Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/7118
Title: Frequency of skeletal chest injuries associated with cardiopulmonary resuscitation: Forensic autopsy
Other Titles: Frequency of skeletal chest injuries associated with cardiopulmonary resuscitation: forensic autopsy
Authors: Boz, Bora
Erdur, Bülent
Acar, Kemalettin
Ergin, Ahmet
Türkçüer, İbrahim
Ergin, N.
Keywords: Autopsy
Cardiac arrest
Cardiopulmonary resuscitation
Chest injuries
Fractures/rib/sternum
adolescent
adult
article
autopsy
bleeding
child
ecchymosis
female
forensic pathology
heart arrest
human
incidence
major clinical study
male
resuscitation
rib fracture
sternum
thorax injury
treatment indication
Adult
Cardiopulmonary Resuscitation
Child, Preschool
Female
Heart Arrest
Humans
Incidence
Male
Retrospective Studies
Rib Fractures
Risk Factors
Sternum
Thoracic Injuries
Abstract: BACKGROUND: Fractured ribs and sternum are frequent complications of thoracic compression during CPR (cardiopulmonary resuscitation) in adults. This study was conducted to determine the incidence of rib and sternal fractures after conventional closed-chest compression in the treatment of cardiac arrest. METHODS: We reviewed the forensic autopsy findings of 231 deaths referred to the Pamukkale University Department of Forensic Medicine over a 12-month period, 2004-2005. CPR-related chest injuries comprising rib and sternum fractures, ecchymosis and subcostal hemorrhage were compared retrospectively in 104 patients. RESULTS: Ninety-one (87.5%) of the 104 patients were adults, and 13 patients (12.5%) were children. The mean (SD) age in the pediatric group (5F/8M) was 5.48 (±5.96) and in the adult group (18F/73M) was 44.88 (±18.31). Forty-four (42.3%) of the 104 patients died of traumatic cause and 60 (57.7%) of non-traumatic cause. Ecchymosis was present in 26 (28.8%) patients, subcostal hemorrhage in 16 (17.6%) patients and fractures (sternal and costal) in 12 (13.2%) patients in adults. There were no significant differences between groups according to age, sex and traumatic-nontraumatic cause in terms of skeletal chest injuries associated with CPR in adult patients (p>0.05). CONCLUSION: This study shows a low incidence of rib and sternal fracture after closed-chest compression in the treatment of cardiac arrest in forensic autopsy cases.
URI: https://hdl.handle.net/11499/7118
ISSN: 1306-696X
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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