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Early-onset Pneumonia After Out-of-hospital Cardiac Arrest

Conditions
Out-of-Hospital Cardiac Arrest
Registration Number
NCT03355885
Lead Sponsor
University Hospital, Brest
Brief Summary

Early-onset pneumonia after out-of-hospital cardiac arrest is frequent. An association between early-onset pneumonia and an increase in morbidity has been reported in this population. The diagnosis of early-onset pneumonia inpatients with out-of-hospital cardiac arrest may be challenging as diagnosis criteria are unspecific in this setting. On the other hand some studies have reported an association between early antibiotics and better prognosis in patients with out-of-hospital cardiac arrest suggesting that early diagnosis and treatment of pneumonia would benefit to patients. Nonetheless, adminitration of antibiotics to any patients with out-of-hospital cardiac arrest would expose to antibiotic patients without infection and woould participate to increase in antibiotic resistance.

Therefore, the PP-ACR study aims to evaluate the impact of a diagnosis algorithm including blinded sampling protected brushes on early-onset pneumonia treatment and patient prognosis after out-of-hospital cardiac arrest.

Detailed Description

This study is a single centre observational study with a before - after design.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
240
Inclusion Criteria
  • patients admitted for out-of-hospital cardiac arrest and treated with hypothermia
Exclusion Criteria
  • age less than 18
  • consent withdrawal

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
delta respiratory SOFA score between Day 1 and day 3first 3 days
delay between intensive care admission and antibiotic initiationfirst 5 days
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

CHRU de Brest

🇫🇷

Brest, France

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