지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학위논문
- 저자정보
- 지도교수
- 장태창
- 발행연도
- 2016
- 저작권
- 대구가톨릭대학교 논문은 저작권에 의해 보호받습니다.
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Purpose: Rib and sternal fractures are common complications of chest compressions during cardiopulmonary resuscitation(CPR). This study aimed to investigate skeletal chest injuries following chest compressions and factors associated with skeletal chest injuries.
Methods: A retropective study was conducted for 10 years from January 2005 to February 2015. We analysed skeletal chest injuries in patients who undertaken computerized tomography(CT) after return of spontaneous circulation(ROSC). The exclusion criteria were insufficient medical records, under 18 years old, traumatic cardiac arrest, and out-of-hospital cardiac arrest patients.
Results: During the period 106 patients have included. The CT scan after ROSC revealed 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 have 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 study, 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) were significant associated with rib fracture.
Conclusion: Rib and sternal fractures are frequent complications in patients who underwent CPR. We considered that in hospital cardiac arrest patient who had older age, longer CPR time, and sternal fracture needed more precaution of rib fractures and other skeletal chest injuries.
Keywords: Rib fractures, sternal fractures, Cardiopulmonary resuscitation, Cardiac arrest
Methods: A retropective study was conducted for 10 years from January 2005 to February 2015. We analysed skeletal chest injuries in patients who undertaken computerized tomography(CT) after return of spontaneous circulation(ROSC). The exclusion criteria were insufficient medical records, under 18 years old, traumatic cardiac arrest, and out-of-hospital cardiac arrest patients.
Results: During the period 106 patients have included. The CT scan after ROSC revealed 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 have 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 study, 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) were significant associated with rib fracture.
Conclusion: Rib and sternal fractures are frequent complications in patients who underwent CPR. We considered that in hospital cardiac arrest patient who had older age, longer CPR time, and sternal fracture needed more precaution of rib fractures and other skeletal chest injuries.
Keywords: Rib fractures, sternal fractures, Cardiopulmonary resuscitation, Cardiac arrest
목차
Ⅰ. 서 론 1Ⅱ. 대상과 방법 3Ⅲ. 결 과 5Ⅳ. 고 찰 7Ⅴ. 결 론 11TABLE 12FIGURE 15참고문헌 20
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