Penetrating Cardiac Injuries
- 1 August 1998
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in The Journal of Trauma and Acute Care Surgery
- Vol. 45 (2), 366-370
- https://doi.org/10.1097/00005373-199808000-00028
Abstract
Wide variances exist in reports of survival rates after penetrating cardiac injuries because most are hospital-based reports and thus are affected by the local trauma system. The objective of this study was to report population-based, as well as hospital-based, survival rates after penetrating cardiac injury. Retrospective cohort analysis was performed during a 7-year period of 20,181 consecutive trauma admissions to a regional Level I trauma center and 6,492 medical examiner's reports. A meta-analysis was performed comparing survival rates with available population-based reports. There were 212 penetrating cardiac injuries identified, for an incidence of approximately 1 per 100,000 man years and 1 per 210 admissions. The overall survival rate was 19.3% (41 of 212) for the population studied, with survival rates of 9.7% (12 of 123) for gunshot wounds and 32.6% (29 of 89) for stab wounds. Ninety-six of the 212 patients were transported to the trauma center for treatment, resulting in an overall hospital survival rate of 42.7% (41 of 96), with a hospital survival rate of 29.3% (12 of 41) for gunshot wounds and 52.7% (29 of 55) for stab wounds. Review of population-based studies indicates that there has been only a minor improvement in the survival rates for the treatment of penetrating cardiac injuries.Keywords
This publication has 19 references indexed in Scilit:
- CARDIAC INJURIESThe Journal of Trauma and Acute Care Surgery, 1994
- Injuries to the heartInjury, 1993
- SURGICAL APPROACH OF CHOICE FOR PENETRATING CARDIAC WOUNDSThe Journal of Trauma and Acute Care Surgery, 1993
- Penetrating cardiac trauma: Management strategy based on 129 surgical emergencies over 2 yearsThe Annals of Thoracic Surgery, 1992
- Penetrating cardiac injuriesThe Annals of Thoracic Surgery, 1991
- Cardiac Injuries–A Clinical and Autopsy ProfileThe Journal of Trauma and Acute Care Surgery, 1990
- The Evolution of the Management of Penetrating Wounds of the HeartAnnals of Surgery, 1985
- Ludwig Rehn: The First Successful CardiorrhaphyThe Annals of Thoracic Surgery, 1985
- Surgical management of penetrating cardiac injuriesThe American Journal of Surgery, 1966
- WOUNDS OF THE HEARTArchives of Surgery, 1926