Critical care : the official journal of the Critical Care Forum
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Observational Study
Early prognostication of neurological outcome by heart rate variability in adult patients with out-of-hospital sudden cardiac arrest.
Most deaths of comatose survivors of out-of-hospital sudden cardiac arrest result from withdrawal of life-sustaining treatment (WLST) decisions based on poor neurological prognostication and the family's intention. Thus, accurate prognostication is crucial to avoid premature WLST decisions. However, targeted temperature management (TTM) with sedation or neuromuscular blockade against shivering significantly affects early prognostication. In this study, we investigated whether heart rate variability (HRV) analysis could prognosticate poor neurological outcome in comatose patients undergoing hypothermic TTM. ⋯ The present data indicate that HRV analysis could be useful for prognostication for comatose patients during hypothermic TTM.
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The author wish to note there are three imprecisions in the article [1].