Acta clinica Croatica, Vol. 65. No. 2, 2026.
Izvorni znanstveni članak
https://doi.org/10.20471/acc.2026.65.02.03
Chest Injuries Associated With Manual Chest Compressions in Adult Patients Who Have Suffered Out-of-Hospital Cardiac Arrest: A Retrospective Study
Igor Karnjuš
; Faculty of Health Sciences, University of Primorska, Izola, Slovenia
*
Robert Hajdinjak
; Prehospital unit Obala, Health center Koper, Koper, Slovenia
Aljaž Božič
; Prehospital unit Obala, Health center Koper, Koper, Slovenia
* Dopisni autor.
Sažetak
The aim of this retrospective observational study was to determine the incidence
of chest injuries associated with manual chest compressions during cardiopulmonary
resuscitation and the factors influencing their occurrence. Clinical and
autopsy data were analyzed through a retrospective review of 71 autopsy reports
of adult patients (58 men and 13 women) who did not survive out-of-hospital
cardiac arrest. The study included cases from four municipalities in the
Obalno-kraška region (Ankaran, Koper, Piran and Izola) of Slovenia, during the
period from January 1, 2016 to December 31, 2020. The results showed that
42 patients (59.2%) sustained rib cage fractures following unsuccessful cardiopulmonary
resuscitation. Most fractures were located between the second and
sixth ribs, with the third, fourth and fifth ribs being the most frequently affected.
Sternal fractures were identified in 43.6% of cases. Rib cage injuries increased
with age (ρ = 0.299, P = 0.013) and were more prevalent in cardiac arrests due to
drowning (P = 0.012) and those occurring in public places (P = 0.006). However,
given the relatively small sample size, further research is required to confirm
the factors influencing the occurrence of chest injuries.
Ključne riječi
Cardiopulmonary resuscitation; Thoracic injuries; Rib fractures; Heart arrest
Hrčak ID:
347686
URI
Datum izdavanja:
10.6.2026.
Posjeta: 0 *