Articles producció científica> Infermeria

Serious injuries secondary to cardiopulmonary resuscitation: incidence and associated factors

  • Identification data

    Identifier: imarina:5895367
    Handle: http://hdl.handle.net/20.500.11797/imarina5895367
  • Authors:

    Azeli Y, Barbería E, Jiménez-Herrera M, Ameijide A, Axelsson C, Bardaj A
  • Others:

    Author, as appears in the article.: Azeli Y, Barbería E, Jiménez-Herrera M, Ameijide A, Axelsson C, Bardaj A
    Department: Infermeria
    URV's Author/s: Barberia Marcalain, Eneko / Bardají Ruiz, Alfredo / Jiménez Herrera, María Francisca
    Keywords: Thoracic injuries Rib fractures Rib fracture Rib Reanimación cardiopulmonar Mechanical chest compressions Lesiones torácicas Frequency Fracturas costales Device Depth Cpr Council guidelines Complications Cardiopulmonary resuscitation Cardiac-arrest Autopsy thoracic injuries
    Abstract: Objective. To determine the incidence of serious rib cage damage (SRD) and serious visceral damage (SVD) secondary to cardiopulmonary resuscitation (CPR) and to explore associated factors. Methods. We analyzed data from the prospective registry of cases of sudden death in Tarragona, Spain (the ReCaPTa study). Cases were collected from multiple surveillance sources. In this study we included the cases of autopsied nonsurvivors after attempted manual CPR between April 2014 and May 2016. A specific protocol to detect injuries secondary to CPR was used during the autopsies. Results. We analyzed 109 cases. The mean age at death was 63 years and 32.1% were women. SRD were found in 63.3% and SVD in 14.7%. The group with SRD were significantly older (63 vs 59 years, P=.031) and included higher percentages of persons with a chest circumference over 101 cm (56.5 vs 30%, P=.016) and a waist circumference over 100 cm (62.3 vs 37.5%, P=.017). A multivariable analysis confirmed chest circumference over 101 cm as the only risk factor for SRD (odds ratio [OR], 2.45; 95% CI, 1.03-5.84) and female sex as the only risk factor for SVD (OR, 5.02; 95% CI, 1.18-21.25). Conclusion. Women and any patient with a chest circumference greater than 101 cm are at greater risk for serious injuries related to CPR.
    Thematic Areas: Emergency medicine
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 11376821
    Author's mail: eneko.barberia@urv.cat eneko.barberia@urv.cat alfredo.bardaji@urv.cat maria.jimenez@urv.cat
    Author identifier: 0000-0001-5804-3597 0000-0001-5804-3597 0000-0003-1900-6974 0000-0003-2599-3742
    Record's date: 2023-09-30
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://pubmed.ncbi.nlm.nih.gov/31625304/
    Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Emergencias: Revista De La Sociedad Española De Medicina De Urgencias Y Emergencias. 31 (5): 327-334
    APA: Azeli Y, Barbería E, Jiménez-Herrera M, Ameijide A, Axelsson C, Bardaj A (2019). Serious injuries secondary to cardiopulmonary resuscitation: incidence and associated factors. Emergencias: Revista De La Sociedad Española De Medicina De Urgencias Y Emergencias, 31(5), 327-334
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2019
    Publication Type: Journal Publications
  • Keywords:

    Emergency Medicine
    Thoracic injuries
    Rib fractures
    Rib fracture
    Rib
    Reanimación cardiopulmonar
    Mechanical chest compressions
    Lesiones torácicas
    Frequency
    Fracturas costales
    Device
    Depth
    Cpr
    Council guidelines
    Complications
    Cardiopulmonary resuscitation
    Cardiac-arrest
    Autopsy
    thoracic injuries
    Emergency medicine
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