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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 03152naa a2200313 4500 | |
| 001 | oai:DiVA.org:uu-182251 | |
| 003 | SwePub | |
| 008 | 121008s2013 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1822512 URI |
| 024 | 7 | a https://doi.org/10.1016/j.resuscitation.2012.06.0232 DOI |
| 040 | a (SwePub)uu | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Smekal, Davidu Uppsala universitet,Anestesiologi och intensivvård4 aut0 (Swepub:uu)davsm531 |
| 245 | 1 0 | a Comparison of computed tomography and autopsy in detection of injuries after unsuccessful cardiopulmonary resuscitation |
| 264 | 1 | b Elsevier BV,c 2013 |
| 338 | a print2 rdacarrier | |
| 520 | a 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. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng |
| 700 | 1 | a Hansen, Tomasu Uppsala universitet,Enheten för radiologi4 aut0 (Swepub:uu)tohan227 |
| 700 | 1 | a Sandler, Håkanu Uppsala universitet,Rättsmedicin4 aut0 (Swepub:uu)hakasand |
| 700 | 1 | a Rubertsson, Stenu Uppsala universitet,Anestesiologi och intensivvård4 aut0 (Swepub:uu)stenrube |
| 710 | 2 | a Uppsala universitetb Anestesiologi och intensivvård4 org |
| 773 | 0 | t Resuscitationd : Elsevier BVg 84:3, s. 357-360q 84:3<357-360x 0300-9572x 1873-1570 |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-182251 |
| 856 | 4 8 | u https://doi.org/10.1016/j.resuscitation.2012.06.023 |
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