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Several studies show how patients with hyperoxia after cardiac arrest has increased mortality, but the association of hyperoxia before cardiac arrest and myocardial damage has never been investigated. Neither has the association between hyperoxia after cardiac arrest and myocardial injury.
Our research hypothesis is that hyperoxia before cardiac arrest aggravates myocardial damage, secondly we wish to analyze the association between hyperoxia after cardiac arrest and myocardial injury.
The exposure variables is oxygenation within 48 hours before and 48 hours after cardiac arrest, our primary outcome is myocardial damage and will be measured as peak troponin within 30 days after cardiac arrest.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hypoxia | Defined as a group of patients with oxygen saturation <94 % irrespective of supplemental oxygen. If COPD, defined as oxygen saturation <88 % irrespective of supplemental oxygen. |
| |
| Normoxia | Defined as a group of patients with oxygen saturation 94 % - 98 % in combination of supplemental oxygen, or oxygen saturation >94 % without supplemental oxygen. If COPD, defined as oxygen saturation 88 % - 92 % in combination of supplemental oxygen, or oxygen saturation >88 % without supplemental oxygen. |
| |
| Hyperoxia | Defined as a group of patients with oxygen saturation >98 % in combination of supplemental oxygen. If COPD, defined as oxygen saturation >92 % in combination of supplemental oxygen. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oxygenation | Other | Oxygenation measured as oxygen supply and saturation before cardiac arrest, and oxygenation measured as PaO2 after cardiac arrest. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Peak troponin within 30 days after cardiac arrest | Troponin measurements on patients after cardiac arrest. | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| 30-day and 1-year mortality | Up to 1 year. | |
| Troponin area under the curve within 3 days after cardiac arrest | 3 days | |
| Length of ICU stay after cardiac arrest |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with in hospital cardiac arrest, who had return of spontaneus circulaiton and was then admitted to ICU in a hospital in the Capital Region of Denmark.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bispebjerg Hospital | Copenhagen | 2400 | Denmark |
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| ID | Term |
|---|---|
| D006323 | Heart Arrest |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| through study completion,on average of 4-8 weeks. |
| Length of hospital stay after cardiac arrest | through study completion,on average of 4-8 weeks. |