Abstract
A survey was performed to assess the current management of targeted temperature management (TTM) in patients following cardiac arrest (CA) and whether healthcare providers will change target temperature after publication of 2015 American Heart Association guidelines for resuscitation in China. 52 hospitals were selected from whole of China between August to November 2016. All healthcare providers in EMs and/or ICUs of selected hospitals participated in the study. 1952 respondents fulfilled the survey (86.8%). TTM in CA patients was declared by 14.5% of physicians and 6.7% of the nurses. Only 4 of 64 departments, 7.8% of physicians and 5.7% of the nurses had implemented TH for CA patients. Since the publication of 2015 AHA guidelines, 33.6% of respondents declared no modification of target temperature, whereas 51.5% declared a target temperature’s change in future practice. Respondents were more likely to choose 35∼36 °C-TTM (54.7%) after guidelines publication, as compared to that before guidelines publication they preferred 32∼34 °C-TTM (54.0%). TTM for CA patients was still in the early stage in China. Publication of 2015 resuscitation guidelines did have impact on choice of target temperature among healthcare providers. They preferred 35∼36 °C-TTM after guidelines publication.
Highlights
To date only a few healthcare providers knew the concept of temperature management (TTM) and fewer of them had implemented it in practice
It did reveal that healthcare providers in emergency departments (EDs) or ICUs were failing to keep up with clinical developments and there was a huge gap between the TTM practice in China and that recommended by guidelines
Our study revealed that many healthcare professionals were not familiar with TTM
Summary
Hunan Provincial People’s Hospital, No 61, Jiefang West Rd., Changsha, Hunan, 410005, China. 12Department of Emergency Medicine, The Affiliated Hospital of Hainan Medical University, No 31, Longhua Rd., Haikou, Hainan, 570102, China. 13Department of Emergency Medicine, The General Hospital of People’s Liberation Army, No 28, Fuxing Rd., Beijing, 100853, China. 14Department of Emergency Medicine, The First Affiliated Hospital of Sun Yat-sen University, No 58, Zhongshan Second Rd., Guangzhou, Guangdong, 510080, China. 15Department of Emergency Medicine, Beijing Friendship Hospital, No 95, Yongan Rd., Xicheng District, 100050, China. 16Department of Emergency Medicine, Beijing University Shougang Hospital, No 9, Jinyuanzhuang Rd., Shijingshan District, Beijing, 100144, China. 17Department of Emergency Medicine, The Hospital of Shunyi District Beijing, No 3, Guangming South Street, Shunyi District, Beijing, 101300, China. 18Department of Emergency Medicine, Beijing Tongren Hospital, No 1, Dongjiaominxiang, Dongcheng District, Beijing, 100730, China. 19Department of Emergency Medicine, Peking University People’s Hospital, No 11, Xizhimen South Street, Xicheng District, Beijing, 100044, China. 20Department of Emergency Medicine, Beijing Fuxing Hospital, No 20, Fuxingmenwai Street, Xicheng District, Beijing, 100038, China. 21Department of Emergency Medicine, The First Affiliated Hospital of Zhengzhou University, No 1, Jianshe East Rd., Zhengzhou, Henan, 450052, China. 22Department of Emergency. Targeted temperature management (TTM) is one of few beneficial interventions to improve outcomes of CA patients, it has been recommended as a standard therapy for comatose patients after return of spontaneous circulation (ROSC)[3,4]. It has been already more than one decade since the two landmark studies of therapeutic hypothermia (TH) after CA have been published[5,6]. Selecting and maintaining a constant temperature between 32 °C and 36 °C during TTM was recommended in 2015 AHA guidelines[3]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
