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- Smekal, DavidUppsala universitet,Anestesiologi och intensivvård (author)
Comparison of computed tomography and autopsy in detection of injuries after unsuccessful cardiopulmonary resuscitation
- Article/chapterEnglish2013
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- Elsevier BV,2013
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- LIBRIS-ID:oai:DiVA.org:uu-182251
- https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-182251URI
- https://doi.org/10.1016/j.resuscitation.2012.06.023DOI
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- Language:English
- Summary in:English
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- AIM:Computed tomography (CT) has been suggested as an aid or even a replacement for autopsy. The aim of this trial was to study the conformity of the two methods in finding injuries in non-surviving patients after unsuccessful cardiopulmonary resuscitation.METHODS:In this prospective study, 31 patients were submitted to a CT prior to autopsy after unsuccessful resuscitation attempts. Pathological findings were noted by both the radiologist and the pathologists in a specified protocol. The pathologists and radiologist were blinded from each other's results.RESULTS: CT and autopsy revealed rib fractures in 22 and 24 patients respectively (kappa=0.83). In 8 patients, CT revealed more rib fractures than autopsy; and in 12 patients, autopsy revealed more rib fractures than CT. In 7 patients, neither method showed any rib fractures. The mean difference between the two methods in detecting rib fractures was 0.16 (S.D.: ±3.174, limits of agreement: -6.19 to 6.51). The kappa value for sternal fractures was 0.49. A total of 260 pathological findings were noted by CT and 244 by autopsy. The average patient showed a median of 9 injuries (every fracture counted as one injury), independent of the method used in detecting the injuries.CONCLUSIONS:There was a strong concordance between the two methods in finding rib fractures but not sternal fractures and these results support the concept of CT as a valuable complement to autopsy in detecting rib fractures after unsuccessful cardiopulmonary resuscitation but not as a replacement. Other injuries did not show the same concordance.
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- Hansen, TomasUppsala universitet,Enheten för radiologi(Swepub:uu)tohan227 (author)
- Sandler, HåkanUppsala universitet,Rättsmedicin(Swepub:uu)hakasand (author)
- Rubertsson, StenUppsala universitet,Anestesiologi och intensivvård(Swepub:uu)stenrube (author)
- Uppsala universitetAnestesiologi och intensivvård (creator_code:org_t)
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- In:Resuscitation: Elsevier BV84:3, s. 357-3600300-95721873-1570
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