Comprehensive pre- and in-hospital near-infrared-spectroscopy (NIRS) monitoring after return of spontaneous circulation predicts neurological outcome following out-of-hospital cardiac arrest: a prospective observational study and literature review
We identified a potential RSO2 cutoff measured via NIRS in the post-ROSC phase after OHCA to predict favorable neurological outcomes. Initial values and rising trends may be more useful for prognostication than prolonged ICU measurements. These findings are consistent with previous literature and should prompt both larger clinical trials and consideration of this technology by resuscitation societies.
Authors
- Felix Eibensteiner (ORCID: https://orcid.org/0000-0003-3099-415X)
- Daniel Grassmann (ORCID: https://orcid.org/0000-0002-4995-2163)
- Michael Girsa
- Mathias Gatterbauer
- Michael Holzer (ORCID: https://orcid.org/0000-0003-3434-703X)
- Christoph Schriefl (ORCID: https://orcid.org/0000-0003-4390-1362)
- Florian Mayr (ORCID: https://orcid.org/0000-0002-2298-9011)
- Patrick Aigner
- Sebastian Schnaubelt (ORCID: https://orcid.org/0000-0003-0057-8200)
- Mario Krammel (ORCID: https://orcid.org/0009-0003-2682-1720)
- Heidrun Losert (ORCID: https://orcid.org/0000-0003-1951-2682)
- Andrea Kornfehl
- Alexander Spiel (ORCID: https://orcid.org/0000-0002-7696-2703)
- Thomas Uray (ORCID: https://orcid.org/0000-0002-8869-1912)
- Andreas Zajicek
- Wolfgang Schreiber (ORCID: https://orcid.org/0000-0002-7481-9022)
Institutions
- VA Pittsburgh Healthcare System (US)
- Medical University of Vienna (AT)
Publication Details
- Journal
- Frontiers in Medicine
- Published
- 2025-08-15
- DOI
- https://doi.org/10.3389/fmed.2025.1590908
- Citations
- 1
- Primary Topic
- Cardiac Arrest and Resuscitation
- Type
- article
- Field-Weighted Citation Impact
- 2.25