Determinants of heat generation in patients treated with therapeutic hypothermia following cardiac arrest.
Identifieur interne : 003100 ( PubMed/Curation ); précédent : 003099; suivant : 003101Determinants of heat generation in patients treated with therapeutic hypothermia following cardiac arrest.
Auteurs : Matthew R. Murnin [États-Unis] ; Petra Sonder ; Gladys N. Janssens ; Connie L. Henry ; Kees H. Polderman ; Jon C. Rittenberger ; Cameron DezfulianSource :
- Journal of the American Heart Association [ 2047-9980 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- physiologie : Métabolisme basal, Température du corps, Thermogenèse.
- physiopathologie : Arrêt cardiaque.
- Adulte d'âge moyen, Arrêt cardiaque, Femelle, Humains, Hypothermie provoquée, Indice de gravité médicale, Mâle, Résultat thérapeutique, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- physiology : Basal Metabolism, Body Temperature, Thermogenesis.
- physiopathology : Heart Arrest.
- therapy : Heart Arrest.
- Female, Humans, Hypothermia, Induced, Male, Middle Aged, Prospective Studies, Severity of Illness Index, Treatment Outcome.
Abstract
Therapeutic hypothermia (TH) is recommended to reduce ischemic brain injury after cardiac arrest. The variables that predict heat generation by patients receiving TH are uncertain, as is how this heat generation relates to neurologic outcome. We hypothesized that patient characteristics, medication use, inflammation, and organ injury would be associated with heat generation. We further hypothesized that neurologic outcome would be most strongly associated with heat generation.
DOI: 10.1161/JAHA.113.000580
PubMed: 24780205
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Murnin</name><affiliation wicri:level="2"><nlm:affiliation>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Sonder, Petra" sort="Sonder, Petra" uniqKey="Sonder P" first="Petra" last="Sonder">Petra Sonder</name></author><author><name sortKey="Janssens, Gladys N" sort="Janssens, Gladys N" uniqKey="Janssens G" first="Gladys N" last="Janssens">Gladys N. Janssens</name></author><author><name sortKey="Henry, Connie L" sort="Henry, Connie L" uniqKey="Henry C" first="Connie L" last="Henry">Connie L. Henry</name></author><author><name sortKey="Polderman, Kees H" sort="Polderman, Kees H" uniqKey="Polderman K" first="Kees H" last="Polderman">Kees H. Polderman</name></author><author><name sortKey="Rittenberger, Jon C" sort="Rittenberger, Jon C" uniqKey="Rittenberger J" first="Jon C" last="Rittenberger">Jon C. Rittenberger</name></author><author><name sortKey="Dezfulian, Cameron" sort="Dezfulian, Cameron" uniqKey="Dezfulian C" first="Cameron" last="Dezfulian">Cameron Dezfulian</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24780205</idno><idno type="pmid">24780205</idno><idno type="doi">10.1161/JAHA.113.000580</idno><idno type="wicri:Area/PubMed/Corpus">003121</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003121</idno><idno type="wicri:Area/PubMed/Curation">003100</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003100</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Determinants of heat generation in patients treated with therapeutic hypothermia following cardiac arrest.</title><author><name sortKey="Murnin, Matthew R" sort="Murnin, Matthew R" uniqKey="Murnin M" first="Matthew R" last="Murnin">Matthew R. Murnin</name><affiliation wicri:level="2"><nlm:affiliation>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Sonder, Petra" sort="Sonder, Petra" uniqKey="Sonder P" first="Petra" last="Sonder">Petra Sonder</name></author><author><name sortKey="Janssens, Gladys N" sort="Janssens, Gladys N" uniqKey="Janssens G" first="Gladys N" last="Janssens">Gladys N. Janssens</name></author><author><name sortKey="Henry, Connie L" sort="Henry, Connie L" uniqKey="Henry C" first="Connie L" last="Henry">Connie L. Henry</name></author><author><name sortKey="Polderman, Kees H" sort="Polderman, Kees H" uniqKey="Polderman K" first="Kees H" last="Polderman">Kees H. Polderman</name></author><author><name sortKey="Rittenberger, Jon C" sort="Rittenberger, Jon C" uniqKey="Rittenberger J" first="Jon C" last="Rittenberger">Jon C. Rittenberger</name></author><author><name sortKey="Dezfulian, Cameron" sort="Dezfulian, Cameron" uniqKey="Dezfulian C" first="Cameron" last="Dezfulian">Cameron Dezfulian</name></author></analytic><series><title level="j">Journal of the American Heart Association</title><idno type="eISSN">2047-9980</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Basal Metabolism (physiology)</term><term>Body Temperature (physiology)</term><term>Female</term><term>Heart Arrest (physiopathology)</term><term>Heart Arrest (therapy)</term><term>Humans</term><term>Hypothermia, Induced</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Severity of Illness Index</term><term>Thermogenesis (physiology)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Arrêt cardiaque ()</term><term>Arrêt cardiaque (physiopathologie)</term><term>Femelle</term><term>Humains</term><term>Hypothermie provoquée</term><term>Indice de gravité médicale</term><term>Mâle</term><term>Métabolisme basal (physiologie)</term><term>Résultat thérapeutique</term><term>Température du corps (physiologie)</term><term>Thermogenèse (physiologie)</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Métabolisme basal</term><term>Température du corps</term><term>Thermogenèse</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Basal Metabolism</term><term>Body Temperature</term><term>Thermogenesis</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Arrêt cardiaque</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Heart Arrest</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Heart Arrest</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Hypothermia, Induced</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Severity of Illness Index</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Arrêt cardiaque</term><term>Femelle</term><term>Humains</term><term>Hypothermie provoquée</term><term>Indice de gravité médicale</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Therapeutic hypothermia (TH) is recommended to reduce ischemic brain injury after cardiac arrest. The variables that predict heat generation by patients receiving TH are uncertain, as is how this heat generation relates to neurologic outcome. We hypothesized that patient characteristics, medication use, inflammation, and organ injury would be associated with heat generation. We further hypothesized that neurologic outcome would be most strongly associated with heat generation.