Aging is only significant factor causing CPR-induced injuries and serious injuries
| Autor: | Mami Nakamura, Marin Takaso, Masahito Hitosugi, Kunio Hamanaka, Shingo Moriguchi, Mineko Baba |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Risk Aging Sternum Sternal fracture medicine.medical_specialty Heart Injury Rib Fractures medicine.medical_treatment education Autopsy Pathology and Forensic Medicine Fractures Bone Quality of life Serious injury CPR-induced injury health services administration medicine Humans Cardiopulmonary resuscitation Abbreviated injury scale score health care economics and organizations Aged Retrospective Studies Trauma Severity Indices Abbreviated Injury Scale business.industry Age Factors Odds ratio Forensic Medicine Middle Aged medicine.disease Cardiopulmonary Resuscitation Heart Arrest Visceral injury Aortic Dissection Issues ethics and legal aspects Heart Injuries Liver Cohort Emergency medicine Female business |
| Zdroj: | Legal medicine (Tokyo, Japan). 48:101828 |
| ISSN: | 1873-4162 |
| Popis: | Background:Cardiopulmonary resuscitation (CPR) sometime cause severe injuries and can affect quality of life, lead to long-term disabilities or death of the patient. The aim of this study is to identify the risk factors causing CPR-induced injuries and those of serious injuries. Methods:This was a retrospective forensic autopsy study in a single institution. Among 885 forensic autopsies undertaken between 2011 and 2018, those in which the victim had undergone CPR immediately after cardiac arrest were recorded. 'Serious injuries' were defined as an Abbreviated Injury Scale (AIS) score ≥ 3. CPR-induced injuries were evaluated by three experienced forensic pathologists. With the background and history of the patient, the circumstances of cardiac arrest and risks of causing CPR-induced injuries were determined by multivariate analyses. Results:Seventy-five victims comprised the study cohort. CPR-induced injuries were found in 52 victims (69.3%). Rib fracture was the most common (60.0%), followed by sternal fracture (37.3%), heart injury (21.3%) and liver injury (8.0%). Multivariate analysis revealed higher age to be an independent factor causing CPR-induced injuries (odds ratio [OR], 1.07, P < 0.001). Thirty-six victims had 39 serious injuries in the chest or abdomen: fracture of ≥ 3 ribs (35 cases), aortic dissection (two), lung contusion (one) and rupture of the heart (one). Multivariate analysis revealed higher age to be an independent factor causing CPR-induced serious injuries (OR, 1.09; P < 0.001). Conclusion:Aging was the significant factor causing CPR-induced injuries and serious injuries. |
| Databáze: | OpenAIRE |
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