Hyperthermia: Is it an ominous sign after cardiac arrest?

  • Takasu A
  • Saitoh D
  • Kaneko N
 et al. 
  • 35

    Readers

    Mendeley users who have this article in their library.
  • 84

    Citations

    Citations of this article.

Abstract

Objective: To clarify the clinical characteristics of hyperthermia at an early stage after resuscitation from cardiac arrest (CA). Materials and methods: We reviewed the medical records of 43 adult patients with non-traumatic out-of-hospital CA, who survived for longer than 24 h after admission to our intensive care unit (ICU) between January, 1995, and December, 1998. The patients were divided into two groups: a clinical brain death (CBD) group (n = 23) and a non-CBD group (n = 20), and various factors relating to hyperthermia were compared between the two groups. Results: The mean value of peak axillary temperatures within 72 h of admission was 39.8 ± 0.9°C for the CBD group, which was significantly greater than 38.3 ± 0.6°C for the non-CBD group (P < 0.0001). The time of occurrence of the peak axillary temperature was at 19 ± 16 h of admission in the CBD group and 20 ± 18 h in the non-CBD group (not significantly different). There were no significant differences in risk factors relating to the occurrence of hyperthermia between the two groups, except for the number of patients who received epinephrine at ICU. In 23 patients with a peak axillary temperature of ≥ 39°C during the first 72 h of hospitalization, brain death was diagnosed in 20 patients, whereas only 3 of 20 patients having a peak axillary temperature of < 39°C developed brain death (odds ratio, 37.8; 95% confidence interval, 6.72-212.2). Conclusion: Hyperthermia at an early stage after resuscitation from CA may be associated with the outcome of brain death. © 2001 Elsevier Science Ireland Ltd.

Author-supplied keywords

  • Brain death
  • Cardiac arrest
  • Hyperthermia

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

Authors

  • Akira Takasu

  • Daizoh Saitoh

  • Naoyuki Kaneko

  • Toshihisa Sakamoto

  • Yoshiaki Okada

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free