Prognostic Value of the Neurological Examination in Cardiac Arrest Patients After Therapeutic Hypothermia.

ABSTRACT:

Objectives

Current prognostication guidelines for cardiac arrest (CA) survivors predate the use of therapeutic hypothermia (TH). The prognostic value and ideal timing of the neurological examination remain unknown in the setting of TH.

Design

Patients (N = 291) admitted between 2007 and 2015 to Columbia University intensive care units for TH following CA had neurological examinations performed on days 1, 3, 5, and 7 postarrest. Absent pupillary light response (PLR), absent corneal reflexes (CRs), and Glasgow coma scores motor (GCS-M) no better than extension were considered poor examinations. Poor outcome was recorded as cerebral performance category score ≥3 at discharge and 1 year. Predictive values of examination maneuvers were calculated for each time point.

Main resu

SUBMITTER: Matthews EA 

PROVIDER: S-EPMC5882011 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature