Mild-Hypothermia may not Improve neurological outcomes in severe TBI, finds Trial
Millions of people have traumatic brain injury (TBI) annually worldwide. Severe TBI (sTBI) leads to a huge economic burden on society and families throughout the world. Mild-hypothermia is a common treatment for patients with severe TBI. However, in a recent study, researchers have found that long-term mild-hypothermia did not improve the neurological outcomes in sTBI patients. The researchers further suggest that the hypothermic treatment may be a potential option in sTBI patients with initial Intracranial pressure ≥ 30 mm Hg. The research has been published in the journal EClinical Medicine .
The use of therapeutic hypothermia for TBI was first reported in 1897. Hypothermic treatment for sTBI was proved by laboratory evidence in protecting the blood-brain barrier function and cerebral functions as well due to the reduction of ICP but failed to be translated into clinical efficacy. Randomized controlled trials (RCTs), of short duration (48–72 h) mild-hypothermia treatment have failed to show benefit: NABIS: H and NABIS: H II did not show improvement in outcomes and reported major complications. However, the therapeutic efficacy of long-term (5 days) mild-hypothermia has not been examined yet in large-scale multicenter RCTs. Therefore, researchers of the Shanghai Institute of Head Trauma, China, conducted a study to explore the safety and efficacy of 5 days mild-hypothermia in sTBI with severe intracranial hypertension.
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