Changes in cardiac arrest patients’ temperature management after the 2013 “TTM” trial: results from an international survey

Deye, Nicolas; Vincent, François; Michel, Philippe; Ehrmann, Stephan; da Silva, Daniel; Piagnerelli, Michael; Kimmoun, Antoine; Hamzaoui, Olfa; Lacherade, Jean-Claude; de Jonghe, Bernard; Brouard, Florence; Audoin, Corinne; Monnet, Xavier; Laterre, Pierre-François

doi:10.1186/s13613-015-0104-6

Annals of Intensive Care

Table 4 Comparison of respondents declaring a target temperature’s changes versus those without target temperature’s changes after the TTM study publication (univariate analysis)

From: Changes in cardiac arrest patients’ temperature management after the 2013 “TTM” trial: results from an international survey

	Respondents who changed their TT	Respondents who did not changed their TT	P value
University hospital	90/171 (52.6)	97/224 (43.3)	0.045
Public non-university hospital	65/171 (38.0)	115/224 (51.4)
Private hospital	15/171 (8.8)	9/224 (4.0)
Others	1/171 (0.6)	3/224 (1.3)
Number of ICU beds	15.9 ± 7.9	15.1 ± 6.6	0.32
Number of residents and fellows	5.4 ± 5.9	4.5 ± 2.8	0.099
Number of full-time physicians	7.6 ± 4.7	6.9 ± 2.9	0.12
Use of a written CA protocol	77/170 (45.3)	102/224 (45.5)	0.87
Number of admissions <500/year	45/168 (26.8)	65/223 (29.1)	0.21
Number of admissions >500/year	123/168 (73.2)	158/223 (70.9)	0.21
Number of CA admissions <30/year	98/172 (57.0)	126/227 (55.5)	0.87
Number of CA admissions >30/year	74/172 (43.0)	101/227 (44.5)	0.87
Number of TH <30/year	108/154 (70.1)	129/212 (60.8)	0.22
Number of TH >30/year	46/154 (29.9)	83/212 (39.2)	0.22
In-hospital cath-lab	124/172 (72.1)	161/227 (70.9)	0.87
ECLS use for refractory CA	92/172 (53.5)	101/227 (44.5)	0.07
Optimal ABP targeted	156/171 (91.2)	190/219 (86.8)	0.19
Specific TTM after CA^a	166/171 (97.1)	213/227 (93.8)	0.008
No specific TTM after CA^a	5/171 (2.9)	14/227 (6.1)	0.008
TH after CA^b	143/172 (83.1)	212/227 (93.4)	0.003
No TH after CA^b	27/172 (15.7)	15/227 (6.6)	0.003
TH duration
<12 h	8/159 (5.0)	2/212 (0.9)	0.01
≥12 h/≤24 h	124/159 (80.0)	166/212 (78.3)
>24 h/≤48 h	24/159 (15.1)	44/212 (20.8)
>48 h	3/159 (1.9)	0/212 (0.0)
Active rewarming	57/156 (36.5)	98/213 (46.0)	0.087
New TT
32–34 °C	45/171 (26.3)	194/225 (86.2)	<0.0001
35–36 °C	78/171 (45.6)	15/225 (6.7)
36 °C	44/171 (25.7)	11/225 (4.9)
Other	4/171 (2.4)	5/225 (2.2)
Overall TTM duration
<12 h	7/169 (4.1)	3/220 (1.4)	0.074
≥12 h/≤24 h	75/169 (44.4)	81/220 (36.8)
>24 h/≤48 h	61/169 (36.1)	83/220 (37.7)
>48 h/≤72 h	24/169 (14.2)	42/220 (19.1)
Other	2/169 (1.2)	11/220 (6.0)

Results are expressed as n (%) unless expressed otherwise
TTM targeted temperature management, TT targeted temperature, CA cardiac arrest, ECLS extracorporeal life support, ABP arterial blood pressure, TH therapeutic hypothermia
^aThis item corresponds to the following question “In practice, do you generally pay a specific attention to temperature management in successfully resuscitated and unconscious CA patients”
^bThis item corresponds to the following question “In practice, do you generally use TH in successfully resuscitated and unconscious CA patients”

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