Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival

Aim To determine compression force variation (CFV) during mechanical cardiopulmonary resuscitation (CPR) and its relationship with CPR-related injuries and survival. Methods Adult non-traumatic OHCA patients who had been treated with mechanical CPR were evaluated for CPR-related injuries using chest...

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Autores: Azeli, Youcef, Barbería, Eneko, Fernandez, Alberto, García Vilana, Silvia|||0000-0002-8659-1985, Bardají, Alfredo, Madsen Hardig, Bjarne
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/380776
Acceso en línea:https://hdl.handle.net/2117/380776
https://dx.doi.org/10.1016/j.resplu.2022.100242
Access Level:acceso abierto
Palabra clave:CPR (First aid)
Sudden death
Cardiopulmonary resuscitation
Thoracic injuries
Out-of-hospital cardiac arrest
Reanimació cardiopulmonar
Mort sobtada
Àrees temàtiques de la UPC::Enginyeria biomèdica
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spelling Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survivalAzeli, YoucefBarbería, EnekoFernandez, AlbertoGarcía Vilana, Silvia|||0000-0002-8659-1985Bardají, AlfredoMadsen Hardig, BjarneCPR (First aid)Sudden deathCardiopulmonary resuscitationThoracic injuriesOut-of-hospital cardiac arrestSudden deathReanimació cardiopulmonarMort sobtadaÀrees temàtiques de la UPC::Enginyeria biomèdicaAim To determine compression force variation (CFV) during mechanical cardiopulmonary resuscitation (CPR) and its relationship with CPR-related injuries and survival. Methods Adult non-traumatic OHCA patients who had been treated with mechanical CPR were evaluated for CPR-related injuries using chest X-rays, thoracic computed tomography or autopsy. The CFV exerted by the LUCAS 2 device was calculated as the difference between the maximum and the minimum force values and was categorised into three different groups (high positive CFV = 95 newton (N), high negative CFV = -95 N, and low variation for intermediate CFV). The CFV was correlated with the CPR injuries findings and survival data. Results Fifty-two patients were included. The median (IQR) age was 57 (49–66) years, and 13 (25%) cases survived until hospital admission. High positive CFV was found in 21 (40.4%) patients, high negative CFV in 9 (17.3%) and a low CFV in 22 (42.3%). The median (IQR) number of rib fractures was higher in the high positive and negative CFV groups compared with the low CFV group [7(1–9) and 9 (4–11) vs 0 (0–6) (p = 0.021)]. More bilateral fracture cases were found in the high positive and negative CFV groups [16 (76.2%) and 6 (66.7%) vs 6 (27.3%) (p = 0.004)]. In the younger half of the sample more patients survived until hospital admission in the low CFV group compared with the high CFV groups [5 (41.7%) vs 1 (7.1%) (p = 0.037)]. Conclusions High CFV was associated with ribcage injuries. In the younger patients low CFV was associated with survival until hospital admission.Peer ReviewedElsevier20222022-06-0120232023-01-19journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/2117/380776https://dx.doi.org/10.1016/j.resplu.2022.100242reponame:UPCommons. Portal del coneixement obert de la UPCinstname:Universitat Politècnica de Catalunya (UPC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:upcommons.upc.edu:2117/3807762026-05-27T15:37:01Z
dc.title.none.fl_str_mv Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival
title Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival
spellingShingle Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival
Azeli, Youcef
CPR (First aid)
Sudden death
Cardiopulmonary resuscitation
Thoracic injuries
Out-of-hospital cardiac arrest
Sudden death
Reanimació cardiopulmonar
Mort sobtada
Àrees temàtiques de la UPC::Enginyeria biomèdica
title_short Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival
title_full Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival
title_fullStr Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival
title_full_unstemmed Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival
title_sort Chest wall mechanics during mechanical chest compression and its relationship to CPR-related injuries and survival
dc.creator.none.fl_str_mv Azeli, Youcef
Barbería, Eneko
Fernandez, Alberto
García Vilana, Silvia|||0000-0002-8659-1985
Bardají, Alfredo
Madsen Hardig, Bjarne
author Azeli, Youcef
author_facet Azeli, Youcef
Barbería, Eneko
Fernandez, Alberto
García Vilana, Silvia|||0000-0002-8659-1985
Bardají, Alfredo
Madsen Hardig, Bjarne
author_role author
author2 Barbería, Eneko
Fernandez, Alberto
García Vilana, Silvia|||0000-0002-8659-1985
Bardají, Alfredo
Madsen Hardig, Bjarne
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv CPR (First aid)
Sudden death
Cardiopulmonary resuscitation
Thoracic injuries
Out-of-hospital cardiac arrest
Sudden death
Reanimació cardiopulmonar
Mort sobtada
Àrees temàtiques de la UPC::Enginyeria biomèdica
topic CPR (First aid)
Sudden death
Cardiopulmonary resuscitation
Thoracic injuries
Out-of-hospital cardiac arrest
Sudden death
Reanimació cardiopulmonar
Mort sobtada
Àrees temàtiques de la UPC::Enginyeria biomèdica
description Aim To determine compression force variation (CFV) during mechanical cardiopulmonary resuscitation (CPR) and its relationship with CPR-related injuries and survival. Methods Adult non-traumatic OHCA patients who had been treated with mechanical CPR were evaluated for CPR-related injuries using chest X-rays, thoracic computed tomography or autopsy. The CFV exerted by the LUCAS 2 device was calculated as the difference between the maximum and the minimum force values and was categorised into three different groups (high positive CFV = 95 newton (N), high negative CFV = -95 N, and low variation for intermediate CFV). The CFV was correlated with the CPR injuries findings and survival data. Results Fifty-two patients were included. The median (IQR) age was 57 (49–66) years, and 13 (25%) cases survived until hospital admission. High positive CFV was found in 21 (40.4%) patients, high negative CFV in 9 (17.3%) and a low CFV in 22 (42.3%). The median (IQR) number of rib fractures was higher in the high positive and negative CFV groups compared with the low CFV group [7(1–9) and 9 (4–11) vs 0 (0–6) (p = 0.021)]. More bilateral fracture cases were found in the high positive and negative CFV groups [16 (76.2%) and 6 (66.7%) vs 6 (27.3%) (p = 0.004)]. In the younger half of the sample more patients survived until hospital admission in the low CFV group compared with the high CFV groups [5 (41.7%) vs 1 (7.1%) (p = 0.037)]. Conclusions High CFV was associated with ribcage injuries. In the younger patients low CFV was associated with survival until hospital admission.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-06-01
2023
2023-01-19
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2117/380776
https://dx.doi.org/10.1016/j.resplu.2022.100242
url https://hdl.handle.net/2117/380776
https://dx.doi.org/10.1016/j.resplu.2022.100242
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:UPCommons. Portal del coneixement obert de la UPC
instname:Universitat Politècnica de Catalunya (UPC)
instname_str Universitat Politècnica de Catalunya (UPC)
reponame_str UPCommons. Portal del coneixement obert de la UPC
collection UPCommons. Portal del coneixement obert de la UPC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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