Cardiopulmonary resuscitation (CPR) complications encountered in forensic autopsy cases

Autor: Fotios Chatzinikolaou, Dimitrios Koutsoukis, Aspasia Deliliga, Polychronis Voultsos, Ioannis Chrysovergis
Rok vydání: 2019
Předmět:
Adult
Male
Sternum
medicine.medical_specialty
Adolescent
Rib Fractures
Health Personnel
medicine.medical_treatment
lcsh:Special situations and conditions
education
Severity of Illness Index
Young Adult
03 medical and health sciences
0302 clinical medicine
Malpractice
Humans
Medicine
030212 general & internal medicine
Cardiopulmonary resuscitation
Survival rate
Aged
Retrospective Studies
Aged
80 and over
Rib cage
Greece
business.industry
lcsh:RC952-1245
General surgery
lcsh:Medical emergencies. Critical care. Intensive care. First aid
030208 emergency & critical care medicine
Retrospective cohort study
lcsh:RC86-88.9
Forensic Medicine
Middle Aged
Logistic Models
(un) avoidable CPR-related complications
Sternal fractures
Emergency Medicine
Female
Autopsy
Forensic autopsy
Complication
business
Research Article
Zdroj: BMC Emergency Medicine
BMC Emergency Medicine, Vol 19, Iss 1, Pp 1-7 (2019)
ISSN: 1471-227X
DOI: 10.1186/s12873-019-0234-5
Popis: Background Cardiopulmonary resuscitation (CPR) provides a significant increase in survival rate, even if performed by bystanders. However, bystanders may refrain from performing CPR for fear of eventual malpractice litigation. Currently lack Guidelines specifying whether a particular CPR-related complication is in all likelihood unavoidable or not. To fulfill this gap a great number of studies is required to be published in the most relevant leading academic literature. This paper aims at making a contribution to addressing such a challenge. Methods A retrospective observational study based on forensic autopsy material aiming at recording injuries resulting from the application of CPR. The severity of injuries was forensically evaluated. Results Out of 88 cases autopsied, only 26.7% had rib fractures (only 20% of which were located in the 6 lower ribs), 17.4% had sternal fractures (85.7% of which were detected in the body of the sternum and 14.3% in the manubrium). The ratio of sternal fractures to rib fractures is similar to the ratio cited in other studies reported in the literature (2:3, approximately). The number of fractures was 7.86 (4.11 on the right side and 4.75 on the left side). 16% of the cases were found to be mild, 48% were moderate, and 35% of the cases were severe. When a physician was present, a (not statistically significant) trend towards more severe complications was found. Conclusion The findings are in accordance with other similar studies reported in the literature referring to the classic external CPR. This study offers a proposal aiming at making a contribution to develop Guidelines specifying whether a particular CPR-related complication is in all likelihood unavoidable or not.
Databáze: OpenAIRE
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