دورية أكاديمية
Study of risk factors for injuries due to cardiopulmonary resuscitation with special focus on the role of the heart: A machine learning analysis of a prospective registry with multiple sources of information (ReCaPTa Study).
العنوان: | Study of risk factors for injuries due to cardiopulmonary resuscitation with special focus on the role of the heart: A machine learning analysis of a prospective registry with multiple sources of information (ReCaPTa Study). |
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المؤلفون: | García-Vilana S; Universitat Politècnica de Catalunya (UPC-EPSEVG), Grup de Recerca Aplicada en Biomecànica de l'Impacte (GRABI), Barcelona, Spain., Kumar V; Environmental Engineering Laboratory, Departament d' Enginyeria Quimica, Universitat Rovira i Virgili (URV), Tarragona, Spain.; Institut d'Investigació Sanitària Pere i Virgili (IISPV), Tarragona. Spain., Kumar S; Environmental Engineering Laboratory, Departament d' Enginyeria Quimica, Universitat Rovira i Virgili (URV), Tarragona, Spain.; Institut d'Investigació Sanitària Pere i Virgili (IISPV), Tarragona. Spain., Barberia E; Institut de Medicina Legal i Ciencies Forenses de Catalunya (IMLCFC), Spain.; Facultat de Ciencies Mèdiques, Universitat Rovira i Virgili (URV), Reus, Spain., Landín I; Institut de Medicina Legal i Ciencies Forenses de Catalunya (IMLCFC), Spain.; Facultat de Ciencies Mèdiques, Universitat Rovira i Virgili (URV), Reus, Spain., Granado-Font E; Centre d'Atenció Primària Horts de Miró (Reus-4), Institut Català de Salut, Reus, Spain.; Unitat de Suport a la Recerca Tarragona-Reus, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Reus, Spain., Solà-Muñoz S; Institut d'Investigació Sanitària Pere i Virgili (IISPV), Tarragona. Spain.; Sistema d'Emergències Mèdiques de Catalunya, Spain., Jiménez-Fàbrega X; Institut d'Investigació Sanitària Pere i Virgili (IISPV), Tarragona. Spain.; Facultat de Ciencies Mèdiques, Universitat de Barcelona, Spain.; Facultat de Ciencies Mèdiques, Universitat de Barcelona, Spain., Bardají A; Facultat de Ciencies Mèdiques, Universitat Rovira i Virgili (URV), Reus, Spain.; Cardiology Department, Joan XXIII, University Hospital, Tarragona, Spain., Hardig BM; Department of Clinical Sciences, Helsingborg, Medical Faculty, Lund University, Sweden., Azeli Y; Institut d'Investigació Sanitària Pere i Virgili (IISPV), Tarragona. Spain.; Sistema d'Emergències Mèdiques de Catalunya, Spain.; Emergency Department, Sant Joan University Hospital, Reus, Spain. |
المصدر: | Resuscitation plus [Resusc Plus] 2024 Feb 01; Vol. 17, pp. 100559. Date of Electronic Publication: 2024 Feb 01 (Print Publication: 2024). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101774410 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-5204 (Electronic) Linking ISSN: 26665204 NLM ISO Abbreviation: Resusc Plus Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: [Amsterdam] : Elsevier B.V., [2020]- |
مستخلص: | Background: The study of thoracic injuries and biomechanics during CPR requires detailed studies that are very scarce. The role of the heart in CPR biomechanics has not been determined. This study aimed to determine the risk factors importance for serious ribcage damage due to CPR. Methods: Data were collected from a prospective registry of out-of-hospital cardiac arrest between April 2014 and April 2017. This study included consecutive out-of-hospital CPR attempts undergoing an autopsy study focused on CPR injuries. Cardiac mass ratio was defined as the ratio of real to expected heart mass. Pearson's correlation coefficient was used to select clinically