Evaluation of penetrating cardiac stab wounds

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Mehdi BamousMamoun Faroudy

Abstract

The purpose of this study was to identify factors associated with unfavourable outcome following stab wounds to the heart in order to improve selection of patients who may benefit from resuscitative effort. From February to March, variables were collected from medical records of patients sustaining cardiac trauma. The inclusion criterion was the presence of a penetrating cardiac injury confirmed intraoperatively. Ninety-eight patients were admitted with penetrating cardiac injury. The mortality rate was 60 %. Fifty-seven patients had unrecordable blood pressure at admission and emergency department thoracotomy was done in twelve patients. The AAST-OIS score was higher in non survivors group (4,21 vs 4,49). Multivariate analysis identified tamponade, associated injuries, right ventricular laceration as the most predictive variables for mortality. Stab wounds should be separated from gunshots wounds as the former mechanism has different pathophysiological issue. Patients arriving without signs of life may benefit from aggressive resuscitative efforts depending on transport time. Penetrating cardiac injuries are highly lethal condition. Cardiac tamponade, right ventricle lacerations and associated extra-cardiac injuries are indepe...Continue Reading

References

Jul 1, 1991·The Journal of Trauma·T J EspositoD G Ashbaugh
Aug 1, 1996·The Surgical Clinics of North America·J A AsensioM D Kerstein
Feb 4, 1998·The British Journal of Surgery·N C CampbellJ B Botha
Jun 24, 1998·The Journal of Trauma·J A AsensioT V Berne
Nov 20, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·O J F Van WaesD D Hartog
Nov 29, 2012·The Journal of Trauma and Acute Care Surgery·Clay Cothren BurlewWalter L Biffl

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Related Feeds

Cardiotoxicity

Cardiotoxicity refers to the muscle damage or dysfunction of heart electrophysiology caused by drug intake or due to disease complications. It is a well-known side effect of several cytotoxic drugs, especially of the anthracyclines and can lead to long term morbidity. Here is the latest research.

Related Papers

Srpski arhiv za celokupno lekarstvo
H Iliev, M Saranović-Kuljić
© 2022 Meta ULC. All rights reserved