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Aging is only significant factor causing CPR-induced injuries and serious injuries
Shingo Moriguchi1, Kunio Hamanaka1, Mami Nakamura1
1Department of Legal Medicine, Shiga University of Medical Science, Tsukinowa, Seta, Otsu, Shiga 520-2192, Japan.
Legal Medicine (Tokyo, Japan)
|December 28, 2020
Summary
Higher age increases the risk of serious injuries from cardiopulmonary resuscitation (CPR). This study identified aging as a significant factor in CPR-induced trauma, impacting patient outcomes.
Area of Science:
- Forensic Pathology
- Trauma Analysis
- Medical Research
Background:
- Cardiopulmonary resuscitation (CPR) can lead to severe injuries, affecting patient quality of life and potentially causing long-term disability or death.
- Identifying risk factors for CPR-induced injuries is crucial for improving patient safety and outcomes.
Purpose of the Study:
- To identify risk factors associated with CPR-induced injuries.
- To determine factors contributing to serious injuries resulting from CPR.
Main Methods:
- Retrospective forensic autopsy study of 885 cases (2011-2018).
- Analysis of 75 victims who underwent CPR immediately after cardiac arrest.
- Serious injuries defined as Abbreviated Injury Scale (AIS) score ≥ 3; CPR-induced injuries evaluated by forensic pathologists.
- Multivariate analyses used to determine risk factors.
Main Results:
- CPR-induced injuries were present in 69.3% of the study cohort (52 victims).
- Most common injuries included rib fractures (60.0%), sternal fractures (37.3%), heart injury (21.3%), and liver injury (8.0%).
- Higher age was an independent risk factor for both CPR-induced injuries (OR, 1.07) and serious injuries (OR, 1.09).
Conclusions:
- Aging is a significant independent factor contributing to CPR-induced injuries.
- Older patients are at a higher risk for severe trauma following cardiopulmonary resuscitation.
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