Research Article

A Comparison of Cooling Techniques to Treat Cardiac Arrest Patients with Hypothermia

Table 1

Baseline characteristics and adverse events during the first week in the endovascular-( 𝑁 = 2 6 ) and surface-cooled groups ( 𝑁 = 1 5 ).

Characteristic/adverse eventEndovascular number (%)Surface number (%)P valuea

Baseline characteristic
 Mean age (years) 6 3 ± 1 7 5 8 ± 1 5 .28
 Sex (males)18 (69%)12 (80%).22
 Mean weight (kg) 8 2 ± 2 1 9 5 ± 3 7 .15
 Duration of the arrest (min)3124.13
 Ventricular fibrillation arrests12 (46%)1 (7%).008
 Median time from arrest to initiation of cooling protocol (min) 277 481.16
 Median Bladder T at initiation of cooling (°C) 36.4 36.4.76
 Renal failure on admissionb10 (38%)10 (67%).06

Adverse Events
 Hypotensionc10 (38%)4 (27%).21
 Bradycardiad18 (69%)8 (53%).16
 Other arrhythmias6 (23%)4 (27%).28
 New infection in 1st week16 (62%)8 (53%).23
 Pneumonia14 (54%)7 (47%).23
 Sepsis1 (4%)0 (0%).63
 Pancreatitis0 (0%)0 (0%)
 Renal failure 1st weeke6 (23%)4 (27%).25
 Hemodialysis1 (4%)1 (7%)f.48
 Coagulopathyg6 (23%)4 (27%).77
 Groin hematoma0 (0%)N/A
 Skin injury0 (0%)0 (0%)
 Transfusion pRBC6 (23%)4 (27%).28
 Transfusion of platelets1 (4%)0 (0%).63
 Seizuresh2 (8%)2 (13%).33
 Deep venous thrombosisi3 (12%)1 (7%).38
 Pulmonary embolism1 (4%)0 (0%).63

a 𝑃 values calculated from Fisher’s exact test and Wilcoxon rank-sum test; bcreatinine ≥1.5 mg/dL; cmean arterial pressure <70 mm Hg and requiring pressors; dheart rate <60/min; erise in creatinine ≥0.5 mg/dL; falready on hemodialysis as outpatient; gINR >1.5 or PTT > 40 sec within 48 hours of cooling; hnot including clinical evidence of status myoclonus.