Effect of vasopressin and methylprednisolone vs placebo on return of spontaneous circulation in patients with in-hospital cardiac arrest
JAMA Oct 04, 2021
Andersen LW, Isbye D, Kjærgaard J, et al. - The impact of administering the combination of vasopressin and methylprednisolone during in-hospital cardiac arrest on return of spontaneous circulation was investigated.
A multicenter, randomized, double-blind, placebo-controlled trial.
A total of 501 patients with in-hospital cardiac arrest in Denmark were included.
Return of spontaneous circulation was achieved in 42% of patients in the combination group vs 33% in the placebo group, a difference that was statistically significant.
Hence, the likelihood of return of spontaneous circulation increased significantly in correlation with receiving vasopressin and methylprednisolone, but uncertainty remains concerning if there is benefit or harm for long-term survival.
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