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24780205</PMID><DateCreated><Year>2014</Year><Month>04</Month><Day>30</Day></DateCreated><DateCompleted><Year>2015</Year><Month>02</Month><Day>24</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>19</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2047-9980</ISSN><JournalIssue CitedMedium="Internet"><Volume>3</Volume><Issue>3</Issue><PubDate><Year>2014</Year><Month>Apr</Month><Day>29</Day></PubDate></JournalIssue><Title>Journal of the American Heart Association</Title><ISOAbbreviation>J Am Heart Assoc</ISOAbbreviation></Journal><ArticleTitle>Determinants of heat generation in patients treated with therapeutic hypothermia following cardiac arrest.</ArticleTitle><Pagination><MedlinePgn>e000580</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1161/JAHA.113.000580</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Therapeutic hypothermia (TH) is recommended to reduce ischemic brain injury after cardiac arrest. The variables that predict heat generation by patients receiving TH are uncertain, as is how this heat generation relates to neurologic outcome. We hypothesized that patient characteristics, medication use, inflammation, and organ injury would be associated with heat generation. We further hypothesized that neurologic outcome would be most strongly associated with heat generation.</AbstractText><AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Surface and intravascular cooling devices were used to provide TH in 57 consecutive cardiac arrest patients. Device water temperatures during the maintenance (33°C) phase were collected. Patient heat generation was quantified as the "heat index" (HI), which was the inverse average water temperature over a minimum of 2 hours of maintenance hypothermia. Variables measuring reduced ischemic injury and improved baseline health were significantly associated with HI. After controlling for presenting rhythm, a higher HI was independently associated with favorable disposition (OR=2.2; 95% CI 1.2 to 4.1; P=0.014) and favorable Cerebral Performance Category (OR=1.8; 95% CI 1.0 to 3.1; P=0.035). Higher HI predicted favorable disposition (receiver-operator area under the curve 0.71, P=0.029). HI was linearly correlated with arteriovenous CO2 (r=0.69; P=0.041) but not O2 (r=0.13; P=0.741) gradients.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In cardiac arrest patients receiving TH, greater heat generation is associated with better baseline health, reduced ischemic injury, and improved neurologic function, which results in higher metabolism. HI can control for confounding effects of patient heat generation in future clinical trials of rapid TH and offers early prognostic information.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Murnin</LastName><ForeName>Matthew R</ForeName><Initials>MR</Initials><AffiliationInfo><Affiliation>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sonder</LastName><ForeName>Petra</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Janssens</LastName><ForeName>Gladys N</ForeName><Initials>GN</Initials></Author><Author ValidYN="Y"><LastName>Henry</LastName><ForeName>Connie L</ForeName><Initials>CL</Initials></Author><Author ValidYN="Y"><LastName>Polderman</LastName><ForeName>Kees H</ForeName><Initials>KH</Initials></Author><Author ValidYN="Y"><LastName>Rittenberger</LastName><ForeName>Jon C</ForeName><Initials>JC</Initials></Author><Author ValidYN="Y"><LastName>Dezfulian</LastName><ForeName>Cameron</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><CollectiveName>Post Cardiac Arrest Service</CollectiveName></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>K08 NS069817</GrantID><Acronym>NS</Acronym><Agency>NINDS NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K08NS069817</GrantID><Acronym>NS</Acronym><Agency>NINDS NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>04</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Am Heart Assoc</MedlineTA><NlmUniqueID>101580524</NlmUniqueID><ISSNLinking>2047-9980</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Cardiovasc Surg. 2002 Dec;10(6):620-30</RefSource><PMID Version="1">12453699</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>N Engl J Med. 2002 Feb 21;346(8):557-63</RefSource><PMID Version="1">11856794</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Medicine (Baltimore). 2004 Sep;83(5):274-9</RefSource><PMID Version="1">15342971</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Crit Care Med. 1993 Sep;21(9):1348-58</RefSource><PMID Version="1">8370299</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann 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Care Med. 2011 Nov;39(11):2401-6</RefSource><PMID Version="1">21705896</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Acta Anaesthesiol Scand. 1999 Nov;43(10):979-88</RefSource><PMID Version="1">10593459</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>N Engl J Med. 2002 Feb 21;346(8):549-56</RefSource><PMID Version="1">11856793</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Circulation. 2004 Jun 8;109(22):2786-91</RefSource><PMID Version="1">15159295</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D001481" MajorTopicYN="N">Basal Metabolism</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001831" MajorTopicYN="N">Body Temperature</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006323" MajorTopicYN="N">Heart Arrest</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007036" MajorTopicYN="Y">Hypothermia, Induced</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D022722" 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