Factors affecting mortality in penetrating cardiac injuries: our 10-year results

dc.contributor.authorYavuz, Celal
dc.contributor.authorCil, Habib
dc.contributor.authorBasyigit, Ismail
dc.contributor.authorDemirtas, Sinan
dc.contributor.authorIslamoglu, Yahya
dc.contributor.authorTekbas, Guven
dc.contributor.authorElbey, Mehmet Ali
dc.date.accessioned2024-04-24T17:27:59Z
dc.date.available2024-04-24T17:27:59Z
dc.date.issued2011
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: In this study, we investigated the factors affecting survival in patients who were admitted to our center because of a penetrating heart injury and given treatment. Methods: Ninety-four patients with penetrating heart injuries (82 males, 12 females, mean age 25.9 +/- 12.7 years; range 3 to 67 years) admitted to our clinic between November 2000 and June 2010 were retrospectively evaluated. We recorded the demographic features, transfer time to hospital, way of transfer, clinical condition at admission, and reasons for the patient injuries. Additionally, the presence of hemothorax, pericardial hematoma, tamponade, coronary artery injury, the method of decision for surgery (operation following resuscitation thoracotomy, clinical follow-up or some diagnostic methods), the injured chamber of the heart, presence of accompanying injury in another organ, heart rhythm at the beginning of the surgery, and the surgical approach used were recorded. Results: The mortality rate was 13.8% in our study. Survival was not found to be related to age, gender, reason of injury (gunshot, stabbing, iatrogenic injuries), and presence of tamponade, and coronary artery injury. However, a significant relationship was found between survival and the way of transfer (ambulance or other vehicles), transfer time to hospital, clinical condition at admission, the method of decision for surgery, heart rhythm before the surgery, presence of pericardial hematoma or hemothorax, injured heart chamber, and presence of accompanying injury in another organ. Conclusion: The transfer time to hospital is the most important modifiable factor that may affect the outcomes in penetrating heart injuries. Shortening this time will dramatically improve the survival in these patients who have a very high mortality.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2011.042
dc.identifier.endpage343en_US
dc.identifier.issn1301-5680
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-80051562987
dc.identifier.scopusqualityQ3
dc.identifier.startpage337en_US
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2011.042
dc.identifier.urihttps://hdl.handle.net/11468/20281
dc.identifier.volume19en_US
dc.identifier.wosWOS:000293479500007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isotren_US
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayinciliken_US
dc.relation.ispartofTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPenetrating Heart Injury, Predictors Of Mortalityen_US
dc.subjectPrognosisen_US
dc.titleFactors affecting mortality in penetrating cardiac injuries: our 10-year resultsen_US
dc.titleFactors affecting mortality in penetrating cardiac injuries: our 10-year results
dc.typeArticleen_US

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