Observational studyBMC emergency medicine2019
Cardiopulmonary resuscitation (CPR) complications encountered in forensic autopsy cases.
Observational study in BMC emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis 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.
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.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline 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
- Optimal chest compression position for cardiopulmonary resuscitation determined by computed tomography image: retrospective cross-sectional analysis.Scientific reports · 2023Trial
- Article
- Causes of death and types of injuries of avalanche fatalities based on forensic data: a scoping review.Resuscitation plus · 2025Review
- Post-cardiopulmonary resuscitation trauma: retrospective analysis of skeletal and visceral injuries in autopsy findings.Forensic science, medicine, and pathology · 2025Article
- CPR related injuries of the chest wall: direct and indirect fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Comparing sternal versus left-sided chest compressions for thoracoabdonimal injuries and compression biomechanics: A clinical-grade cadaver study.Resuscitation plus · 2025Article
- When life-saving measures lead to trauma: Subcapsular hepatic hematoma after CPR.Radiology case reports · 2025Article
- Finite Element Analysis of a Rib Cage Model: Influence of Four Variables on Fatigue Life during Simulated Manual CPR.Bioengineering (Basel, Switzerland) · 2024Article
- Analgesic Use in Patients during Cardio-Pulmonary Resuscitation.International journal of environmental research and public health · 2023Review
- A Case Report of Acute Cardiac Tamponade Creation in a Macaque: Echo-Guided Catheter Manipulation to Perforate Coronary Artery.Yonago acta medica · 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
- Outcomes after fixation of rib fractures sustained during cardiopulmonary resuscitation: A retrospective single center analysis.Frontiers in surgery · 2023Article
- "Do not resuscitate" order and end-of-life treatment in a cohort of deceased in a Norwegian University Hospital.Acta anaesthesiologica Scandinavica · 2022Observational
- Manual and Mechanical Induced Peri-Resuscitation Injuries-Post-Mortem and Clinical Findings.International journal of environmental research and public health · 2022Article
- Article
- Changes in the incidence of cardiopulmonary resuscitation before and after implementation of the Life-Sustaining Treatment Decisions Act.Acute and critical care · 2022Article
- Critical anterior mediastinal hematoma without internal mammary artery injury caused by cardiopulmonary resuscitation: A case report.Trauma case reports · 2022Article
- Compression depth of 30 mm has similar efficacy and fewer complications versus 50 mm during mechanical chest compression with miniaturized chest compressor in a porcine model of cardiac arrest.Journal of thoracic disease · 2021Article
- Frailty, multimorbidity and in-hospital cardiopulmonary resuscitation: predictable markers of outcome?Clinical medicine (London, England) · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCardiopulmonary resuscitation (CPR) provides a significant increase in survival rate, even if performed by bystanders. However, bystanders may refrain from performing CPR for fear of eventual malpractice litigation. Currently lack Guidelines specifying whether a particular CPR-related complication is in all likelihood unavoidable or not. To fulfill this gap a great number of studies is required to be published in the most relevant leading academic literature. This paper aims at making a contribution to addressing such a challenge.
methodsA retrospective observational study based on forensic autopsy material aiming at recording injuries resulting from the application of CPR. The severity of injuries was forensically evaluated.
resultsOut of 88 cases autopsied, only 26.7% had rib fractures (only 20% of which were located in the 6 lower ribs), 17.4% had sternal fractures (85.7% of which were detected in the body of the sternum and 14.3% in the manubrium). The ratio of sternal fractures to rib fractures is similar to the ratio cited in other studies reported in the literature (2:3, approximately). The number of fractures was 7.86 (4.11 on the right side and 4.75 on the left side). 16% of the cases were found to be mild, 48% were moderate, and 35% of the cases were severe. When a physician was present, a (not statistically significant) trend towards more severe complications was found.
conclusionThe findings are in accordance with other similar studies reported in the literature referring to the classic external CPR. This study offers a proposal aiming at making a contribution to develop Guidelines specifying whether a particular CPR-related complication is in all likelihood unavoidable or not.
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