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关于在心脏骤停患者中采用32-34°C目标温度管理并考虑通过局部脑氧饱和度进行评估的效果的数据:一项多中心回顾性队列研究。

Data on the effect of target temperature management at 32-34 °C in cardiac arrest patients considering assessment by regional cerebral oxygen saturation: A multicenter retrospective cohort study.

作者信息

Nakatani Yuka, Nakayama Takeo, Nishiyama Kei, Takahashi Yoshimitsu

机构信息

Department of Health Informatics, Kyoto University School of Public Health, Yoshidakonoecho, Sakyo-ku, Kyoto City, Japan.

National Hospital Organization Kyoto Medical Center, Fukakusa-mukaihatakecho, Fushimi-ku, Kyoto City, Japan.

出版信息

Data Brief. 2018 Feb 24;17:1417-1427. doi: 10.1016/j.dib.2018.02.050. eCollection 2018 Apr.

Abstract

This data article contains raw data and supplementary analyzed data regarding to the article entitled "Effect of target temperature management at 32-34 °C in cardiac arrest patients considering assessment by regional cerebral oxygen saturation: A multicenter retrospective cohort study". We examined the effectiveness of target temperature management (TTM) at 32-34 °C considering degrees of patients' cerebral injury and cerebral circulation assessed by regional cerebral oxygen saturation (rSO). The research is a secondary analysis of prospectively collected registry, in which comatose patients who were transferred to 15 hospitals in Japan after out-of-hospital cardiac arrest (OHCA), and we included 431 study patients. Propensity score analysis revealed that TTM at 32-34 °C decreased all-cause mortality in patients with rSO 41-60%, and increased favorable neurological outcomes in patients with rSO 41-60% in the original research article. With regard to the balance of covariates of propensity-score matching (PSM) and inverse-probability weighting (IPW) analyses, some covariates were not well balanced after the analyses between groups. The overlap plots indicate the overlap of densities of the propensity scores are low in group rSO 41-60% and group rSO ≥ 61%. When patients were limited to those who achieved return of spontaneous circulation (ROSC) until/on hospitals arrival, TTM still tended to decrease all-cause mortality and increase favorable outcomes in group rSO 41-60%.

摘要

本数据文章包含与题为《基于局部脑氧饱和度评估的32 - 34°C目标温度管理对心脏骤停患者的影响:一项多中心回顾性队列研究》的文章相关的原始数据和补充分析数据。我们考虑通过局部脑氧饱和度(rSO)评估的患者脑损伤程度和脑循环情况,研究了32 - 34°C目标温度管理(TTM)的有效性。该研究是对前瞻性收集的登记数据的二次分析,其中包括在日本院外心脏骤停(OHCA)后被转运至15家医院的昏迷患者,我们纳入了431名研究患者。倾向评分分析显示,在原始研究文章中,32 - 34°C的TTM降低了rSO为41 - 60%患者的全因死亡率,并增加了rSO为41 - 60%患者的良好神经学预后。关于倾向评分匹配(PSM)和逆概率加权(IPW)分析中协变量的平衡,两组分析后一些协变量的平衡情况不佳。重叠图表明,rSO为41 - 60%组和rSO≥61%组的倾向评分密度重叠较低。当将患者限制为在到达医院时/之前实现自主循环恢复(ROSC)的患者时,32 - 34°C的TTM在rSO为41 - 60%组中仍倾向于降低全因死亡率并增加良好预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dcd/5988446/473e4d4311df/gr1.jpg

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