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Both Autopsy and Computed Tomography Are Necessary for Accurately Detecting Rib Fractures Due to Cardiopulmonary Resuscitation.
http://hdl.handle.net/10422/00012815
http://hdl.handle.net/10422/0001281528de1f16-ef74-4719-b2a9-3f731f14f785
名前 / ファイル | ライセンス | アクション |
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-10-19 | |||||
タイトル | ||||||
タイトル | Both Autopsy and Computed Tomography Are Necessary for Accurately Detecting Rib Fractures Due to Cardiopulmonary Resuscitation. | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | CPR | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | autopsy | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | computed tomography | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | post-mortem | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | rib fracture. | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
HAMANAKA, Kunio
× HAMANAKA, Kunio× NISHIYAMA, Kei× NAKAMURA, Mami× TAKASO, Marin× HITOSUGI, Masahito |
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著者別名 |
濱中, 訓生
× 濱中, 訓生× 中村, 磨美× 高相, 真鈴× 一杉, 正仁 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Few studies have compared the sensitivities of autopsy and post mortem computed tomography (PMCT) in detecting rib fractures caused by cardiopulmonary resuscitation (CPR). We aimed to compare the characteristics between both modalities for accurately detecting CPR-related rib fractures. This single-centre observational study included adult patients with autopsy records and PMCT scans at our institution from January 2013 to March 2019. CPR-related rib fractures were evaluated using autopsy and PMCT findings. In 62 patients enrolled, 339 rib fractures were detected on autopsy and/or PMCT (222 fractures on both PMCT and autopsy, 69 on PMCT alone, and 50 on autopsy alone). The agreement of detection for both modalities was substantial (kappa coefficient, 0.78). In the logistic regression model, incomplete fractures detected by PMCT and age <75 years were significantly associated with findings that were negative on autopsy but positive on PMCT, while rib number (ribs 1-3 and 7-12) and fracture location (posterolateral and paravertebral) were significantly associated with negative PMCT findings but positive autopsy findings. Autopsy and PMCT showed complementary roles, and are thus necessary in accurately detecting CPR-related rib fractures. Combining both modalities may contribute to improved CPR quality and better understanding of discrepancy in characteristics between the two modalities. | |||||
書誌情報 |
en : Diagnostics (Basel, Switzerland) 巻 10, 号 9, p. E697, 発行日 2020-09-15 |
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出版者 | ||||||
出版者 | MDPI AG | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 2075-4418 | |||||
PMID | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | PMID | |||||
関連識別子 | 32942746 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.3390/diagnostics10090697 | |||||
関連名称 | 10.3390/diagnostics10090697 | |||||
権利 | ||||||
権利情報 | © 2020 by the authors. Licensee MDPI, Basel, Switzerland. | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | Journal Article |