Summary

Serious injuries secondary to cardiopulmonary resuscitation: incidence and associated factors

Azeli Y, Barbería E, Jiménez-Herrera M, Ameijide A, Axelsson C, Bardají A

Affiliation of the authors

Sistema d’Emergències Mèdiques de Catalunya, L’Hospitalet de Llobregat, Barcelona, Spain. Servicio de Urgencias, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, Spain. Institut d’Investigació Sanitaria Pere Virgili, Tarragona, Spain. Institut de Medicina Legal y Forense de Catalunya, Tarragona, Spain. Universitat Rovira i Virgili, Tarragona, Spain. Departamento de Enfermería, Universitat Rovira i Virgili, Tarragona, Spain. Unidad de Bioestadística, Fundació Lliga per a la Investigació i Prevenció del Càncer, Reus, Tarragona, Spain. University of Borås, Borås, Västra Götaland, Suecia. Servicio de Cardiología, Hospital Universitari Joan XXIII, Tarragona, Spain.

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Quote

Azeli Y, Barbería E, Jiménez-Herrera M, Ameijide A, Axelsson C, Bardají A. Serious injuries secondary to cardiopulmonary resuscitation: incidence and associated factors. Emergencias. 2019;31:327-34

Summary

Objective.

To determine the incidence of serious rib cage damage (SRD) and serious visceral damage (SVD) secondary to cardiopulmonary resuscitation (CPR) and to explore associated factors.

Methods.

We analyzed data from the prospective registry of cases of sudden death in Tarragona, Spain (the ReCaPTa study). Cases were collected from multiple surveillance sources. In this study we included the cases of autopsied nonsurvivors after attempted manual CPR between April 2014 and May 2016. A specific protocol to detect injuries

secondary to CPR was used during the autopsies.

Results.

We analyzed 109 cases. The mean age at death was 63 years and 32.1% were women. SRD were found in 63.3% and SVD in 14.7%. The group with SRD were significantly older (63 vs 59 years, P=.031) and included higher percentages of persons with a chest circumference over 101 cm (56.5 vs 30%, P=.016) and a waist circumference

over 100 cm (62.3 vs 37.5%, P=.017). A multivariable analysis confirmed chest circumference over 101 cm as the only risk factor for SRD (odds ratio [OR], 2.45; 95% CI, 1.03–5.84) and female sex as the only risk factor for SVD (OR, 5.02; 95% CI, 1.18–21.25).

Conclusion. Women and any patient with a chest circumference greater than 101 cm are at greater risk for serious injuries related to CPR.

 

More articles by the authors

Ameijide A, Axelsson C, Azeli Y, Barbería E, Bardají A, Jiménez-Herrera M

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