Compression-associated injuries using CLOVER3000 device in non-survivor patients of OHCA: A retrospective cohort study
The incidence of compression-associated injuries from using the CLOVER3000, a new mechanical cardiopulmonary resuscitation (CPR) device, is not well studied in the context of out-of-hospital cardiac arrest (OHCA). Thus, we aimed to compare compression-associated injuries between CLOVER3000 and manua...
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| Veröffentlicht in: | The American journal of emergency medicine 2023-06, Vol.68, p.127-131 |
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| container_title | The American journal of emergency medicine |
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| creator | Hayashi, Minoru Tanizaki, Shinsuke Nishida, Naru Mizuno, Haruki Kano, Kenichi Tanaka, Jyunya Azuma, Hiroyuki Sera, Makoto Nagai, Hideya Maeda, Shigenobu |
| description | The incidence of compression-associated injuries from using the CLOVER3000, a new mechanical cardiopulmonary resuscitation (CPR) device, is not well studied in the context of out-of-hospital cardiac arrest (OHCA). Thus, we aimed to compare compression-associated injuries between CLOVER3000 and manual CPR.
This single-center, retrospective, cohort study used data from the medical records of a tertiary care center in Japan between April 2019 and August 2022. We included adult non-survivor patients with non-traumatic OHCA who were transported by emergency medical services and underwent post-mortem computed tomography. Compression-associated injuries were tested using logistic regression models adjusting for age, sex, bystander CPR performance, and CPR duration.
A total of 189 patients (CLOVER3000, 42.3%; manual CPR, 57.7%) were included in the analysis. The overall incidence of compression-associated injuries was similar between the two groups (92.5% vs. 94.54%; adjusted odds ratio (AOR), 0.62 [95% confidence interval (CI), 0.06–1.44]). The most common injury was anterolateral rib fractures with a similar incidence between the two groups (88.7% vs. 88.9%; AOR, 1.03 [95% CI, 0.38 to 2.78]). The second most common injury was sternal fracture in both groups (53.1% vs. 56.7%; AOR, 0.68 [95% CI, 0.36–1.30]). The incidence rates of other injuries were not statistically different between the both groups.
We observed a similar overall incidence of compression-associated injuries between the CLOVER3000 and manual CPR groups on small sample size. |
| doi_str_mv | 10.1016/j.ajem.2023.03.032 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2793986618</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0735675723001481</els_id><sourcerecordid>2812551908</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-4b68e79faa1c8fa74db7a9d0643eda49ce001596d2a5d8ff8b872c7cd06ba97b3</originalsourceid><addsrcrecordid>eNp9kU-LFDEQxYMo7uzqF_AgAS976TFJ_0kiXoZm3RUGBkS9hnRSrWmmO22Sbthvb5pZPXgQCurye4-q9xB6Q8meEtq8H_Z6gHHPCCv3ZBv2DO1oXbJCUE6fox3hZV00vOZX6DrGgRBKq7p6ia7KRsqmlnSH1taPc4AYnZ8KHaM3Tiew2E3DEhxEvEQ3_cDt8fT97ktJCMEWVmcgA3jKkriE1a0-4FknB1OK2Pf49NAePuADDpCCjzOY5FbAxv_0IeGYFvv4Cr3o9TnC66d9g759uvvaPhTH0_3n9nAsTCmqVFRdI4DLXmtqRK95ZTuupSVNVYLVlTSQf6plY5mureh70QnODDeZ6LTkXXmDbi--c_C_FohJjS4aOJ_1BH6JinFZStE0VGT03T_o4Jcw5esUE5TVNZVko9iFMvmzGKBXc3CjDo-KErW1oga1taK2VhTZhmXR2yfrpRvB_pX8qSEDHy8A5CxWB0FFk9M0YF3I6Snr3f_8fwPq9p6c</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2812551908</pqid></control><display><type>article</type><title>Compression-associated injuries using CLOVER3000 device in non-survivor patients of OHCA: A retrospective cohort study</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><source>ProQuest Central UK/Ireland</source><creator>Hayashi, Minoru ; Tanizaki, Shinsuke ; Nishida, Naru ; Mizuno, Haruki ; Kano, Kenichi ; Tanaka, Jyunya ; Azuma, Hiroyuki ; Sera, Makoto ; Nagai, Hideya ; Maeda, Shigenobu</creator><creatorcontrib>Hayashi, Minoru ; Tanizaki, Shinsuke ; Nishida, Naru ; Mizuno, Haruki ; Kano, Kenichi ; Tanaka, Jyunya ; Azuma, Hiroyuki ; Sera, Makoto ; Nagai, Hideya ; Maeda, Shigenobu</creatorcontrib><description>The incidence of compression-associated injuries from using the CLOVER3000, a new mechanical cardiopulmonary resuscitation (CPR) device, is not well studied in the context of out-of-hospital cardiac arrest (OHCA). Thus, we aimed to compare compression-associated injuries between CLOVER3000 and manual CPR.
