Penetrating Cardiac Trauma: 20-y Experience From A University Teaching Hospital.

dc.creatorPereira, Bruno Monteiro Tavares
dc.creatorNogueira, Vitor Baltazar
dc.creatorCalderan, Thiago Rodrigues Araújo
dc.creatorVillaça, Marcelo Pinheiro
dc.creatorPetrucci, Orlando
dc.creatorFraga, Gustavo Pereira
dc.date2013-Aug
dc.date2015-11-27T13:31:32Z
dc.date2015-11-27T13:31:32Z
dc.date.accessioned2018-03-29T01:17:27Z
dc.date.available2018-03-29T01:17:27Z
dc.identifierThe Journal Of Surgical Research. v. 183, n. 2, p. 792-7, 2013-Aug.
dc.identifier1095-8673
dc.identifier10.1016/j.jss.2013.02.015
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/23522451
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/200546
dc.identifier23522451
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1300779
dc.descriptionPenetrating traumas, including gunshot and stab wounds, are the major causes of cardiac trauma. Our aim was to describe and compare the variables between patients with penetrating cardiac trauma in the past 20 y in a university hospital, identifying risk factors for morbidity and death. Review of trauma registry data followed by descriptive statistical analysis comparing the periods 1990-1999 (group 1, 54 cases) and 2000-2009 (group 2, 39 cases). Clinical data at hospital admission, Injury Severity Score (ISS), Glasgow Coma Scale (GCS), and Revised Trauma Score (RTS) were recorded. The incidences of penetrating cardiac injuries were steady within the period of study in the chosen metropolitan area. The two groups were similar regarding age, mechanism of trauma (gunshot × stab), and ISS. Group 1 showed lower systolic blood pressure at admission (mean 87 versus 109 mm Hg), lower GCS (12.9 versus 14.1), lower RTS (6.4 versus 7.3), higher incidence of grade IV-V cardiac lesions (74% versus 48.7%), and were less likely to survive (0.83 versus 0.93). The major risk factor for death was gunshot wound (13 times higher than stab wound), systolic blood pressure < 90 mm Hg, GCS < 8, RTS < 7.84, associated injuries, grade IV-V injury, and ISS > 25. We observed a tendency in mortality reduction from 20.3% to 10.3% within the period of observation. Several associated factors for mortality and morbidity were identified. In the last decade, patients were admitted in better physiological condition, perhaps reflecting an improvement on prehospital treatment. We observed a trend toward a lower mortality rate.
dc.description183
dc.description792-7
dc.languageeng
dc.relationThe Journal Of Surgical Research
dc.relationJ. Surg. Res.
dc.rightsfechado
dc.rightsCopyright © 2013 Elsevier Inc. All rights reserved.
dc.sourcePubMed
dc.subjectAdult
dc.subjectBrazil
dc.subjectEmergency Medical Services
dc.subjectFemale
dc.subjectHeart Injuries
dc.subjectHospitals, Teaching
dc.subjectHospitals, University
dc.subjectHumans
dc.subjectIncidence
dc.subjectMale
dc.subjectPrognosis
dc.subjectRegistries
dc.subjectRetrospective Studies
dc.subjectRisk Factors
dc.subjectSurvival Rate
dc.subjectWounds, Gunshot
dc.subjectWounds, Penetrating
dc.subjectWounds, Stab
dc.subjectCardiac Trauma
dc.subjectPenetrating Injuries
dc.subjectTrauma
dc.titlePenetrating Cardiac Trauma: 20-y Experience From A University Teaching Hospital.
dc.typeArtículos de revistas


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