TABLE 3.
Pooled analysis of CPR-associated thoracic wall injuries based on CPR type.
| Injury | Reference | Mixed Series or Unspecified %(n) |
Standard CPR %(n) |
ACD-CPR (Suction) %(n) |
ACD- CPR (Piston) %(n) |
ACD-CPR (Load- Distributing Band) %(n) |
Standard Followed by ACD-CPR (Suction) %(n) |
Total %(n) |
|---|---|---|---|---|---|---|---|---|
| Sternum fracture | 5–8,10,11,18,20–22,28,51,53–56,58,63,66,98,99 | 16.8 (350/2086) | 8.5 (87/1019) | 80.6 (25/31) | 16.9 (12/71) | 13.6 (12/88) | 93.8 (15/16) | 15.1 (501/3311) |
| Rib fracture | 5–8,10,11,16,18–22,28,46,51,53–56,58,63,65,98,99 | 33.0 (695/2106) | 25.9 (242/933) | 47.2 (17/36) | 25.4 (18/71) | 93.8 (15/16) | 31.2 (987/3162) | |
| Multiple rib fractures | 7,19 | 29.2 (28/96) | 29.2 (28/96) | |||||
| Flail chest | 6,21,46,51 | 1.9 (15/788) | 1.7 (4/241) | 1.7 (19/1129) | ||||
| Clavicle fracture | 8 | 0.3 (1/377) | 0.3 (1/377) | |||||
| Costochondral junction separation | 8 | 0.5 (2/377) | 0.5 (2/377) | |||||
| Mediastinal bleeding | 5,6,8,28,51 | 15.3 (123/802) | 0.5 (2/418) | 10.2 (125/1220) | ||||
| Vertebral fracture | 6,51,66 | 0.1 (1/705) | 0.4 (1/228) | 4.5 (4/88) | 0.6 (6/1021) |
Active compression-decompression cardiopulmonary resuscitation (ACD-CPR)
*
There were no studies identified that reported data for either standard CPR followed by ACD-CPR using either piston or load distributing band technology.