Targeted temperature management is completed when Sequence 4630, Cardiac Arrest Out of Healthcare Facility, Sequence 4635, Cardiac Arrest at Transferring Healthcare Facility, and or Sequence 12344, Cardiac Arrest, are coded yes. The aim of targeted temperature management is to reduce mortality and improve neurological outcomes in unresponsive patients who achieve return of spontaneous circulation after cardiac arrest based on weak evidence of benefit from two earlier studies with many limitations, patients who arrested out of the hospital and remain comatose after return of spontaneous circulation were treated with hypothermia. The most recent data from the TTM2 targeted hypothermia versus targeted normothermia after out of hospital cardiac arrest randomized clinical trial revealed no benefit of targeted hypothermia of 33 degrees Celsius over normothermia at 36 to 37.5 degrees Celsius with fever prevention. This study overcame many of the limitations of the earlier trials and found that there was no benefit of targeted hypothermia in improving survival at six months. No difference in survival with severe neurological disability or quality of life and a higher risk of arrhythmias in the hypothermia arm. In the future, we look to guidelines rapidly incorporating the TTM2 findings and simplifying recommendations to standardize temperature management, primarily targeting fever prevention. Additionally, further trials are needed. Sequence 1, 2, 3, 3, 9 temperature management initiated continues to be titled hypothermia induced in the data dictionary for IT and algorithm purposes only. The name was changed to temperature management based on recent study findings that the primary strategy is normothermia with fever prevention. Sequence 1, 5, 5, 1, 7 patient location seeks to capture where the patient was first located when the targeted temperature management protocol was initiated between arrival at this facility and discharge. The selections are EMS, the emergency department, the cath lab, the ICU or CCU and other. Examples of other may include are not limited to a step down or telemetry unit and OR. Sequence 1, 5, 4, 8, 7 initial target temperature goal seeks to capture the first or initial target temperature goal in degrees Celsius between first medical contact and discharge. The usual range is 31 to 37 degrees Celsius and the valid range is 30 to 38 degrees Celsius. If the temperature is less than 30 degrees Celsius, code 30. If the temperature is higher than 38 degrees Celsius, code 38 as the system will not accept a value outside of the valid range. Sequence 1, 5, 4, 8, 8 target temperature achieved date and time seeks to capture the date and time the target temperature was achieved for the first time between first medical contact and discharge. If the target temperature was not achieved for any reason or the date and time were not documented, please leave sequence 1, 5, 4, 8, 8 blank. Sequence 1, 5, 4, 8, 9 rewarming phase initiated date time seeks to capture the date and time the rewarming phase was initiated for the first time between first medical contact and discharge. If a rewarming phase was not applicable for any reason and or the date and time were not documented, please leave sequence 1, 5, 4, 8, 9 blank. Patient location, the date and time the target temperature was achieved, the date and time the rewarming phase was initiated, and the initial target temperature goal are all optional data fields and are for those facilities seeking chest pain center accreditation or chest pain center certification.

targeted temperature management

cardiac arrest patients

mortality

neurological outcomes

comatose patients