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The Association between Cardiopulmonary Resuscitation in Out-of-Hospital Settings and Chest Injuries: A Retrospective Observational Study

Published online by Cambridge University Press:  08 March 2018

Wataru Takayama ,
Hazuki Koguchi ,
Akira Endo  and
Yasuhiro Otomo
Wataru Takayama*
Affiliation:
Trauma and Acute Critical Care Medical Center, Tokyo Medical and Dental University Hospital of Medicine, Tokyo, Japan The Shock Trauma and Emergency Medical Center, Matsudo City Hospital, Matsudo City, Chiba Prefecture, Japan
Hazuki Koguchi
Affiliation:
The Shock Trauma and Emergency Medical Center, Matsudo City Hospital, Matsudo City, Chiba Prefecture, Japan
Akira Endo
Affiliation:
Trauma and Acute Critical Care Medical Center, Tokyo Medical and Dental University Hospital of Medicine, Tokyo, Japan
Yasuhiro Otomo
Affiliation:
Trauma and Acute Critical Care Medical Center, Tokyo Medical and Dental University Hospital of Medicine, Tokyo, Japan
*
Correspondence: Wataru Takayama, MD Tokyo Medical and Dental University 1-5-45, Yushima, Bunkyo-ku Tokyo 113-0034, Japan E-mail: tak2accm@tmd.ac.jp
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Abstract

Objectives

The aim of this study was to assess the risk of cardiopulmonary resuscitation (CPR) performed in out-of-hospital settings for chest injuries in patients with out-of-hospital cardiac arrest (OHCA).

Methods

This retrospective, observational study was conducted in an emergency critical care medical center in Japan. Non-traumatic OHCA patients transferred to the hospital from April 2013 through August 2016 were analyzed. The outcome was defined by chest injuries related to CPR, which is composite of rib fractures, sternal fractures, and pneumothoraces. A multivariate logistic regression analysis was performed to assess the independent risk factors for chest injuries related to CPR. The threshold of out-of-hospital CPR duration that increased risk of chest injuries was also assessed.

Results

A total of 472 patients were identified, of whom 233 patients sustained chest injuries. The multivariate logistic regression model showed that the independent risk factors for chest injuries were age and out-of-hospital CPR duration (age: AOR=1.06 [95% CI, 1.04 to 1.07]; out-of-hospital CPR duration: AOR=1.03 [95% CI, 1.01 to 1.05]). In-hospital CPR duration was not an independent risk factor for chest injuries. When the duration of out-of-hospital CPR extended over 15 minutes, the likelihood of chest injuries increased; however, this association was not statistically significant.

Conclusions

Long duration of out-of-hospital CPR was an independent risk factor for chest injuries, possibly due to the difficulty of maintaining adequate quality of CPR. Further investigations to assess the efficacy of alternative CPR devices are expected in cases requiring long transportation times.

TakayamaW, KoguchiH, EndoA, OtomoY. The Association between Cardiopulmonary Resuscitation in Out-of-Hospital Settings and Chest Injuries: A Retrospective Observational Study. Prehosp Disaster Med. 2018;33(2):171–175.

Keywords

cardiopulmonary resuscitationchest compressionschest injuryout-of-hospital cardiac arrest
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 33 , Issue 2 , April 2018 , pp. 171 - 175
Copyright
© World Association for Disaster and Emergency Medicine 2018 

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Footnotes

Conflicts of interest/funding: none

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