ArticleScandinavian journal of trauma, resuscitation and emergency medicine2017
Investigation of complications secondary to chest compressions before and after the 2010 cardiopulmonary resuscitation guideline changes by using multi-detector computed tomography: a retrospective study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- 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 · 2024Pooled it
- Post-cardiopulmonary resuscitation trauma: retrospective analysis of skeletal and visceral injuries in autopsy findings.Forensic science, medicine, and pathology · 2025Article
- Rib fractures after chest compressions for cardiac arrest: retrospective analysis of the AfterROSC1 and AfterROSC2 multicenter databases.Resuscitation plus · 2025Article
- Incidence and impact of involuntary rib fracture after intercostal spreading for thoracotomy.Updates in surgery · 2024Article
- Analgesic Use in Patients during Cardio-Pulmonary Resuscitation.International journal of environmental research and public health · 2023Review
- Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary Resuscitation.Emergency medicine international · 2023Article
- Association of multiple rib fractures with the frequency of pneumonia in the post-resuscitation period.Resuscitation plus · 2022Article
- Iatrogenic rib fractures and the associated risks of mortality.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Computed-Tomography as First-line Diagnostic Procedure in Patients With Out-of-Hospital Cardiac Arrest.Frontiers in cardiovascular medicine · 2022Article
- Retention of Cardiopulmonary Resuscitation Skills in Medical Students.Arquivos brasileiros de cardiologia · 2021Observational
- A life-saving case of cardiopulmonary arrest with cardiac tamponade caused by erosion 6 years after percutaneous atrial septal defect closure: a case report.Journal of cardiothoracic surgery · 2021Article
- Observational
- Observational
- Retrospective Study Using Computed Tomography to Compare Sufficient Chest Compression Depth for Cardiopulmonary Resuscitation in Obese Patients.Journal of the American Heart Association · 2019Article
- Quantitative CT assessment of lung injury after successful cardiopulmonary resuscitation in a porcine cardiac arrest model of different downtimes.Quantitative imaging in medicine and surgery · 2018Article
- Comparison of Heart Proportions Compressed by Chest Compressions Between Geriatric and Nongeriatric Patients Using Mathematical Methods and Chest Computed Tomography: A Retrospective Study.Annals of geriatric medicine and research · 2018Article
- Intra-Abdominal Hemorrhage following Cardiopulmonary Resuscitation: A Report of Two Cases.Case reports in emergency medicine · 2018Article
- Multiple Systemic Embolization Associated with Chest Compression in a Patient with Cardiac Arrest.Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to identify the relationship between the deeper and faster chest compressions suggested by the 2010 cardiopulmonary resuscitation guidelines and complications arising from chest compressions, using multi-detector computed tomography.
methodsWe performed a retrospective analysis of prospective registry data. This study was conducted with in- and out-of-hospital cardiac arrest patients who underwent successful resuscitation in the emergency departments of two academic tertiary care centres from October 2006 to September 2010 (pre-2010 group) and from October 2011 to September 2015 (post-2010 group). We examined chest injuries related to chest compressions, classified as follows: rib fracture, sternal fracture, and other uncommon complications.
resultsWe enrolled 185 patients in this study. The most frequent complication to occur in both groups was rib fracture: 27 (62.8%) and 112 (78.9%) patients in the pre-2010 and post-2010 groups, respectively (p = 0.03). However, we observed no statistical differences in sternum fracture, the second most common complication (p = 0.80). Retrosternal and mediastinal haematoma were not reported in the pre-2010 group but 13 patients (9.1%) in the post-2010 group were reported to have haematoma (p = 0.04). Nine serious, life-threatening complications occurred, all in the post-2010 group. Among the younger group (less than 65 years old), 8 (38.1%) patients in the pre-2010 group and 40 (64.5%) in the post-2010 group sustained rib fractures. DISCUSSION: The deeper and faster chest compressions for enhancing ROSC are associated with increased occurrence of complications. Additional studies are needed to compensate for the limitations of our study design.
conclusionsThis study found that the 2010 guidelines, recommending deeper and faster chest compressions, led to an increased proportion of rib fractures and retrosternal and mediastinal haematoma.
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