Abstract
Purpose
The aim of our study is to research the role and efficacy of cerebral oximetry in
predicting neurologic prognosis when applied during TTM to patients experiencing coma
after CA.
Methods
This study was performed on surviving adult comatose patients after CA treated with
TTM. The average scores of rSO2 was measured at 6 h intervals for the first 2 days and once a day for the following 3 days with a NIRS device during TTM. The CPC scale was used to define the neurologic
outcomes of patients. We compared the correlations of rSO2 values between good (CPC 1–2) and poor (CPC 3–5) neurologic outcomes in CA patients.
Results
There was no statistically significant difference identified between the prognosis
groups in terms of rSO2, CPR durations, hemoglobin values and admission body temperature (p > 0.05). When the variation in rSO2 values over time is investigated, though there was no significant difference between
the good and poor prognosis groups, it appeared to fall in the first 6 h in both prognosis groups. The median NT-proBNP and lactate values were observed
to be higher in the poor prognosis group.
Conclusion
There is no significant correlation between rSO2 values and neurologic outcomes. Multimodal monitoring methods may be useful and further
studies with a larger patient population are necessary in this area.
Keywords
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Article Info
Publication History
Published online: April 09, 2018
Accepted:
April 7,
2018
Received in revised form:
April 4,
2018
Received:
March 6,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
