Evidence map›Paper›PMID 24525116›Full record

SynthesisResuscitation2014

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries.

Andrew C Miller, Shannon F Rosati, Anthony F Suffredini, David S Schrump

Abstract readCase ReportsSystematic Review
In one paragraph

Synthesis in Resuscitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
14.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Rib fractures and other injuries after cardiopulmonary resuscitation for non-traumatic cardiac arrest: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Mechanical and manual cardiopulmonary resuscitation in traumatic cardiac arrest: a retrospective observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Observational
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Post-resuscitation pneumothorax: retrospective analysis of incidence, risk factors and outcome-relevance.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024
    Observational
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Andrew C MillerCritical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, MD, United States. Electronic address: Andrew.Miller3@nih.gov.
Shannon F RosatiSurgery Branch, Thoracic Oncology Section, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States.
Anthony F SuffrediniCritical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, MD, United States.
David S SchrumpSurgery Branch, Thoracic Oncology Section, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States.
National Institutes of Health · USNational Institutes of Health Clinical Center · US

Funding

TGIB Surgical Consultative ServicesZIDBC011541 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SCHRUMP, DAVID · 2014 to 2018
$12.8M
Intramural NIH HHS Z99 CL999999
6 · The paper itself

Abstract

objectiveThe incidence of thoracic injuries resulting from cardiopulmonary resuscitation (CPR) is not well characterized. We describe a case in which a CPR-associated atrial rupture was identified with ultrasound and successfully managed in the intensive care unit with a bedside thoracotomy and atrial repair. We then describe a systematic review with pooled data analysis of CPR-associated cardiovascular, pulmonary, pleural, and thoracic wall injuries. DATA SOURCES: PubMed, Scopus, EMBASE, and Web of Science were searched to identify relevant published studies. Unpublished studies were identified by searching the Australian and New Zealand Clinical Trials Registry, World Health Organization International Clinical Trials Registry Platform, Cochrane Library, ClinicalTrials.gov, Current Controlled Trials, and Google. STUDY SELECTION: Inclusion criteria for the pooled analysis were any clinical or autopsy study in which (a) patients underwent cardiopulmonary resuscitation, (b) chest compressions were administered either manually or with the assistance of active compression-decompression devices, and (c) autopsy or dedicated imaging assessments were conducted to identify complications. Exclusion criteria for the pooled analysis were pre-clinical studies, case reports and abstracts. DATA EXTRACTION: Nine-hundred twenty-eight potentially relevant references were identified. Twenty-seven references met inclusion criteria. DATA SYNTHESIS: A systematic review of the literature is provided with pooled data analysis.

conclusionsThe incidence of reported CPR-associated cardiovascular and thoracic wall injuries varies widely. CPR with active compression-decompression devices has a higher reported incidence of cardiopulmonary injuries. Bedside ultrasound may be a useful adjunct to assess and risk-stratify patients to identify serious or life-threatening CPR-associated injuries.

Indexed as

AdultCardiopulmonary ResuscitationCardiovascular SystemFemaleHeart AtriaHumansIncidenceThoracic InjuriesAutomated compression devicesCardiac injuryCardiopulmonary resuscitationCPRThoracic injuryVascular injury

Identifiers

PMID24525116
PMCPMC4031922
OpenAlexW2020050083

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.