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Abstract Details

Is Therapeutic Hypothermia For Cardiac Arrest Changing Outcomes: A National Inpatient Sample Analysis 2008-2014
Neuro Trauma, Critical Care, and Sports Neurology
P2 - Poster Session 2 (5:30 PM-6:30 PM)
4-069
 We endeavored to establish utilization of TH and its impact on outcome after cardiac arrest.
Therapeutic hypothermia (TH) is recommended after cardiac arrest (CA) although recent RCT’s failed to show benefit of TH.

 We identified our CA patient subset from Nationwide Inpatient Sample database for years 2008-2014 using codes (DX1 = 427.5) and with a diagnosis or procedure code for TH (ICD-9 780.65, procedure code 99.81)  from the International Classification of Diseases, 9th edition.

Univariate analysis was performed to compare patients with CA treated with and without TH for age, gender,  medical comorbidities, APR-DRG (All Patient Refined Diagnosis Related Groups) severity, in hospital complications and procedures, length of stay (LOS), total hospital charges, in-hospital mortality.  In the multivariable  analysis, patients who did not receive TH served as control group. We adjusted the analyses for age, co-morbidities and APRDRG severity


Of 1,088,1601hospitalized patients with CA, 35,995 were treated with TH (3.31%).
In univariate analysis patients without TH had a disease severity, survival with moderate to severe disability, and in-hospital mortality compared to CA without TH. TH also lead to higher hospital charges, shorter mean LOS. In multivariable analysis after adjustments, in-hospital mortality [1.433 (1.358-1.513)] and survival with moderate to severe disability [1.171 (1.063-1.289)] remained higher among those treated with TH

Overall utilization of TH is at 3.31% of all cardiac arrests in the US from 2008 to 2014.
TH resulted in higher mortality and survival with severe disability. Recent RCT’s failing to show benefit of TH and our analysis call into question the usefulness of this treatment modality and the need for its re-evaluation
Authors/Disclosures
Mohammad Rauf A. Chaudhry, MD
PRESENTER
Dr. Chaudhry has nothing to disclose.
Ihtesham A. Qureshi, MD No disclosure on file
No disclosure on file
Michael A. Castellano, MD (UF Health Jacksonville) No disclosure on file
Harathi Bandaru, MD Dr. Bandaru has nothing to disclose.
No disclosure on file
Paisith Piriyawat, MD (Texas Tech University) Dr. Piriyawat has nothing to disclose.
Alberto Maud, MD (Paul L. Foster School of Medicine Texas Tech UHSC El Paso, Texas) Dr. Maud has nothing to disclose.
Gustavo J. Rodriguez, MD (Gustavo J. Rodriguez) Dr. Rodriguez has nothing to disclose.
Rakesh Khatri, MD, FAAN Dr. Khatri has received personal compensation in the range of $0-$499 for serving as a Survey consultant with Alpha insight . Dr. Khatri has received personal compensation in the range of $0-$499 for serving as a Survey consultant with Survey company .
Salvador Cruz-Flores, MD, FAAN (Paul L. Foster School of Medicine Texas Tech University Health Sciences Center) The institution of Dr. Cruz-Flores has received research support from University of Texas System.