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Chest injury following cardiopulmonary resuscitation: A prospective computed tomography evaluation

Authors
 Min Joung Kim  ;  Yoo Seok Park  ;  Seung Whan Kim  ;  Yoo Sang Yoon  ;  Kyeong Ryong Lee  ;  Tae Ho Lim  ;  Hoon Lim  ;  Ha Young Park  ;  Joon Min Park  ;  Sung Phil Chung 
Citation
 RESUSCITATION, Vol.84(3) : 361-364, 2013 
Journal Title
 RESUSCITATION 
ISSN
 0300-9572 
Issue Date
2013
MeSH
Aged ; Cardiopulmonary Resuscitation/adverse effects* ; Cardiopulmonary Resuscitation/methods ; Cross-Sectional Studies ; Female ; Heart Arrest/therapy* ; Humans ; Incidence ; Male ; Middle Aged ; Prospective Studies ; Republic of Korea/epidemiology ; Rib Fractures/diagnostic imaging* ; Rib Fractures/epidemiology ; Rib Fractures/etiology ; Sternum/diagnostic imaging ; Sternum/injuries* ; Thoracic Injuries/diagnostic imaging* ; Thoracic Injuries/epidemiology ; Thoracic Injuries/etiology ; Tomography, X-Ray Computed/methods*
Keywords
Cardiopulmonary resuscitation ; Computed tomography ; Fracture
Abstract
INTRODUCTION: Traumatic chest injuries may occur following cardiopulmonary resuscitation (CPR). The aim of this study was to address the frequency of injuries, especially rib and sternal fractures, and also to identify factors that contribute to post-CPR trauma. METHODS: This study was a prospective cross-sectional study conducted in the emergency departments (ED) of eight academic tertiary care centers. To evaluate injuries secondary to CPR, we performed chest computed tomography (CT) in patients who were successfully resuscitated from cardiac arrest. Contributing factors that might be related to injuries were also investigated. RESULTS: We enrolled 71 patients between 1 January 2011 and 30 June 2011. Rib and sternal fractures were diagnosed in 22 and 3 patients, respectively. Females were more susceptible to rib fracture (p=0.036). When non-physicians participated as chest compressors in the ED, more ribs were fractured (p=0.048). The duration of CPR and number of compressors were not contributing factors to trauma secondary to CPR. There was a wide variation in the frequency of rib fractures from hospital to hospital (0-83.3%). In high-risk hospitals (in which more than 50% of patients had rib fractures), the average age of the patients was higher, and non-physicians took part in ED CPR more often than they did at low-risk hospitals. CONCLUSION: The incidence of rib fracture following CPR was different in various hospitals. The presence of non-physician chest compressors in the ED was one of the contributing factors to rib fracture. Further studies on the influence of resuscitators and relation between quality of chest compression and CPR-induced injuries are warranted to reduce complications following CPR.
Full Text
http://www.sciencedirect.com/science/article/pii/S0300957212003681
DOI
10.1016/j.resuscitation.2012.07.011
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Joung(김민정) ORCID logo https://orcid.org/0000-0003-1634-5209
Park, Yoo Seok(박유석) ORCID logo https://orcid.org/0000-0003-1543-4664
Lee, Kyeong Ryong(이경룡)
Chung, Sung Pil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86505
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