Cardiac Arrest Clinical Trial
— J-PULSE-HYPOOfficial title:
Multicenter Registry Study With Therapeutic Hypothermia After Cardiac Arrest in Japan
Recently, early defibrillation and cardiopulmonary resuscitation (CPR) for sudden onset of cardiac arrest are advancing, however, survival rate is still very low in the world. Furthermore, post-cardiac arrest brain injury is a common cause of morbidity and mortality after successful resuscitation which is urgent issue to be solved. Therapeutic hypothermia is part of a standardized treatment strategy for comatose survivors of cardiac arrest in the metabolic phase usually about 15 minutes after cardiac arrest. However, the evidences of the efficacy of therapeutic hypothermia are still few. The optimal candidates, temperature, the timing of initiation, the therapeutic windows and the rate for rewarming have not been defined clinically and should be established. The purpose of this research is the improvement in the outcomes for patients with coma after resuscitation from out-of-hospital cardiac arrest using therapeutic hypothermia established from the analysis of multicenter registry data.
Status | Completed |
Enrollment | 452 |
Est. completion date | July 2011 |
Est. primary completion date | March 2010 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Adult patients who remained unconscious after resuscitation from out-of-hospital or inhospital cardiac arrest - Presented the stable hemodynamics with drug treatments or mechanical supporting system including IABP or PCPS Exclusion Criteria: - Patients with: - pregnancy - acute aortic dissection - pulmonary thromboembolism - drug poisoning - poor daily activity |
Observational Model: Cohort
Country | Name | City | State |
---|---|---|---|
Japan | Hiroshima City Hospital | Hiroshima | |
Japan | Kokura Memorial Hospital | Kitakyushu | Fukuoka |
Japan | Osaka City General Hospital | Osaka | |
Japan | Osaka Police Hospital | Osaka | |
Japan | Sumitomo Hospital | Osaka | |
Japan | Saga University Hospital | Saga | |
Japan | Sapporo City University Hopistal | Sapporo | Hokaido |
Japan | National Cardiovascular Center | Suita | Osaka |
Japan | Osaka Saiseikai Senri Hospital | Suita | Osaka |
Japan | Kagawa University Hospital | Takamatsu | Kagawa |
Japan | Osaka Mishima Emergency Critical Care Center | Takatsuki | Osaka |
Japan | Nihon University Surugadai Hospital | Tokyo | |
Japan | Yamaguchi University Hospital | Ube | Yamaguchi |
Japan | Yokohama City University Medical Center | Yokohama | Kanagawa |
Lead Sponsor | Collaborator |
---|---|
National Cerebral and Cardiovascular Center |
Japan,
Yokoyama H, Nagao K, Hase M, Tahara Y, Hazui H, Arimoto H, Kashiwase K, Sawano H, Yasuga Y, Kuroda Y, Kasaoka S, Shirai S, Yonemoto N, Nonogi H; J-PULSE-Hypo Investigators. Impact of therapeutic hypothermia in the treatment of patients with out-of-hospita — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Survival and functional outcome (CPC: Cerebral Performance Categories) | after 3 months | Yes | |
Secondary | Survival and/or functional outcome | after 24 hours | Yes | |
Secondary | Survival and/or functional outcome | after 7 days | Yes | |
Secondary | Survival and/or functional outcome | after one month | Yes | |
Secondary | Survival and/or functional outcome | at discharge | Yes | |
Secondary | Survival or functional outcome | after three months | Yes |
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