RT Generic T1 The Effect of Therapeutic Hypothermia after Cardiac Arrest on the Neurological Outcome and Survival-A Systematic Review of RCTs Published between 2016 and 2020 A1 Colls Garrido, Christian A1 Riquelme Gallego, Blanca A1 Sanchez Garcia, Juan Carlos A1 Cortes Martin, Jonathan A1 Montiel Troya, Maria A1 Rodriguez Blanque, Raquel K1 induced hypothermia K1 cardiac arrest K1 survival rate K1 critical care K1 Targeted temperature management K1 International liaison committee K1 American-heart-association K1 Comatose survivors K1 Cardiopulmonary-resuscitation K1 Cold saline K1 Care K1 33-degrees-c K1 Trial K1 Life AB Therapeutic hypothermia is a treatment used for patients who have suffered cardiorespiratory arrest and remain conscious after the recovery of spontaneous circulation. However, its effectiveness is controversial. The objective of this systematic review is to summarize the scientific evidence available about the effect of therapeutic hypothermia on neurological status and survival in this type of patients. Methodology: A primary search in CINAHL, CUIDEN, Pubmed, Web of Science, and Scopus databases was carried out. Randomized clinical trials (RCT) published from 2016 to 2020 were selected. Results: 17 studies were selected for inclusion and most relevant data were extracted. Methodological quality was assessed by the RoB tool. Conclusions: Although therapeutic hypothermia is a safe technique with few adverse and manageable effects, it has not shown to improve survival rate and neurological status of adult nor pediatric patients. It is possible that its positive effect on neuroprotection could be achieved only by preventing hyperthermia although further investigation is needed. PB Mdpi YR 2021 FD 2021-11-01 LK https://hdl.handle.net/10668/26002 UL https://hdl.handle.net/10668/26002 LA en DS RISalud RD Apr 8, 2025