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: 2024-07-20
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: 10.1016/j.resplu.2022.100242
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2022
Tipo de publicación: Journal Publications
Repositori URV