Original Investigation

Long-Term Outcomes and Recovery Trajectories in Out-of-Hospital Cardiac Arrest

JAMA Neurology 10.1001/jamaneurol.2025.5614

February 16, 2026 at 11:00 AM EST

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Does hypothermia after out-of-hospital cardiac arrest affect societal participation or cognitive functioning at 24 months post arrest, and how do these outcomes evolve over time?This follow-up of the randomized clinical Targeted Hypothermia vs Targeted Normothermia After Out-of-Hospital Cardiac Arrest trial found no significant differences in societal participation or cognitive functioning between targeted hypothermia and normothermia at 24 months. Overall recovery was limited beyond 6 months.Targeted hypothermia compared with normothermia did not affect outcomes 24 months post arrest, suggesting no longer-term effect of hypothermia for the explored outcomes; 6 months may suffice as an end point when assessing functional or cognitive outcomes after out-of-hospital cardiac arrest.

Corresponding Author: Malin Hultgren, MD, Skåne University Hospital, Remissgatan 4, 222 42 Lund, Sweden (malin.uusitalo_hultgren@med.lu.se).

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