperature by constantly adjusting cooling activity. We analyzed the association between cooling activity expressed as cool bath temperatures and functional neurological outcome.Data were retrospectively analyzed from a prospective randomized trial on controlled prophylactic normothermia (i.e., 36.5 °C) in patients with severe cerebrovascular disease. Body core temperature of patients who had been randomized to the endovascular group, was controlled using an endovascular cooling device. Cool bath temperature was analyzed over a period of 168 h. Functional neurological outcome was evaluated at 180 days using the modified Rankin Scale.51 of 102 patients included were randomized to the endovascular group. Cool bath temperature data were available from 47/51 patients. Patients with lower cool bath temperatures reflecting high cooling activity had a more favorable neurological outcome at 180 days (mRS 0-2) than patients with low cooling activity (p0.05). We did not find a significant correlation between cool bath temperature and inflammatory markers.High cooling activity of an endovascular feedback device is associated with favorable outcome in patients with severe cerebrovascular disease. |
| Databáze: | OpenAIRE |
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