Effect of Hypothermia on Cognitive Function and Social Engagement After Cardiac Arrest: TTM2 Trial Results

2023-08-15 23:48:45

https://www.crtonline.org/……/hyperthermia-does-not……

## 15 bullet points

– The TTM2 trial investigated the effect of hypothermia versus maintenance of normothermia on social engagement and cognitive function in patients 6 months after cardiac arrest.

– The trial found no significant differences between the two groups in areas such as social engagement and cognitive function.

– Lack of face-to-face interviews and interactions influenced results, researchers note; sample size was determined by survival, so not all patients could be followed up.

– The study is limited to survivors of cardiac arrest.

– Past literature indicates that cognitive function and social engagement are negatively affected in survivors of cardiac arrest.

– The trial included 1,861 patients with an average age of 60 years, 84% of whom were men.

– All patients have limited social participation.

– Cognitive impairment was present in 59% of patients.

– As assessed, hypothermia was not helpful for cognitive function and social participation after cardiac arrest.

– The researchers note that the results of this study suggest that there is no clinically significant benefit of hypothermia over maintenance of normothermia.

– Researchers stress that hypothermia should no longer be used as a strategy for neuroprotection after cardiac arrest in the future.

– Follow-up for this trial was completed in October 2020.

– Patients were randomized into hypothermia and normothermia groups.

– Patients were cooled only when their body temperature exceeded 37.8 degrees in the hypothermia group.

– The results of this trial cannot be generalized to all patients with cardiac arrest.

## in conclusion

This study found that hypothermia, compared with maintenance of normothermia, did not improve cognitive function and social engagement after cardiac arrest. Therefore, hypothermia should no longer be considered as a strategy for neuroprotection after cardiac arrest in the future.

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