title: [Mild therapeutic hypothermia: Improved survival after resuscitation].
abstract: BACKGROUND
  The favorable effect of mild therapeutic hypothermia (MTH) on neurologic status as well as on overall survival was shown in several trials; however, MTH is not readily implemented in daily routine.
  
  
  OBJECTIVE
  We examined the effect of the implementation of MTH on neurologic outcome and overall survival in an emergency care hospital.
  
  
  METHODS
  The data of 68 patients between 09/2010 and 11/2011 who received MTH for 24 h at 33 °C after cardiopulmonary resuscitation (CPR) were compared with prospectively collected data from 180 patients before introduction of MTH (2001-2006). Survival and neurological status at discharge were determined using the Glasgow-Pittsburgh Cerebral Performance Categories (CPC).
  
  
  RESULTS
  MTH raised the percentage of patients with a CPC score of 1 or 2 from 70 % to 85 %. Furthermore, survival increased from 47/180 (26 %) between 01/2000 and 01/2006 to 27/68 (40 %) between 09/2010 and 11/2011.
  
  
  CONCLUSIONS
  Implementation of MTH leads to improved neurological status and overall survival after CPR.
authors: Klinik für Innere Medizin I, Helios-Amperklinikum Dachau, Krankenhausstr. 15, 85221, Dachau, Deutschland.
authors: T
authors: T
authors: Schlögl
authors: Klinik für Innere Medizin I, Helios-Amperklinikum Dachau, Krankenhausstr. 15, 85221, Dachau, Deutschland.
authors: J
authors: J
authors: Schwab
authors: Klinik für Innere Medizin I, Helios-Amperklinikum Dachau, Krankenhausstr. 15, 85221, Dachau, Deutschland.
authors: M A
authors: MA
authors: Weber
authors: Klinik für Innere Medizin I, Helios-Amperklinikum Dachau, Krankenhausstr. 15, 85221, Dachau, Deutschland.
authors: B
authors: B
authors: Witzenbichler
authors: Klinik für Innere Medizin I, Helios-Amperklinikum Dachau, Krankenhausstr. 15, 85221, Dachau, Deutschland. martin.russ@posteo.de.
authors: M A
authors: MA
authors: Russ
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods* / Q000401:mortality*; D003131:Combined Modality Therapy; D005858:Germany; D023261:Glasgow Outcome Scale; D017052:Hospital Mortality; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods* / Q000401:mortality*; D011446:Prospective Studies; D015996:Survival Rate
keywords: Cardiac arrhythmia, non-shockable; Cardiac arrhythmia, shockable; Cardiopulmonary resuscitation; Mild therapeutic hypothermia; Neurologic status