BACKGROUND: Appropriate @entity1 selection is very important when initiating mild @entity2332 (MTH) for @entity1 following out-of-hospital @entity1167 , and the extent of unconsciousness at implementation must be defined in such cases. However, there are no clear standards regarding the level of unconsciousness at which MTH would be beneficial. The effects of MTH in @entity1 with different degrees of unconsciousness according to the motor response score of the Glasgow @entity772 Scale (GCS) were investigated. METHODS: The subjects consisted of witnessed non-traumatic adult out-of-hospital @entity1167 @entity1 admitted to our institute from April 2002 to August 2011. The @entity1 were divided into six groups according to the GCS motor response score: 1 (GCS M1), 2 (GCS M2), 3 (GCS M3), 4 (GCS M4), 5 (GCS M5), and 6 (GCS M6). The neurological outcome was evaluated at 30  days after hospital admission using the Cerebral Performance Category. @entity13997 ( @entity13997 ) analysis was performed to estimate the threshold GCS M level where @entity2332 is indicated. Odds ratios were then calculated by multiple logistic-regression analysis using factors including GCS M5-6 and MTH. RESULTS: A total of 289 @entity1 were enrolled in this study. @entity13997 analysis demonstrated two points of significant increase in percentage of good recovery at 30  days after admission, dividing the GCS M categories into three groups. @entity1 classified with a GCS motor response score of 5 or higher had the highest percentage of good recovery. The odds ratio for good recovery (CPC1-2) was 2.901 (95  % CI 1.460-5.763, P   =   0.002) for MTH, and that for GCS M5-6 was 159.835 (95  % CI 33.592-760.513, P   <   0.001). CONCLUSIONS: MTH may be unnecessary in @entity1 with a GCS motor response score of 5 or higher. Consequently, because there are post @entity1167 @entity1 with a GCS motor response score of 4 or lower who benefit from MTH, MTH may be limited to @entity1 with a GCS motor response score of 4 or lower.

At what level of unconsciousness is mild @entity2332 indicated for out-of-hospital XXXX : a retrospective, historical cohort study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity13997 :: ('MESH:C563663', 'Disease') :: ['CHAID', 'Chi-squared Automatic Interaction Detection'] @entity772 :: ('MESH:D003128', 'Disease') :: ['Coma'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity2332 :: ('MESH:D007035', 'Disease') :: ['therapeutic hypothermia']
@entity1167 :: (MESH:D006323,Disease) :: ['cardiac arrest']