This single-center, retrospective, cohort study used data from the medical records of a tertiary care center in Japan between April 2019 and August 2022. We included adult non-survivor patients with non-traumatic OHCA who were transported by emergency medical services and underwent post-mortem computed tomography. Compression-associated injuries were tested using logistic regression models adjusting for age, sex, bystander CPR performance, and CPR duration.
A total of 189 patients (CLOVER3000, 42.3%; manual CPR, 57.7%) were included in the analysis. The overall incidence of compression-associated injuries was similar between the two groups (92.5% vs. 94.54%; adjusted odds ratio (AOR), 0.62 [95% confidence interval (CI), 0.06–1.44]). The most common injury was anterolateral rib fractures with a similar incidence between the two groups (88.7% vs. 88.9%; AOR, 1.03 [95% CI, 0.38 to 2.78]). The second most common injury was sternal fracture in both groups (53.1% vs. 56.7%; AOR, 0.68 [95% CI, 0.36–1.30]). The incidence rates of other injuries were not statistically different between the both groups.
We observed a similar overall incidence of compression-associated injuries between the CLOVER3000 and manual CPR groups on small sample size.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2023.03.032</identifier><identifier>PMID: 36996591</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Airway management ; Aortic aneurysms ; Autopsies ; Cardiac arrest ; Cardiopulmonary resuscitation ; Cardiopulmonary Resuscitation - methods ; Cohort analysis ; Cohort Studies ; Complications ; Compression ; Computed tomography ; CPR ; Emergency medical care ; Emergency Medical Services ; Fractures, Bone - complications ; Health services ; Hemorrhage ; Hemothorax ; Humans ; Injuries ; Lifesaving ; Mechanical chest compressions ; Medical records ; Ostomy ; Out-of-Hospital Cardiac Arrest - epidemiology ; Out-of-Hospital Cardiac Arrest - etiology ; Out-of-Hospital Cardiac Arrest - therapy ; Patients ; Pneumothorax ; Post-mortem computed tomography ; Regression analysis ; Retrospective Studies ; Systematic review ; Thoracic Injuries - epidemiology</subject><ispartof>The American journal of emergency medicine, 2023-06, Vol.68, p.127-131</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><rights>2023. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-4b68e79faa1c8fa74db7a9d0643eda49ce001596d2a5d8ff8b872c7cd06ba97b3</citedby><cites>FETCH-LOGICAL-c384t-4b68e79faa1c8fa74db7a9d0643eda49ce001596d2a5d8ff8b872c7cd06ba97b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2812551908?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36996591$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayashi, Minoru</creatorcontrib><creatorcontrib>Tanizaki, Shinsuke</creatorcontrib><creatorcontrib>Nishida, Naru</creatorcontrib><creatorcontrib>Mizuno, Haruki</creatorcontrib><creatorcontrib>Kano, Kenichi</creatorcontrib><creatorcontrib>Tanaka, Jyunya</creatorcontrib><creatorcontrib>Azuma, Hiroyuki</creatorcontrib><creatorcontrib>Sera, Makoto</creatorcontrib><creatorcontrib>Nagai, Hideya</creatorcontrib><creatorcontrib>Maeda, Shigenobu</creatorcontrib><title>Compression-associated injuries using CLOVER3000 device in non-survivor patients of OHCA: A retrospective cohort study</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>The incidence of compression-associated injuries from using the CLOVER3000, a new mechanical cardiopulmonary resuscitation (CPR) device, is not well studied in the context of out-of-hospital cardiac arrest (OHCA). Thus, we aimed to compare compression-associated injuries between CLOVER3000 and manual CPR.
This single-center, retrospective, cohort study used data from the medical records of a tertiary care center in Japan between April 2019 and August 2022. We included adult non-survivor patients with non-traumatic OHCA who were transported by emergency medical services and underwent post-mortem computed tomography. Compression-associated injuries were tested using logistic regression models adjusting for age, sex, bystander CPR performance, and CPR duration.
A total of 189 patients (CLOVER3000, 42.3%; manual CPR, 57.7%) were included in the analysis. The overall incidence of compression-associated injuries was similar between the two groups (92.5% vs. 94.54%; adjusted odds ratio (AOR), 0.62 [95% confidence interval (CI), 0.06–1.44]). The most common injury was anterolateral rib fractures with a similar incidence between the two groups (88.7% vs. 88.9%; AOR, 1.03 [95% CI, 0.38 to 2.78]). The second most common injury was sternal fracture in both groups (53.1% vs. 56.7%; AOR, 0.68 [95% CI, 0.36–1.30]). The incidence rates of other injuries were not statistically different between the both groups.
We observed a similar overall incidence of compression-associated injuries between the CLOVER3000 and manual CPR groups on small sample size.</description><subject>Adult</subject><subject>Airway management</subject><subject>Aortic aneurysms</subject><subject>Autopsies</subject><subject>Cardiac arrest</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cardiopulmonary Resuscitation - methods</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Complications</subject><subject>Compression</subject><subject>Computed tomography</subject><subject>CPR</subject><subject>Emergency medical care</subject><subject>Emergency Medical Services</subject><subject>Fractures, Bone - complications</subject><subject>Health services</subject><subject>Hemorrhage</subject><subject>Hemothorax</subject><subject>Humans</subject><subject>Injuries</subject><subject>Lifesaving</subject><subject>Mechanical chest compressions</subject><subject>Medical records</subject><subject>Ostomy</subject><subject>Out-of-Hospital Cardiac Arrest - epidemiology</subject><subject>Out-of-Hospital Cardiac Arrest - etiology</subject><subject>Out-of-Hospital Cardiac Arrest - therapy</subject><subject>Patients</subject><subject>Pneumothorax</subject><subject>Post-mortem computed tomography</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Systematic review</subject><subject>Thoracic Injuries - epidemiology</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU-LFDEQxYMo7uzqF_AgAS976TFJ_0kiXoZm3RUGBkS9hnRSrWmmO22Sbthvb5pZPXgQCurye4-q9xB6Q8meEtq8H_Z6gHHPCCv3ZBv2DO1oXbJCUE6fox3hZV00vOZX6DrGgRBKq7p6ia7KRsqmlnSH1taPc4AYnZ8KHaM3Tiew2E3DEhxEvEQ3_cDt8fT97ktJCMEWVmcgA3jKkriE1a0-4FknB1OK2Pf49NAePuADDpCCjzOY5FbAxv_0IeGYFvv4Cr3o9TnC66d9g759uvvaPhTH0_3n9nAsTCmqVFRdI4DLXmtqRK95ZTuupSVNVYLVlTSQf6plY5mureh70QnODDeZ6LTkXXmDbi--c_C_FohJjS4aOJ_1BH6JinFZStE0VGT03T_o4Jcw5esUE5TVNZVko9iFMvmzGKBXc3CjDo-KErW1oga1taK2VhTZhmXR2yfrpRvB_pX8qSEDHy8A5CxWB0FFk9M0YF3I6Snr3f_8fwPq9p6c</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Hayashi, Minoru</creator><creator>Tanizaki, Shinsuke</creator><creator>Nishida, Naru</creator><creator>Mizuno, Haruki</creator><creator>Kano, Kenichi</creator><creator>Tanaka, Jyunya</creator><creator>Azuma, Hiroyuki</creator><creator>Sera, Makoto</creator><creator>Nagai, Hideya</creator><creator>Maeda, Shigenobu</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>202306</creationdate><title>Compression-associated injuries using CLOVER3000 device in non-survivor patients of OHCA: A retrospective cohort study</title><author>Hayashi, Minoru ; Tanizaki, Shinsuke ; Nishida, Naru ; Mizuno, Haruki ; Kano, Kenichi ; Tanaka, Jyunya ; Azuma, Hiroyuki ; Sera, Makoto ; Nagai, Hideya ; Maeda, Shigenobu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-4b68e79faa1c8fa74db7a9d0643eda49ce001596d2a5d8ff8b872c7cd06ba97b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Airway management</topic><topic>Aortic aneurysms</topic><topic>Autopsies</topic><topic>Cardiac arrest</topic><topic>Cardiopulmonary resuscitation</topic><topic>Cardiopulmonary Resuscitation - 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Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayashi, Minoru</au><au>Tanizaki, Shinsuke</au><au>Nishida, Naru</au><au>Mizuno, Haruki</au><au>Kano, Kenichi</au><au>Tanaka, Jyunya</au><au>Azuma, Hiroyuki</au><au>Sera, Makoto</au><au>Nagai, Hideya</au><au>Maeda, Shigenobu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Compression-associated injuries using CLOVER3000 device in non-survivor patients of OHCA: A retrospective cohort study</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2023-06</date><risdate>2023</risdate><volume>68</volume><spage>127</spage><epage>131</epage><pages>127-131</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>The incidence of compression-associated injuries from using the CLOVER3000, a new mechanical cardiopulmonary resuscitation (CPR) device, is not well studied in the context of out-of-hospital cardiac arrest (OHCA). Thus, we aimed to compare compression-associated injuries between CLOVER3000 and manual CPR.
This single-center, retrospective, cohort study used data from the medical records of a tertiary care center in Japan between April 2019 and August 2022. We included adult non-survivor patients with non-traumatic OHCA who were transported by emergency medical services and underwent post-mortem computed tomography. Compression-associated injuries were tested using logistic regression models adjusting for age, sex, bystander CPR performance, and CPR duration.
A total of 189 patients (CLOVER3000, 42.3%; manual CPR, 57.7%) were included in the analysis. The overall incidence of compression-associated injuries was similar between the two groups (92.5% vs. 94.54%; adjusted odds ratio (AOR), 0.62 [95% confidence interval (CI), 0.06–1.44]). The most common injury was anterolateral rib fractures with a similar incidence between the two groups (88.7% vs. 88.9%; AOR, 1.03 [95% CI, 0.38 to 2.78]). The second most common injury was sternal fracture in both groups (53.1% vs. 56.7%; AOR, 0.68 [95% CI, 0.36–1.30]). The incidence rates of other injuries were not statistically different between the both groups.
We observed a similar overall incidence of compression-associated injuries between the CLOVER3000 and manual CPR groups on small sample size.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36996591</pmid><doi>10.1016/j.ajem.2023.03.032</doi><tpages>5</tpages></addata></record> |
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| ispartof | The American journal of emergency medicine, 2023-06, Vol.68, p.127-131 |
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| source | MEDLINE; Access via ScienceDirect (Elsevier); ProQuest Central UK/Ireland |
| subjects | Adult Airway management Aortic aneurysms Autopsies Cardiac arrest Cardiopulmonary resuscitation Cardiopulmonary Resuscitation - methods Cohort analysis Cohort Studies Complications Compression Computed tomography CPR Emergency medical care Emergency Medical Services Fractures, Bone - complications Health services Hemorrhage Hemothorax Humans Injuries Lifesaving Mechanical chest compressions Medical records Ostomy Out-of-Hospital Cardiac Arrest - epidemiology Out-of-Hospital Cardiac Arrest - etiology Out-of-Hospital Cardiac Arrest - therapy Patients Pneumothorax Post-mortem computed tomography Regression analysis Retrospective Studies Systematic review Thoracic Injuries - epidemiology |
| title | Compression-associated injuries using CLOVER3000 device in non-survivor patients of OHCA: A retrospective cohort study |
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