Aging is only significant factor causing CPR-induced injuries and serious injuries |
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| Affiliation: | 1. Department of Legal Medicine, Shiga University of Medical Science, Tsukinowa, Seta, Otsu, Shiga 520-2192, Japan;2. Center for Integrated Medical Research, Keio University School of Medicine, 35 Shinanomachi, Shinjukuku, Tokyo 160-8582, Japan;1. Key Laboratory of Molecular Cytogenetics and Genetic Breeding of Heilongjiang Province, College of Life Science and Technology, Harbin Normal University, Harbin 150025, Heilongjiang, PR China;2. State Key Laboratory of Genetic Engineering and Ministry of Education Key Laboratory of Contemporary Anthropology, Collaborative Innovation Center for Genetics and Development, School of Life Sciences, Fudan University, Shanghai, 200433, PR China;3. Health GeneTech, Ningbo 315000, PR China;4. Department of Radiology, First Affiliated Hospital, Medical College of Shantou University, Shantou 515041, PR China;5. Criminal Justice College of China University of Political Science and Law, Beijing 100088, PR China;6. Department of Anthropology and Ethnology, Institute of Anthropology, National Institute for Data Science in Health and Medicine, and School of Life Sciences, Xiamen University, Xiamen 361005, PR China;1. Department of General Dentistry, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China;2. Department of Orthodontics, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China;3. Department of Oral Radiology, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China;4. National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, China;1. Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Italy;2. Department of Molecular Medicine, University of Padova, Italy;3. Department of Medicine and Surgery, University of Parma, Italy;1. Department of Forensic Medicine, University Hospital Ostrava, 17.listopadu 1790, Ostrava 70852, Czech Republic;2. Department of Intensive Medicine and Forensic Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 703 00, Czech Republic;3. Department of Forensic Medicine, University Hospital Hradec Králové, Sokolská 581, Hradec Králové 500 05, Czech Republic;4. Department of Surgical Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava 703 00, Czech Republic;5. Department of Surgery, University Hospital Ostrava, 17.listopadu 1790, Ostrava 70852, Czech Republic;6. Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava, 703 00, Czech Republic |
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| Abstract: | BackgroundCardiopulmonary resuscitation (CPR) sometime cause severe injuries and can affect quality of life, lead to long-term disabilities or death of the patient. The aim of this study is to identify the risk factors causing CPR-induced injuries and those of serious injuries.MethodsThis was a retrospective forensic autopsy study in a single institution. Among 885 forensic autopsies undertaken between 2011 and 2018, those in which the victim had undergone CPR immediately after cardiac arrest were recorded. ‘Serious injuries’ were defined as an Abbreviated Injury Scale (AIS) score ≥ 3. CPR-induced injuries were evaluated by three experienced forensic pathologists. With the background and history of the patient, the circumstances of cardiac arrest and risks of causing CPR-induced injuries were determined by multivariate analyses.ResultsSeventy-five victims comprised the study cohort. CPR-induced injuries were found in 52 victims (69.3%). Rib fracture was the most common (60.0%), followed by sternal fracture (37.3%), heart injury (21.3%) and liver injury (8.0%). Multivariate analysis revealed higher age to be an independent factor causing CPR-induced injuries (odds ratio [OR], 1.07, P < 0.001). Thirty-six victims had 39 serious injuries in the chest or abdomen: fracture of ≥ 3 ribs (35 cases), aortic dissection (two), lung contusion (one) and rupture of the heart (one). Multivariate analysis revealed higher age to be an independent factor causing CPR-induced serious injuries (OR, 1.09; P < 0.001).ConclusionAging was the significant factor causing CPR-induced injuries and serious injuries. |
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| Keywords: | CPR-induced injury Abbreviated injury scale score Serious injury Visceral injury Autopsy |
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