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
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
Repositori URV