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Hypotermie u TBI – up to date 2011 - Česká společnost ...

Hypotermie u TBI – up to date 2011 - Česká společnost ...

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Hypothermia Treatment for Traumatic Brain Injury:<br />

A Systematic Review and Meta-Analysis<br />

In the current study, only 13 trials met eligibility<br />

criteria, with a <strong>to</strong>tal of 1339 randomized patients.<br />

Reductions in risk of mortality were greatest (RR<br />

0.51; 95% CI 0.33, 0.79) and favorable neurologic<br />

outcomes much more common (RR 1.91; 95% CI<br />

1.28, 2.85) when hypothermia was maintained for<br />

more than 48 h.<br />

However, this evidence comes with the suggestion<br />

that the potential benefits of hypothermia may<br />

likely be offset by a significant increase in risk of<br />

pneumonia (RR 2.37; 95% CI 1.37, 4.10)<br />

Peterson Kim, Carson Susan and Carney Nancy. Journal of Neurotrauma. January 2008,<br />

25(1): 62-71. doi:10.1089/neu.2007.0424.

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