지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Objective: This study examined whether the depth of chest compression (CC) recommended by current cardiopulmonary resuscitation guidelines is equally appropriate to both men and women. Methods: Retrospective analysis of the chest computed tomography (CT) findings was performed. The anteroposterior diameter (APD), internal compressible depth (ICD), and anterior chest wall thickness were measured at the midpoint of the lower half of the sternum. The residual diameter (RD) for simulated CC was also obtained. If the RD was less than 20 mm, it was assumed that a potential injury would occur. Results: A total of 319 adults (173 men, 141 women), who underwent chest CT at the emergency room, were enrolled. A statistically significant difference was observed between the mean APD and ICD between men and women. The mean APD and IPD were 8 mm shorter and 9.5 mm shorter, respectively, in women than in men. When adjusted for age, height, weight, and body mass index (BMI), the differences in the value of these parameters increased even more. In simulated CC with a 60 mm depth, the predictors of RD of less than 20 mm were weighed (odds ratio [OR], 0.888; 95% confidence interval [CI], 0.826-0.954; P=0.001) and BMI (OR, 0.706; 95% CI, 0.579-0.862; P=0.001), and all cases with RD of less than 20 mm were women. Conclusion: Chest compression of more than 60 mm may increase the potential risk of injury, particularly in women. The maximum allowable chest compression depth of less than 60 mm should be emphasized for women.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Kleinman ME / 2015 / Part 5: adult basic life support and cardiopulmonary resuscitation quality:2015 American Heart Association Guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care / Circulation 132(18 Suppl 2):S414~S435
Edelson DP / 2006 / Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest / Resuscitation 71:137~145
Bohn A / 2011 / The addition of voice prompts to audiovisual feedback and debriefing does not modify CPR quality or outcomes in out of hospital cardiac arrest: a prospective, randomized trial / Resuscitation 82:257~262
Vadeboncoeur T / 2014 / Chest compression depth and survival in out-of-hospital cardiac arrest / Resuscitation 85:182~188
Talikowska M / 2015 / Cardiopulmonary resuscitation quality and patient survival outcome in cardiac arrest : a systematic review and meta-analysis / Resuscitation 96:66~77
Edelson DP / 2006 / Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest / Resuscitation 71:137~145
Bohn A / 2011 / The addition of voice prompts to audiovisual feedback and debriefing does not modify CPR quality or outcomes in out of hospital cardiac arrest: a prospective, randomized trial / Resuscitation 82:257~262
Vadeboncoeur T / 2014 / Chest compression depth and survival in out-of-hospital cardiac arrest / Resuscitation 85:182~188
Talikowska M / 2015 / Cardiopulmonary resuscitation quality and patient survival outcome in cardiac arrest : a systematic review and meta-analysis / Resuscitation 96:66~77
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