Clinical trial NCT01073098: Evaluation of Muscle StO2 as a Prognostic Factor After Out of Hospital Cardiac Arrest
Official title: Evaluation of Muscle StO2 as a Prognostic Factor After Out of Hospital Cardiac Arrest
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Cardiac Arrest
Lead sponsor: Centre Hospitalier Universitaire de Nice
Sponsor class: OTHER
Collaborators: name: Centre Hospitalier Universitaire de Nice
First posted: 2010-02-23
Enrollment: 51
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP

Brief summary: Out of hospital cardiac arrest is a major health problem. Prognosis is still poor even after return to spontaneous circulation. The pathophysiology of cardiac arrest implies ischemia-reperfusion and sepsis like syndrome. These phenomenons can lead to microvascular dysfunction explaining probably multi-organ failure after cardiac arrest. Few means allow the exploration of microvascular function in human. Muscle StO2 is a technique allowing the assessment of microvascular function non-invasively. The aim of this study is to evaluate muscle StO2 as a prognostic factor after out of hospital cardiac arrest.

Detailed description: Out of hospital cardiac arrest is a major health problem accounting for 375000 deaths each year in Europe. Even after return to spontaneous circulation, survival is poor because of complications such as post-anoxic encephalopathy and multi-organ failure. The pathophysiology of cardiac arrest implies ischemia-reperfusion and sepsis like syndrome. These conditions are frequently associated with microvascular dysfunction that can be the "motor" of multi-organ failure. Few means allow the exploration of microvascular function in human. Recently, StO2, a non-invasive technique assessing microvascular function has been described. This technique measures the tissular saturation of a muscle using the near-infrared spectroscopy technique. It has been described to be a good prognostic factor during haemorrhagic shock state. Dynamic parameters such as reperfusion slope allow discriminating between survivors and survivors after severe sepsis. This dynamic test assesses the microvasculature recruitment that could be a marker of better prognosis. The aim of this study is to evaluate muscle StO2 as a prognostic factor after out of hospital cardiac arrest.

Eligibility criteria: Inclusion Criteria:

* Out of hospital cardiac arrest
* Patient aged between 18 and 80 years
* Having a Social Security System

Exclusion Criteria:

* Pregnant women, lack of appropriate consent

Primary outcomes:
measure: Reperfusion slope after vascular occlusion test. This parameter will be compared between survivors and non-survivors
timeFrame: Four measurements : on admission, since the body core temperature reaches 34°, after 24 hours of hypothermia and 48 hours after admission to ICU
Secondary outcomes:
measure: Muscle StO2 during the first 2 days Lactatemia during the first 2 days These parameters will be compared between survivors and non-survivors
timeFrame: Muscle StO2 will be monitored continuously during the first 2 days Lactatemia will be measured every 12 hours until normalization
Other outcomes:
Locations:
city: Nice
country: France
facility: CHU de Nice -Hôpital l'Archet
city: Nice
country: France
facility: CHU de Nice Hôpital Saint Roch
Study officials:
affiliation: Centre Hospitalier Universitaire de Nice
name: Jean-Christophe ORBAN, MD
role: PRINCIPAL_INVESTIGATOR
References: