ArticleForensic science, medicine, and pathology2018
Chest compression-associated injuries in cardiac arrest patients treated with manual chest compressions versus automated chest compression devices (LUCAS II) - a forensic autopsy-based comparison.
Article in Forensic science, medicine, and pathology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
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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.
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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.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Pooled it
- 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
- [The Cardiac Arrest Receiving Team based on the Freiburg model : Structuring of postresuscitation care following nontraumatic, out-of-hospital cardiac arrest in an interdisciplinary team].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Review
- Article
- Management of Hypothermic Cardiac Arrest with Hemoperitoneum from LUCAS Device: A Case Report.The American journal of case reports · 2025Article
- CT imaging in post-resuscitation care of non-traumatic resuscitation room patients in German hospitals.BMC emergency medicine · 2025Article
- Rare Complication of Cardiopulmonary Resuscitation-Liver Injury.Medicina (Kaunas, Lithuania) · 2024Observational
- Massive Pericardial Bleeding Following Cardiopulmonary Resuscitation and Percutaneous Coronary Intervention: A Case Report and Review of Literature.Acta Cardiologica Sinica · 2024Article
- Acute Lung Injury after Cardiopulmonary Resuscitation: A Narrative Review.Journal of clinical medicine · 2024Review
- Continuous chest compressions are associated with higher peak inspiratory pressures when compared to 30:2 in an experimental cardiac arrest model.Intensive care medicine experimental · 2023Article
- Essence of postmortem computed tomography for in-hospital deaths: what clinical radiologists should know.Japanese journal of radiology · 2023Review
- Injuries associated with mechanical chest compressions and active decompressions after out-of-hospital cardiac arrest: A subgroup analysis of non-survivors from a randomized study.Resuscitation plus · 2023Article
- Ventilation during continuous compressions or at 30:2 compression-to-ventilation ratio results in similar arterial oxygen and carbon dioxide levels in an experimental model of prolonged cardiac arrest.Intensive care medicine experimental · 2023Article
- Advanced and Invasive Cardiopulmonary Resuscitation (CPR) Techniques as an Adjunct to Advanced Cardiac Life Support.Journal of clinical medicine · 2022Review
- Chest Compression-Related Flail Chest Is Associated with Prolonged Ventilator Weaning in Cardiac Arrest Survivors.Journal of clinical medicine · 2022Article
- Outcomes of patients with refractory out-of-hospital cardiac arrest transported to an ECMO centre compared with transport to non-ECMO centres.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2022Article
- Subacute Aortic Rupture Due to Mechanical Chest Compression with Indwelling Impella.The Thoracic and cardiovascular surgeon reports · 2022Article
- Effects of rewarming with extracorporeal membrane oxygenation to restore oxygen transport and organ blood flow after hypothermic cardiac arrest in a porcine model.Scientific reports · 2021Article
- Factors Associated With Rebound Hyperthermia After Targeted Temperature Management in Out-of-Hospital Cardiac Arrest Patients: An Explorative Substudy of the Time-Differentiated Therapeutic Hypothermia in Out-of-Hospital Cardiac Arrest Survivors Trial.Critical care explorations · 2021Article
- Standardized post-resuscitation damage assessment of two mechanical chest compression devices: a prospective randomized large animal trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this autopsy study was to investigate chest-compression associated injuries to the trunk in out-of-hospital and in-hospital non-traumatic cardiac arrest patients treated with automated external chest compression devices (ACCD; all with LUCAS II devices) versus exclusive manual chest compressions (mCC). In this retrospective single-center study, all forensic autopsies between 2011 and 2017 were included. Injuries following cardiopulmonary resuscitation (CPR) in patients treated with mCC or ACCD were investigated and statistically compared using a bivariate logistic regression. In the seven-year period with 4433 autopsies, 614 were analyzed following CPR (mCC vs. ACCD: n = 501 vs. n = 113). The presence of any type of trunk injury was correlated with longer resuscitation intervals (30 ± 15 vs. 44 ± 25 min, p < 0.05). In comparison with mCC, treatment with ACCD led to more frequent skin emphysema (5 vs 0%, p = 0.012), pneumothorax (6 vs. 1%, p = 0.008), lung lesions (19 vs. 4%, p = 0.008), hemopericardium (3 vs 1%, p = 0.025) and liver lesions (10 vs. 1%, p = 0.001), all irrespective of confounding aspects. Higher age and longer CPR durations statistically influenced frequency of sternal and rib fractures (p < 0.001). The mean number of fractured ribs did not vary significantly between the groups (6 ± 3 vs. 7 ± 2, p = 0.09). In this cohort with unsuccessful CPR, chest compression-related injuries were more frequent following ACCD application than in the mCC group, but with only minutely increased odds ratios. The severity of injuries did not differ between the groups, and no iatrogenic injury was declared by the forensic pathologist as being fatal. In the clinical routine after successful return of spontaneous circulation a computed tomography scan for CPR-associated injuries is recommended as soon as possible.
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