Author, as appears in the article.: Azeli, Youcef; Barberia, Eneko; Fernandez, Alberto; Garcia-Vilana, Silvia; Bardaji, Alfredo; Hardig, Bjarne Madsen
Department: Enginyeria Química Medicina i Cirurgia
URV's Author/s: Barberia Marcalain, Eneko / Bardají Ruiz, Alfredo / Fernández Sabater, Alberto
Keywords: Thoracic injuries Sudden death Out-of-hospital cardiac arrest Hospital cardiac-arrest Cardiopulmonary resuscitation thoracic injuries sudden death secondary rib out-of-hospital cardiac arrest force depth cardiopulmonary-resuscitation
Abstract: Aim: To determine compression force variation (CFV) during mechanical cardiopulmonary resuscitation (CPR) and its relationship with CPR-related injuries and survival. Methods: Adult non-traumatic OHCA patients who had been treated with mechanical CPR were evaluated for CPR-related injuries using chest X-rays, thoracic computed tomography or autopsy. The CFV exerted by the LUCAS 2 device was calculated as the difference between the maximum and the minimum force values and was categorised into three different groups (high positive CFV ≥ 95 newton (N), high negative CFV ≤ -95 N, and low variation for intermediate CFV). The CFV was correlated with the CPR injuries findings and survival data. Results: Fifty-two patients were included. The median (IQR) age was 57 (49–66) years, and 13 (25%) cases survived until hospital admission. High positive CFV was found in 21 (40.4%) patients, high negative CFV in 9 (17.3%) and a low CFV in 22 (42.3%). The median (IQR) number of rib fractures was higher in the high positive and negative CFV groups compared with the low CFV group [7(1–9) and 9 (4–11) vs 0 (0–6) (p = 0.021)]. More bilateral fracture cases were found in the high positive and negative CFV groups [16 (76.2%) and 6 (66.7%) vs 6 (27.3%) (p = 0.004)]. In the younger half of the sample more patients survived until hospital admission in the low CFV group compared with the high CFV groups [5 (41.7%) vs 1 (7.1%) (p = 0.037)]. Conclusions: High CFV was associated with ribcage injuries. In the younger patients low CFV was associated with survival until hospital admission.
Thematic Areas: Emergency nursing Emergency medicine Critical care medicine Cardiology and cardiovascular medicine
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: eneko.barberia@urv.cat alberto.fernandez@urv.cat alfredo.bardaji@urv.cat eneko.barberia@urv.cat
Author identifier: 0000-0001-5804-3597 0000-0002-1241-1646 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://www.sciencedirect.com/science/article/pii/S266652042200042X
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Resuscitation Plus. 10 100242-
APA: Azeli, Youcef; Barberia, Eneko; Fernandez, Alberto; Garcia-Vilana, Silvia; Bardaji, Alfredo; Hardig, Bjarne Madsen (2022). Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival. Resuscitation Plus, 10(), 100242-. DOI: 10.1016/j.resplu.2022.100242
Article's DOI: 10.1016/j.resplu.2022.100242
Entity: Universitat Rovira i Virgili
Journal publication year: 2022
Publication Type: Journal Publications
Repositori URV