Acute cardiac care & resuscitation

Metabolic profiles associate with mortality and neurological outcomes in out-of-hospital cardiac arrest patients

ResuscitationPublished Hierarchical clustering analysis of blood samples from patients in the Targeted Temperature Management trial

Authors' conclusion

This study identifies distinct metabolic profiles associated with neurological recovery after cardiac arrest, suggesting a potential link between metabolic states and outcomes that may reflect adaptive brain resilience. These findings highlight the need for further research to explore whether metabolic-targeted interventions could enhance recovery.

Study context

Population
Unconscious patients resuscitated from out-of-hospital cardiac arrest (OHCA)consecutive unconscious OHCA patients in the Targeted Temperature Management trial
Participants
156 patients
Comparison
Thirty-day mortality and neurological outcomes were compared across these clusters
Outcome
Thirty-day mortality
Follow-up
30 days
Methodological detailsconsecutive patients, samples analyzed at hospital admission
  • Consecutive patients
  • Samples analyzed at hospital admission

Main finding

As reported in the abstract

Further findings

Neurological deaths

Neurological deaths were lowest in Clusters C

Baseline FFA levels and neurological death

Baseline FFA levels were independently associated with neurological death

Baseline characteristics

Median age
62 years (IQR 54-68)
Male
87%

Cardiac arrest severity

Cluster A was linked to greater cardiac arrest severity, including longer time to return of spontaneous circulation (ROSC), increased defibrillations, and higher adrenaline use

Original publication

Metabolic profiles associate with mortality and neurological outcomes in out-of-hospital cardiac arrest patients. Resuscitation. Published 14 March 2025. doi:10.1016/j.resuscitation.2025.110583

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