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Related Experiment Video

Updated: Mar 21, 2026

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
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Temperature Control After In-Hospital Cardiac Arrest: Outcomes From the Discover In-Hospital Cardiac Arrest Cohort.

Luke Andrea1, Katherine M Berg2, Nicholas J Johnson3

  • 1Bronx Center for Critical Care Outcomes and Resuscitation Research, Division of Critical Care Medicine, Montefiore Medical Center, Bronx, NY.

Critical Care Medicine
|March 20, 2026
PubMed
Summary
This summary is machine-generated.

A temperature control strategy for cardiac arrest survivors was inconsistently applied, with less than half receiving documented care. While this improved therapy use and reduced fever, it did not impact survival or neurological outcomes.

Keywords:
cardiac arrestguideline adherencein-hospital cardiac arrestpost-arrest caretemperature control

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Area of Science:

  • Critical Care Medicine
  • Cardiology
  • Neurology

Background:

  • Therapeutic hypothermia is recommended for comatose in-hospital cardiac arrest (IHCA) survivors.
  • Variations in adherence to temperature control strategies and their impact on IHCA outcomes require comprehensive assessment.

Purpose of the Study:

  • To investigate the adherence to temperature control recommendations in IHCA survivors.
  • To assess the association between temperature control strategies and patient outcomes.

Main Methods:

  • Prospective observational cohort study conducted across 24 hospital systems and 46 hospitals.
  • Included adult IHCA survivors who remained comatose and eligible for temperature control.
  • Data collected from October 2023 to June 2024.

Main Results:

  • Of 615 eligible patients, only 44.4% had a documented temperature control strategy within 24 hours.
  • A documented strategy was linked to increased use of temperature control therapy (aOR, 21.3) and decreased fever (aOR, 0.63).
  • No significant association was found between temperature control strategy and survival, functional, or neurological outcomes.

Conclusions:

  • Over half of comatose IHCA survivors lacked a documented temperature control strategy.
  • Documented strategies improved therapy adherence and fever reduction but did not influence survival or functional recovery.
  • Significant variation in strategy implementation exists across hospital systems.