Effect of differences in thorax volume and dimensions on cpr-related injuries
Journal of the College of Physicians and Surgeons Pakistan, cilt.31, sa.3, ss.267-272, 2021 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 3
- Basım Tarihi: 2021
- Doi Numarası: 10.29271/jcpsp.2021.03.267
- Dergi Adı: Journal of the College of Physicians and Surgeons Pakistan
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
- Sayfa Sayıları: ss.267-272
- Anahtar Kelimeler: Cardiopulmonary resuscitation, Thoracic injuries, Pneumothorax, Rib fracture
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To investigate the relationship between the prevalence of cardiopulmonary resuscitation (CPR) related thoracic injury and patients' thoracic volume and dimensions. Study Design: Observational study. Place and Duration of Study: Kartal Dr. Lütfi Kirdar City Hospital, Istanbul, Turkey, from August 2015 to August 2019. Methodology: Patients, who were in hospital due to a non-traumatic cause, had experienced cardiac arrest and subsequently had a post-CPR thorax tomography, were included in the study. Thorax dimensions were measured on sagittal, transverse, and longitudinal axes, while thorax volumes were calculated using a 3D computer programme. This data was later compared to trauma findings. Results: A total of 246 patients were included in the study. The sagittal measurements ranged from 130 - 302 mm, with an average of 228.42 ± 25.61 mm; the transverse measurements ranged from 160-293 mm, average 238.60 ± 22.25 mm, and longitudinal measurements ranged from 99-259 mm, average 187.94 ± 29.76 mm; while thorax volumes were between 4670 - 21512 cc, with an average of 10118.19 ± 2438.01 cc. Trauma was present in 34.1% of patients. Sagittal, longitudinal dimensions, and thorax volume were lower for the group positive for trauma compared to the non-trauma group (p=0.019, p=0.023 and p=0.002). Thorax volume and longitudinal dimensions were found to be lower in patients who experienced rib fractures (p=0.021, p<0.05). Sagittal dimensions were also found to be significantly lower in the group with pneumothorax (p<0.05). Conclusion: Lower thorax volume and sagittal dimensions were associated with an increased prevalence of traumatic findings.