Articles producció científica> Medicina i Cirurgia

Serious injuries secondary to cardiopulmonary resuscitation: incidence and associated factors

  • Identification data

    Identifier: imarina:5895367
    Authors:
    Azeli, YoucefBarberia, EnekoJimenez-Herrere, MariaAmeijide, AlbertoAxelsson, ChristerBardaji, Alfredo
    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.
  • Others:

    Author, as appears in the article.: Azeli, Youcef; Barberia, Eneko; Jimenez-Herrere, Maria; Ameijide, Alberto; Axelsson, Christer; Bardaji, Alfredo
    Department: Medicina i Cirurgia Ciències Mèdiques Bàsiques Infermeria
    URV's Author/s: Barberia Marcalain, Eneko / Bardají Ruiz, Alfredo / Jiménez Herrera, María Francisca
    Keywords: Waist circumference Thorax Thoracic injuries Sternum Statistics, nonparametric Sex factors Roc curve Risk factors Ribs Rib fractures Rib fracture Rib Reanimación cardiopulmonar Prospective studies Organ size Multivariate analysis Middle aged Mechanical chest compressions Male Lesiones torácicas Incidence Humans Guidelines as topic Frequency Fracturas costales Female Device Depth Cpr Council guidelines Complications Chi-square distribution Cardiopulmonary resuscitation Cardiac-arrest Autopsy Aged, 80 and over Aged 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 maria.jimenez@urv.cat alfredo.bardaji@urv.cat eneko.barberia@urv.cat
    Author identifier: 0000-0001-5804-3597 0000-0003-2599-3742 0000-0003-1900-6974 0000-0001-5804-3597
    Record's date: 2024-10-12
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://pubmed.ncbi.nlm.nih.gov/31625304/
    Licence document URL: https://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, Youcef; Barberia, Eneko; Jimenez-Herrere, Maria; Ameijide, Alberto; Axelsson, Christer; Bardaji, Alfredo (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
    Waist circumference
    Thorax
    Thoracic injuries
    Sternum
    Statistics, nonparametric
    Sex factors
    Roc curve
    Risk factors
    Ribs
    Rib fractures
    Rib fracture
    Rib
    Reanimación cardiopulmonar
    Prospective studies
    Organ size
    Multivariate analysis
    Middle aged
    Mechanical chest compressions
    Male
    Lesiones torácicas
    Incidence
    Humans
    Guidelines as topic
    Frequency
    Fracturas costales
    Female
    Device
    Depth
    Cpr
    Council guidelines
    Complications
    Chi-square distribution
    Cardiopulmonary resuscitation
    Cardiac-arrest
    Autopsy
    Aged, 80 and over
    Aged
    thoracic injuries
    Emergency medicine
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