SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024
Rib fractures and other injuries after cardiopulmonary resuscitation for non-traumatic cardiac arrest: a systematic review and meta-analysis.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Pneumoperitoneum Following Cardiopulmonary Resuscitation in a Dog.Animals : an open access journal from MDPI · 2026Article
- Injury Patterns in Resuscitated Non-Traumatic Cardiac Arrest Patients-A Comparative CT Analysis Between Automated Chest Compression Devices.Diagnostics (Basel, Switzerland) · 2026Article
- Assessing Pediatric CPR Practices in the Prehospital Setting: EMS Clinician Experience, Perceptions, and Resource Utilization.Pediatric emergency care · 2026Article
- Cardiopulmonary resuscitation-related renal vein and multivisceral organ injuries: a rare forensic autopsy case.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Hemodynamics of active abdominal compression decompression CPR in a rat model of multiple rib fractures with asphyxial cardiac arrest.Scientific reports · 2025Article
- [Extracorporeal cardiopulmonary resuscitation in postpartum pulmonary embolism].Die Anaesthesiologie · 2025Article
- Rib fractures after chest compressions for cardiac arrest: retrospective analysis of the AfterROSC1 and AfterROSC2 multicenter databases.Resuscitation plus · 2025Article
- Thoracic Fracture Adjacent to Spinal Fusion Following Cardiopulmonary Resuscitation: A Case Report.Cureus · 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
- Article
- Application of the Nuss procedure for flail chest following cardiopulmonary resuscitation: a case report.AME case reports · 2025Article
- When life-saving measures lead to trauma: Subcapsular hepatic hematoma after CPR.Radiology case reports · 2025Article
- Thoracic spinal cord injury following cardiopulmonary resuscitation. A case report.Acta neurologica Belgica · 2024Article
- Does delivering chest compressions to patients who are not in cardiac arrest cause unintentional injury? A systematic review.Resuscitation plus · 2024Review
- Finite Element Analysis of a Rib Cage Model: Influence of Four Variables on Fatigue Life during Simulated Manual CPR.Bioengineering (Basel, Switzerland) · 2024Article
- Regional analgesia for chest wall injuries related to cardiopulmonary resuscitation: retrospective service evaluation and injury pattern mapping.Anaesthesia reportsArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aims to ascertain the prevalence of rib fractures and other injuries resulting from CPR and to compare manual with mechanically assisted CPR. An additional aim was to summarize the literature on surgical treatment for rib fractures following CPR.
designSystematic review and meta-analysis. DATA SOURCES: Embase, Medline Ovid, Cochrane Central, Web of Science, and Google Scholar. REVIEW
methodsThe databases were searched to identify studies reporting on CPR-related injuries in patients who underwent chest compressions for a non-traumatic cardiopulmonary arrest. Subgroup analysis was conducted to compare the prevalence of CPR-related injuries in manual versus mechanically assisted chest compressions. Studies reporting on surgery for CPR-related rib fractures were also reviewed and summarized.
resultsSeventy-four studies reporting CPR-related injuries were included encompassing a total of 16,629 patients. Any CPR-related injury was documented in 60% (95% confidence interval [95% CI] 49-71) patients. Rib fractures emerged as the most common injury, with a pooled prevalence of 55% (95% CI 48-62). Mechanically assisted CPR, when compared to manual CPR, was associated with a higher risk ratio for CPR-related injuries of 1.36 (95% CI 1.17-1.59). Eight studies provided information on surgical stabilization of CPR-related rib fractures. The primary indication for surgery was the inability to wean from mechanical ventilation in the presence of multiple rib fractures.
conclusionRib fractures and other injuries frequently occur in patients who undergo CPR after a non-traumatic cardiopulmonary arrest, especially when mechanical CPR is administered. Surgical stabilization of CPR-related rib fractures remains relatively uncommon. LEVEL OF EVIDENCE: Level III, systematic review and meta-analysis.
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