-
Je něco špatně v tomto záznamu ?
Intra-thoracic injuries associated with cardiopulmonary resuscitation - Frequent and serious
L. Ihnát Rudinská, P. Hejna, P. Ihnát, H. Tomášková, M. Smatanová, I. Dvořáček,
Jazyk angličtina Země Irsko
Typ dokumentu časopisecké články
- MeSH
- kardiopulmonální resuscitace škodlivé účinky mortalita MeSH
- lidé středního věku MeSH
- lidé MeSH
- pitva statistika a číselné údaje MeSH
- poranění hrudníku epidemiologie MeSH
- příčina smrti MeSH
- prospektivní studie MeSH
- rizikové faktory MeSH
- senioři MeSH
- zástava srdce mimo nemocnici mortalita terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
AIM OF THE STUDY: The aim of the study was to evaluate prevalence, seriousness and risk factors of intra-thoracic injuries (ITI) injuries associated with CPR in non-survivors after out-of-hospital cardiac arrest. METHODS: This was a prospective forensic autopsy cohort study conducted in a single institution. Pathologists recorded autopsy data using standardized protocol which contained data from external and internal examination of the body focused on ITI. RESULTS: In total, 80 persons were included in this study. CPR-associated injuries were found in 93.7% of cases; majority of injuries were skeletal chest fractures (rib fractures in 73.7%, sternal fractures in 66.3%). ITI were identified in 41.2% of cases. Contusion of at least one lung lobe was found in 31.2%, lung laceration in 2.5%, and hemothorax in 5.0% of cases. Transmural heart contusion was identified in 17.5% of cases; hemopericard on the grounds of right atrium rupture of aortic rupture was revealed in 8.7% of cases. Risk factor analysis did not show any statistically significant correlation between ITI and any of general data (age, gender, BMI, cause of death, season of the year or location where the body was found) or CPR specifications (type and duration of CPR, manner of chest compressions). A strong correlation between ITI and skeletal chest fractures was proven. CONCLUSION: ITI present frequent and serious complications of unsuccessful CPR. ITI could contribute to the death only provided the fact that ROSC had been achieved. Correct performance of chest compressions according to guidelines is the best way to avoid ITI.
Citace poskytuje Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc18017297
- 003
- CZ-PrNML
- 005
- 20180515103121.0
- 007
- ta
- 008
- 180515s2016 ie f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1016/j.resuscitation.2016.04.002 $2 doi
- 035 __
- $a (PubMed)27095124
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a ie
- 100 1_
- $a Ihnát Rudinská, Lucia $u Department of Forensic Medicine, University Hospital Ostrava, 17.listopadu 1790, Ostrava 70852, Czech Republic; Department of Intensive Medicine and Forensic Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 703 00, Czech Republic. Electronic address: dr.rudinska@seznam.cz.
- 245 10
- $a Intra-thoracic injuries associated with cardiopulmonary resuscitation - Frequent and serious / $c L. Ihnát Rudinská, P. Hejna, P. Ihnát, H. Tomášková, M. Smatanová, I. Dvořáček,
- 520 9_
- $a AIM OF THE STUDY: The aim of the study was to evaluate prevalence, seriousness and risk factors of intra-thoracic injuries (ITI) injuries associated with CPR in non-survivors after out-of-hospital cardiac arrest. METHODS: This was a prospective forensic autopsy cohort study conducted in a single institution. Pathologists recorded autopsy data using standardized protocol which contained data from external and internal examination of the body focused on ITI. RESULTS: In total, 80 persons were included in this study. CPR-associated injuries were found in 93.7% of cases; majority of injuries were skeletal chest fractures (rib fractures in 73.7%, sternal fractures in 66.3%). ITI were identified in 41.2% of cases. Contusion of at least one lung lobe was found in 31.2%, lung laceration in 2.5%, and hemothorax in 5.0% of cases. Transmural heart contusion was identified in 17.5% of cases; hemopericard on the grounds of right atrium rupture of aortic rupture was revealed in 8.7% of cases. Risk factor analysis did not show any statistically significant correlation between ITI and any of general data (age, gender, BMI, cause of death, season of the year or location where the body was found) or CPR specifications (type and duration of CPR, manner of chest compressions). A strong correlation between ITI and skeletal chest fractures was proven. CONCLUSION: ITI present frequent and serious complications of unsuccessful CPR. ITI could contribute to the death only provided the fact that ROSC had been achieved. Correct performance of chest compressions according to guidelines is the best way to avoid ITI.
- 650 _2
- $a senioři $7 D000368
- 650 _2
- $a pitva $x statistika a číselné údaje $7 D001344
- 650 _2
- $a kardiopulmonální resuscitace $x škodlivé účinky $x mortalita $7 D016887
- 650 _2
- $a příčina smrti $7 D002423
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a lidé středního věku $7 D008875
- 650 _2
- $a zástava srdce mimo nemocnici $x mortalita $x terapie $7 D058687
- 650 _2
- $a prospektivní studie $7 D011446
- 650 _2
- $a rizikové faktory $7 D012307
- 650 _2
- $a poranění hrudníku $x epidemiologie $7 D013898
- 655 _2
- $a časopisecké články $7 D016428
- 700 1_
- $a Hejna, Petr $u Department of Forensic Medicine, University Hospital Hradec Králové, Sokolská 581, Hradec Králové 500 05, Czech Republic.
- 700 1_
- $a Ihnát, Peter $u Department of Surgical Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 703 00, Czech Republic; Department of Surgery, University Hospital Ostrava, 17.listopadu 1790, Ostrava 70852, Czech Republic.
- 700 1_
- $a Tomášková, Hana $u Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava, 703 00, Czech Republic.
- 700 1_
- $a Smatanová, Margita $u Department of Forensic Medicine, University Hospital Ostrava, 17.listopadu 1790, Ostrava 70852, Czech Republic; Department of Intensive Medicine and Forensic Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 703 00, Czech Republic.
- 700 1_
- $a Dvořáček, Igor $u Department of Forensic Medicine, University Hospital Ostrava, 17.listopadu 1790, Ostrava 70852, Czech Republic; Department of Intensive Medicine and Forensic Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 703 00, Czech Republic.
- 773 0_
- $w MED00004106 $t Resuscitation $x 1873-1570 $g Roč. 103, č. - (2016), s. 66-70
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/27095124 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y a $z 0
- 990 __
- $a 20180515 $b ABA008
- 991 __
- $a 20180515103255 $b ABA008
- 999 __
- $a ok $b bmc $g 1300921 $s 1014137
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2016 $b 103 $c - $d 66-70 $e 20160416 $i 1873-1570 $m Resuscitation $n Resuscitation $x MED00004106
- LZP __
- $a Pubmed-20180515
