Document Detail

Increased incidence of CPR-related rib fractures in infants--is it related to changes in CPR technique?
MedLine Citation:
PMID:  21353734     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: A recent increase in the number of infants presenting at autopsy with rib fractures associated with cardio-pulmonary resuscitation (CPR) precipitated a study to determine whether such a phenomenon was related to recent revision of paediatric resuscitation guidelines.
METHODS: We conducted a review of autopsy reports from 1997 to 2008 on 571 infants who had CPR performed prior to death.
RESULTS: Analysis of the study population revealed CPR-related rib fractures in 19 infants (3.3%), 14 of whom died in the 2006-2008 period. The difference in annual frequency of CPR-related fractures between the periods before and after revision of paediatric CPR guidelines was statistically highly significant.
CONCLUSIONS: The findings indicate that CPR-associated rib fractures have become more frequent in infants since changes in CPR techniques were introduced in 2005. This has important implications for both clinicians and pathologists in their assessment of rib fractures in this patient population.
J A Reyes; G R Somers; G P Taylor; D A Chiasson
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-02-26
Journal Detail:
Title:  Resuscitation     Volume:  82     ISSN:  1873-1570     ISO Abbreviation:  Resuscitation     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-25     Completed Date:  2011-11-15     Revised Date:  2012-04-18    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  545-8     Citation Subset:  IM    
Copyright Information:
Crown Copyright © 2011. Published by Elsevier Ireland Ltd. All rights reserved.
Division of Pathology, Department of Paediatric Laboratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
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MeSH Terms
Cardiopulmonary Resuscitation / adverse effects,  methods*
Heart Arrest / therapy*
Infant, Newborn
Ontario / epidemiology
Retrospective Studies
Rib Fractures / epidemiology*,  etiology
Comment In:
Resuscitation. 2011 Oct;82(10):1362   [PMID:  21782313 ]
Resuscitation. 2012 Apr;83(4):e109; author reply e111   [PMID:  22269097 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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