relevant variables and subsequently classification tree models were built. The Gini index was used to determine the importance of the associated serious ribcage damage factors. The LUCAS® chest compressions device forces and the cardiac mass were analyzed by linear regression. Results: Two hundred CPR attempts were included (133 manual CPR and 67 mechanical CPR). The mean age of the sample was 60.4 ± 13.5, and 56 (28%) were women. In all, 65.0% of the patients presented serious ribcage damage. From the classification tree build with the clinically relevant variables, age (0.44), cardiac mass ratio (0.26), CPR time (0.22), and mechanical CPR (0.07), in that order, were the most influential factors on serious ribcage damage. The chest compression forces were greater in subjects with higher cardiac mass. Conclusions: The heart plays a key role in CPR biomechanics being cardiac mass ratio the second most important risk factor for CPR injuries. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Author(s).) |
References: | Am J Emerg Med. 2017 Dec;35(12):1899-1906. (PMID: 29031479) Am J Emerg Med. 2018 May;36(5):838-842. (PMID: 29310980) Scand J Trauma Resusc Emerg Med. 2016 Apr 22;24:54. (PMID: 27103035) Ultrasound J. 2021 Dec 2;13(1):46. (PMID: 34855015) Circulation. 2020 Mar 17;141(11):877-886. (PMID: 31896278) Resuscitation. 2015 Mar;88:86-91. (PMID: 25576982) Lancet. 2020 Dec 5;396(10265):1807-1816. (PMID: 33197396) Circulation. 2014 Nov 25;130(22):1962-70. (PMID: 25252721) JAMA. 1960 Jul 9;173:1064-7. (PMID: 14411374) Emergencias. 2019 Oct;31(5):327-334. (PMID: 31625304) Int J Numer Method Biomed Eng. 2023 Jul;39(7):e3718. (PMID: 37166223) Resuscitation. 2018 Jul;128:70-75. (PMID: 29698751) Resusc Plus. 2022 Sep 15;11:100285. (PMID: 36164473) Emerg Med J. 2013 Aug;30(8):615-9. (PMID: 22833601) Resuscitation. 2021 Apr;161:98-114. (PMID: 33773835) Heart Lung Circ. 2018 Dec;27(12):1489-1497. (PMID: 29056259) Int J Numer Method Biomed Eng. 2022 Apr;38(4):e3585. (PMID: 35188706) Front Physiol. 2019 Dec 03;10:1475. (PMID: 31849717) Am J Emerg Med. 2013 Mar;31(3):549-55. (PMID: 23380086) Eur Heart J. 2017 Oct 21;38(40):3006-3013. (PMID: 29088439) Resusc Plus. 2022 Sep 15;11:100296. (PMID: 36164472) Crit Care. 2021 May 25;25(1):176. (PMID: 34034775) Resuscitation. 2022 Feb;171:90-95. (PMID: 34995685) Prehosp Emerg Care. 2017 Mar-Apr;21(2):272-280. (PMID: 27918847) Resuscitation. 2015 Aug;93:136-41. (PMID: 25771500) Acad Emerg Med. 2009 Oct;16(10):928-33. (PMID: 19732038) J Med Syst. 2017 Feb;41(2):20. (PMID: 27987159) JAMA Cardiol. 2019 Sep 1;4(9):900-908. (PMID: 31411632) Resuscitation. 2021 Dec;169:124-135. (PMID: 34699924) Int J Legal Med. 2014 Jul;128(4):615-20. (PMID: 24414936) Resuscitation. 2020 Aug;153:149-153. (PMID: 32526250) Resuscitation. 2013 Jun;84(6):760-5. (PMID: 23474390) J Emerg Med. 2013 Mar;44(3):691-7. (PMID: 23218197) Resuscitation. 2006 Jan;68(1):161-2. (PMID: 16297523) Resuscitation. 2019 May;138:8-14. (PMID: 30825552) Resusc Plus. 2022 May 11;10:100242. (PMID: 35592875) Scand J Trauma Resusc Emerg Med. 2016 Oct 19;24(1):127. (PMID: 27756343) Chest. 1987 Aug;92(2):287-91. (PMID: 3608599) |
فهرسة مساهمة: | Keywords: Biomechanics; Cardiac arrest; Cardiopulmonary resuscitation; Heart; Thoracic injuries |
تواريخ الأحداث: | Date Created: 20240408 Latest Revision: 20240409 |
رمز التحديث: | 20240409 |
مُعرف محوري في PubMed: | PMC10995644 |
DOI: | 10.1016/j.resplu.2024.100559 |
PMID: | 38586866 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2666-5204 |
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DOI: | 10.1016/j.resplu.2024.100559 |