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dc.contributor.authorBusch, Michaelen_US
dc.contributor.authorSøreide, Eldaren_US
dc.date.accessioned2013-01-21T12:38:38Z
dc.date.available2013-01-21T12:38:38Z
dc.date.issued2008-09-15eng
dc.PublishedScandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2008, 16:9eng
dc.identifier.issn1757-7241
dc.identifier.urihttps://hdl.handle.net/1956/6283
dc.description.abstractBackground: Numerous parameters and tests have been proposed for outcome prediction in comatose out-of-hospital cardiac arrest survivors. We conducted a survey of clinical practice of prognostication after therapeutic hypothermia (TH) became common practice in Norway. Methods: By telephone, we interviewed the consultants who were in charge of the 25 ICUs admitting cardiac patients using 6 structured questions regarding timing, tests used and medical specialties involved in prognostication, as well as the clinical importance of the different parameters used and the application of TH in these patients. Results: Prognostication was conducted within 24–48 hours in the majority (72%) of the participating ICUs. The most commonly applied parameters and tests were a clinical neurological examination (100%), prehospital data (76%), CCT (56%) and EEG (52%). The parameters and tests considered to be of greatest importance for accurate prognostication were prehospital data (56%), neurological examination (52%), and EEG (20%). In 76% of the ICUs, a multidisciplinary approach to prognostication was applied, but only one ICU used a standardised protocol. Therapeutic hypothermia was in routine use in 80% of the surveyed ICUs. Conclusion: Despite the routine use of TH, outcome prediction was performed early and was mainly based on prehospital information, neurological examination and CCT and EEG evaluation. Somatosensory evoked potentials appear to be underused and underrated, while the importance of prehospital data, CCT and EEG to appear to be overrated as methods for making accurate predictions. More evidence-based protocols for prognostication in cardiac arrest survivors, as well as additional studies on the effect of TH on known prognostic parameters are needed.en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/6284" target="blank">Therapeutic Hypothermia after Out-of- Hospital Cardiac Arrest. implementation and clinical management</a>eng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/2.0eng
dc.titlePrognostication after out-of-hospital cardiac arrest, a clinical surveyen_US
dc.typePeer reviewed
dc.typeJournal article
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2008 Busch and Søreide; licensee BioMed Central Ltd.
dc.identifier.doihttps://doi.org/10.1186/1757-7241-16-9


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