Author/Editor		Kralj, Eduard; Balažic, Jože; Podbregar, Matej
Title		Kardiopulmonalno oživljanje in pogostost poškodb prsnega koša v odvisnosti od spola in starosti
Translated title		Cardiopulmonary resuscitation and influence of gender and age on frequency of skeletal chest injuries
Type		članek
Source		In: Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 13. mednarodni simpozij o urgentni medicini; 2006 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2006
Volume		str. 260-2
Language		slo
Abstract		INTRODUCTION: External cardiac massage (ECM), together with expired air ventilation and defibrillation, made survival from cardiac arrest a real possibility. ECM is a traumatic procedure with potential for harm as well as benefit. Frequency of skeletal chest injury in Slovenian population is unknown; also we would like to explore influence of sex and age on skeletal chest injury. METHODS: Skeletal chest injuries were analyzed retrospectively. Autopsy reports of non-survivors of non-traumatic cardiac arrest older then 18y were reviewed. In all cardiopulmonary resuscitation was attempted. All autopsies have been performed at Institute for Forensic medicine in Ljubljana to the year 2005. RESULTS: Autopsies were performed in 145 men and 69 women. Men were younger compared to women (6 3± 15 ys vs. 73 ± 15ys, p<0.001). Autopsies revealed skeletal chest injuries in 80% of cases: rib fractures were found in 76% and sternal fractures in 52% of cases. Isolated sternal (ractures were found in 5% of cases. Number of rib and sternal fractures were higher in women (8.2 ± 4.9 vs. 6.0 ± 4.5, p=0.009). There were no significant difference in number of left ribs fractures between men and women (3.3 ± 2.5 vs. 3.8 ± 2.5, p=0.11), but right ribs and sternal fractures were more frequent in women (3.6 ± 2.4 vs. 2.7 ± 2.4, p=0.007; 0.77 ± 0.55 vs. 0.46 ± 0.57, p<0.001, respectively). In young adults (19-34 yr) fractures of ribs were less frequent compared to older then 65yrs (10% vs. 84%, p<0.001). Age correlated with number of rib and sternal fractures (R=0.380, p<0.001). CONCLUSIONS: Skeletal chest injuries secondary to cardiopulmonary resuscitation are very frequent. Number of fractures is higher in women and it is related to age. Further prospective studies are desirable to assess the influence of new European Resuscitation Council Guidelines for Resuscitation 2005 on skeletal chest injury rate and other complications.
Descriptors		CARDIOPULMONARY RESUSCITATION HEART MASSAGE RESPIRATION, ARTIFICIAL THORACIC INJURIES RIB FRACTURES AUTOPSY SEX FACTORS AGE FACTORS STERNUM