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Results

  • Of 490 studies reviewed, 11 addressed whether cardiopulmonary resuscitation (CPR) caused rib fractures 1-11
  • Study design:
    • 1 case-control 8
    • 4 cross-sectional 1,3,9,10
    • 6 case series 2,4-7,11
  • Total data: 1949 children
  • Age range: 0-18 years
  • Gender: data not analysed by gender
  • No study addressed CPR related rib fractures in disabled children

  • Influence of ethnicity and socio-economic group: not addressed by these included studies

 

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References

  1. Betz P, Liebhardt E. Rib fractures in children - resuscitation or child abuse? International Journal of Legal Medicine. 1994;106(4):215-218 [Pubmed]
  2. Boz B, Erdur B, Acar K, Ergin A, Turkcuer I, Ergin N. [Frequency of skeletal chest injuries associated with cardiopulmonary resuscitation: forensic autopsy]. [Turkish]. Ulusal Travma ve Acil Cerrahi Dergisi [Turkish Journal of Trauma & Emergency Surgery]. 2008;14(3):216-220 [Pubmed]
  3. Bush CM, Jones JS, Cohle SD, Johnson H. Pediatric injuries from cardiopulmonary resuscitation. Annals of Emergency Medicine. 1996;28(1):40-44 [Pubmed]
  4. Feldman KW, Brewer DK. Child abuse, cardiopulmonary resuscitation, and rib fractures. Pediatrics. 1984;73(3):339-342 [Pubmed]
  5. Lin YR, Li CJ, Wu TK, Chang YJ, Lai SC, Liu TA, Hsiao MH, Chou CC, Chang CF. Post-resuscitative clinical features in the first hour after achieving sustained ROSC predict the duration of survival in children with non-traumatic out-of-hospital cardiac arrest. Resuscitation. 2010;81(4):410-417 [Pubmed]
  6. Matshes EW, Lew EO. Do Resuscitation-Related Injuries Kill Infants and Children? American Journal of Forensic Medicine and Pathology. 2010;31(2):178-185 [Pubmed]
  7. Matshes EW, Lew EO. Two-handed cardiopulmonary resuscitation can cause rib fractures in infants. American Journal of Forensic Medicine and Pathology. 2010;31(4):303-307 [Pubmed]
  8. Price EA, Rush LR, Perper JA, Bell MD. Cardiopulmonary resuscitation-related injuries and homicidal blunt abdominal trauma in children. The American Journal of Forensic Medicine and Pathology. 2000;21(4):307-310 [Pubmed]
  9. Ryan MP, Young SJ, Wells DL. Do resuscitation attempts in children who die, cause injury? Emergency Medicine Journal. 2003;20(1):10-12 [Pubmed]
  10. Spevak MR, Kleinman PK, Belanger PL, Primack C, Richmond JM. Cardiopulmonary resuscitation and rib fractures in infants. A postmortem radiologic-pathologic study. The Journal of the American Medical Association. 1994;272(8):617-618 [Pubmed]
  11. Weber MA, Risdon RA, Offiah AC, Malone M, Sebire NJ. Rib fractures identified at post-mortem examination in sudden unexpected deaths in infancy (SUDI). Forensic Science International. 2009;189(1-3):75-81 [Pubmed]

 

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