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Child protection

G94 DOES CARDIOPULMONARY RESUSCITATION CAUSE RIB FRACTURES IN CHILDREN? A SYSTEMATIC REVIEW
N. John, S. Maguire, M. K. Mann, S. Morris, A. M. Kemp, J. R. Sibert.Cardiff University, Cardiff, UK

Aim: To determine whether cardiopulmonary resuscitation (CPR) causes rib fractures in children in the context of child protection.

Methods: An all language literature search of original articles, references, textbooks, and conference abstracts 1966–2004: ASSIA, Caredata, Medline, Child Data, CINAHL, Embase, PsychINFO, SIGLE, Social Science Citation Index, and TRIP databases. We included all studies of rib fracture and CPR in children <17 years and excluded review articles and expert opinion and studies where it was not possible to establish if rib fractures pre-dated resuscitation. We used two independent reviews (a third if disputed), standardised criteria for study definition, data extraction, and critical appraisal.

Results: Of the 392 studies reviewed, five were included: four cross sectional studies and one case series. These represent data on 599 children who had CPR. Three children (0.5%) . . . [Full text of this article]

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