Factors affecting mortality in cardiac injury of penetrating thorax trauma: a retrospective study: Kardiyak ve büyük damar hasarlanması olan penetran toraks travması hastalarındaki mortaliteye etki eden faktörler: bir retrospektif çalışma

Kadir Ceviker; Cumhur Tulay; Şahin Şahinalp; Hayri Fahri Atlı

doi:10.5455/GMJ-30-44548

Authors

Kadir Ceviker Şanlıurfa Training and Research Hospital, Department of Cardiovascular Surgery, Şanlıurfa
Cumhur Tulay Şanlıurfa Training and Research Hospital, Department of Thoracic Surgery, Şanlıurfa
Şahin Şahinalp Şanlıurfa Training and Research Hospital, Department of Cardiovascular Surgery, Şanlıurfa
Hayri Fahri Atlı Bursa State Hospital, Department of Cardiovascular Surgery, Bursa

DOI:

https://doi.org/10.5455/GMJ-30-44548

Keywords:

Cardiac wounds, penetrating cardiac injuries, penetrating chest wounds

Abstract

In this study, we investigated the factors affecting survival in patients who were operated for penetrating cardiac and vascular injuries due to penetrating thoracic trauma. Ninety-six patients with penetrating thoracic trauma (90 males, 6 females, mean age 26±8 years) who were admitted to our clinic between January 2010 and January 2013 were recruited to the study. Retrospective evaluation of the cause of trauma, age, gender, concomitant organ injuries, Rohman classification, Glasgow coma score, Heart Injury Scale, Lung Injury Scale, penetrating thoracic trauma index, surgical intervention, and mortality were determined. The mortality rate was 39.6% in our study and correlated with cardiac tamponade, systolic blood pressure, heart rate, Glasgow coma score, heart injury scale and penetrating thoracic trauma index. However, a significant relationship was found only between mortality and systolic blood pressure in a binary logistic regression model (p=0.024). In patients with penetrating thoracic trauma, rapid assessment and management of fluid and blood resuscitation that can hold the systolic blood pressure above 80 mmHg and prompt surgical intervention may reduce mortality and may affect the outcomes in penetrating cardiac and other major vascular injuries.

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