• M Magaldi, J Fontanals, J Moreno, A Ruiz, J M Nicolás, and X Bosch.
• Servicio de Anestesiología y Reanimación, Hospital Clínic, Barcelona, España. Electronic address: mmagaldi@clinic.ub.es.
• Med Intensiva. 2014 Dec 1; 38 (9): 541-9.

ObjectiveTo analyze survival and neurological outcome at short and medium term in patients treated with mild therapeutic hypothermia (HTM) in our hospital after suffering an out-of-hospital cardiac arrest (CA) secondary to a shockable rhythm.DesignProspective, observational study from September 1, 2010 to December 31, 2012, with a follow up of 6 months.SettingTertiary hospital.PatientsAll patients who suffer an out-of-hospital CA due to shockable rhythms.Exclusion Criterianon-shockable rhythms, resuscitation >45 minutes without pulse recovery, septic shock, previous coagulopathy, terminal illness or order for withholding treatment.InterventionMild hypothermia (33°C) and postresuscitation care on the basis of standardized protocols.Main VariablesDemographic and epidemiological data, CA data and survival and neurological outcome at hospital discharge and after 6 months. To assess the patients' neurological status, Cerebral Performance Categories (CPC) scale was used.ResultsA total of 54 patients were analyzed. 37 patients were discharged to hospital, representing a survival at discharge of 68.5%, which remains 6 months later because no discharged patient died during the follow up period. Regarding neurological outcome, 44.4% of patients were alive and with CPC 1-2 at discharge and up to 54.71% at 6 months.ConclusionsThe results of survival and neurological functional status obtained in our center after implementation of HTM are comparable to those published in the literature.Copyright © 2013 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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