Articles producció científica> Medicina i Cirurgia

Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival

  • Datos identificativos

    Identificador: imarina:9262329
    Handle: http://hdl.handle.net/20.500.11797/imarina9262329
  • Autores:

    Azeli Y
    Barbería E
    Fernández A
    García-Vilana S
    Bardají A
    Hardig BM
  • Otros:

    Autor según el artículo: Azeli Y; Barbería E; Fernández A; García-Vilana S; Bardají A; Hardig BM
    Departamento: Enginyeria Química Medicina i Cirurgia
    Autor/es de la URV: Fernández Sabater, Alberto
    Palabras clave: 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
    Resumen: 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.
    Áreas temáticas: Emergency nursing Emergency medicine Critical care medicine Cardiology and cardiovascular medicine
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: alberto.fernandez@urv.cat
    Identificador del autor: 0000-0002-1241-1646
    Fecha de alta del registro: 2023-08-05
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://www.sciencedirect.com/science/article/pii/S266652042200042X
    URL Documento de licencia: http://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Resuscitation Plus. 10 100242-
    Referencia de l'ítem segons les normes APA: Azeli Y; Barbería E; Fernández A; García-Vilana S; Bardají A; Hardig BM (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
    DOI del artículo: https://doi.org/10.1016/j.resplu.2022.100242
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2022
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Cardiology and Cardiovascular Medicine,Critical Care Medicine,Emergency Medicine,Emergency Nursing
    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
    Emergency nursing
    Emergency medicine
    Critical care medicine
    Cardiology and cardiovascular medicine
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