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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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