دورية أكاديمية
أعرض في EDS

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).

التفاصيل البيبلوغرافية
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).
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).)
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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
الوصف
تدمد:2666-5204
DOI:10.1016/j.resplu.2024.100559