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Hypothermia revisited: Impact of ischaemic duration and between experiment variability

Citation

Rewell, SSJ and Jeffreys, AL and Sastra, SA and Cox, SF and Fernandez, JA and Aleksoska, E and van der Worp, HB and Churilov, L and Macleod, MR and Howells, DW, Hypothermia revisited: Impact of ischaemic duration and between experiment variability, Journal of Cerebral Blood Flow and Metabolism, 37, (10) pp. 3380-3390. ISSN 0271-678X (2017) [Refereed Article]

Copyright Statement

Copyright Author(s) 2017

DOI: doi:10.1177/0271678X16688704

Abstract

To assess the true effect of novel therapies for ischaemic stroke, a positive control that can validate the experimental model and design is vital. Hypothermia may be a good candidate for such a positive control, given the convincing body of evidence from animal models of ischaemic stroke. Taking conditions under which substantial efficacy had been seen in a meta-analysis of hypothermia for focal ischaemia in animal models, we undertook three randomised and blinded studies examining the effect of hypothermia induced immediately following the onset of middle cerebral artery occlusion on infarct volume in rats (n = 15, 23, 264). Hypothermia to a depth of 33℃ and maintained for 130 min significantly reduced infarct volume compared to normothermia treatment (by 27"63%) and depended on ischaemic duration (F(3,244) = 21.242, p < 0.05). However, the protective effect varied across experiments with differences in both the size of the infarct observed in normothermic controls and the time to reach target temperature. Our results highlight the need for sample size and power calculations to take into account variations between individual experiments requiring induction of focal ischaemia.

Item Details

Item Type:Refereed Article
Keywords:ischaemic stroke, animal models, hypothermia, positive control, ischaemic duration
Research Division:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Cardiology (incl. Cardiovascular Diseases)
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cardiovascular System and Diseases
UTAS Author:Howells, DW (Professor David Howells)
ID Code:124577
Year Published:2017
Web of Science® Times Cited:4
Deposited By:Medicine
Deposited On:2018-02-27
Last Modified:2018-09-11
Downloads:0

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