Use of whole body CT to detect patterns of CPR-related injuries after sudden cardiac arrest

Autor: Ferdia Bolster, Kellie Sheehan, Gregor M. Dunham, Alexandre Perez-Girbes, Ken F. Linnau
Rok vydání: 2017
Předmět:
Adult
Male
medicine.medical_specialty
Rib Fractures
Thoracic Injuries
medicine.medical_treatment
Whole body ct
Abdominal Injuries
030204 cardiovascular system & hematology
Return of spontaneous circulation
03 medical and health sciences
Young Adult
0302 clinical medicine
Internal medicine
medicine
Humans
Radiology
Nuclear Medicine and imaging
Pneumomediastinum
Cardiopulmonary resuscitation
Hospital Mortality
Tomography
Neuroradiology
Aged
Retrospective Studies
medicine.diagnostic_test
business.industry
Wounds and injuries
030208 emergency & critical care medicine
Interventional radiology
Sudden cardiac arrest
General Medicine
Middle Aged
medicine.disease
Cardiopulmonary Resuscitation
Death
Sudden
Cardiac
Pneumothorax
X-Ray computed
Anesthesia
Cardiology
Female
Radiology
Emergencies
medicine.symptom
business
Tomography
X-Ray Computed
Out-of-Hospital Cardiac Arrest
Zdroj: EUROPEAN RADIOLOGY
r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe
instname
ISSN: 1432-1084
0938-7994
Popis: Aims and objectivesWe have recently implemented a dedicated sudden cardiac arrest (SCA) - whole-body computed tomography (WBCT) protocol to evaluate SCA patients with return of spontaneous circulation (ROSC) following cardiopulmonary resuscitation (CPR). The aim of this study is to evaluate the number and pattern of CPR-related injuries in ROSC patients with SCA-WBCT.Methods and materialsSingle-centre retrospective review of 39 patients (13 female; 20 male, mean age 51.8 years) with non-traumatic, out-of-hospital SCA and ROSC and evaluation with dedicated SCA-WBCT over a 10-month period.ResultsIn-hospital mortality was 54%. CPR-related injuries were detected in 85% (33/39).Chest injuries were most common on WBCT: 85% (33) subjects had rib fractures (mean of 8.5 fractures/subject); 31% (12) sternal fractures; 13% (5) mediastinal haematoma; 10% (4) pneumothorax; 8% (3) pneumomediastinum and 3% (1) haemothorax. Three subjects (8%) had abdominal injuries on WBCT, including one hepatic haematoma with active haemorrhage.ConclusionCPR-related injuries on WBCT after ROSC are common, with serial rib fractures detected most commonly. An unexpectedly high rate of abdominal injuries was detected on SCA-WBCT. Radiologists need to be attuned to the spectrum of CPR-related injuries in WBCT, including abdominal injuries and subtle rib fractures.Key Points center dot CPR frequently causes injuries.center dot Radiologists should be aware of the spectrum of CPR related injuries.center dot Rib fractures are frequent and radiologic findings often subtle.center dot Clinically unexpected abdominal injuries may be present.
Databáze: OpenAIRE
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