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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Purpose: Rib and sternal fractures are common complications of chest compressions during cardiopulmonary resuscitation (CPR). The aim of this study is to investigate skeletal chest injuries following chest compressions and factors associated with skeletal chest injuries. Methods: A retrospective study was conducted for 10 years from January 2005 to February 2015. Skeletal chest injuries in patients who underwent computerized tomography (CT) after return of spontaneous circulation (ROSC) were analyzed. The exclusion criteria were patients with insufficient medical records, under 18 years old, traumatic cardiac arrest, and out-of-hospital cardiac arrest. Results: During the period 106 patients were included. The CT scan after ROSC showed that 47 patients (44.3%) had rib fractures, and 20 patients (18.9%) had sternal fractures. The rib fracture group showed higher age (73 vs 61, p<0.001), longer CPR time (10 vs 6 min, p<0.001), and higher incidence of sternal fracture (34% vs 6.8%, p<0.001). The sternal fracture group showed longer CPR time (10 vs 7, p<0.05) and higher incidence of rib fractures (80% vs 4.7%, p<0.001). In multivariate logistic regression analysis, age (OR 1.087; 95% CI 1.041 to 1.134, p<0.001), CPR time (OR 1.200; 95% CI 1.087 to 1.323, p<0.001), and sternal fracture (OR 4.524; 95% CI 1.259 to 16.697, p=0.021) showed significant association with rib fracture. Conclusion: Rib and sternal fractures are frequent complications in patients who underwent CPR. In hospital cardiac arrest patients with older age, longer CPR time, and sternal fracture needed more precaution for rib fractures and other complications.
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참고문헌 (17)
참고문헌 신청
Kouwenhoven WB / 1960 / Closedchest cardiac massage / JAMA 173:1064~1067
Berg RA / 2010 / Part 5: Adult basic life support:2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care / Circulation 122:S685~S705
Koster R / 2010 / European Resuscitation Council Guidelines for Resuscitation 2010 Section 2. Adult basic life support and use of automated external defibrillators / Resuscitation 81:1277~1292
Hoke RS / 2004 / Skeletal chest injuries secondary to cardiopulmonary resuscitation / Resuscitation 63:327~338
Kashiwagi Y / 2015 / Computed tomography findings of complications resulting from cardiopulmonary resuscitation / Resuscitation 88:86~91
Berg RA / 2010 / Part 5: Adult basic life support:2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care / Circulation 122:S685~S705
Koster R / 2010 / European Resuscitation Council Guidelines for Resuscitation 2010 Section 2. Adult basic life support and use of automated external defibrillators / Resuscitation 81:1277~1292
Hoke RS / 2004 / Skeletal chest injuries secondary to cardiopulmonary resuscitation / Resuscitation 63:327~338
Kashiwagi Y / 2015 / Computed tomography findings of complications resulting from cardiopulmonary resuscitation / Resuscitation 88:86~91
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