Penetrating cardiac injuries: analysis of the mortality predictors

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dc.contributor.authorGoz, Mustafa
dc.contributor.authorCakir, Oemer
dc.contributor.authorEren, Mehmet Nesimi
dc.date.accessioned2024-04-24T17:37:44Z
dc.date.available2024-04-24T17:37:44Z
dc.date.issued2009
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND Penetrating cardiac injuries are a dramatic and lethal form of trauma. Most of these patients reach the hospital already dead or in severe shock. The prognosis is determined by early diagnosis and operation. In this study, we discuss the effects of the etiology of trauma, the state of presentation in the emergency department, and the treatment approaches on the morbidity and mortality in penetrating cardiac trauma treated in our clinic. METHODS Fifty-two patients treated due to penetrating cardiac injury were investigated retrospectively. Demographic characteristics, etiology of the injury, arrival time at the hospital, physical examination findings in the emergency room, diagnostic methods used, and surgical methods applied were determined along with the results. RESULTS The male to female ratio was 48:4, and mean age was 27.86 +/- 13.73. The etiology was stab injury in 46, gun shot injury in four and iatrogenic trauma in two patients. Surgery was applied in emergency condition for all cases. Cardiac injury was repaired using primary repair technique. Hospital mortality was determined as 15.4% (8 patients). CONCLUSION Penetrating cardiac injuries lead to shock in a very short period of time because of bleeding and/or pericardial tamponade. Early diagnosis and prompt thoracotomy are the fundamental factors affecting patient outcome after penetrating cardiac injury.en_US
dc.identifier.endpage366en_US
dc.identifier.issn1306-696X
dc.identifier.issue4en_US
dc.identifier.pmid19669966
dc.identifier.scopus2-s2.0-68049111461
dc.identifier.scopusqualityQ3
dc.identifier.startpage362en_US
dc.identifier.urihttps://hdl.handle.net/11468/21155
dc.identifier.volume15en_US
dc.identifier.wosWOS:000267861900011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isotren_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEmergency Thoracotomyen_US
dc.subjectCardiac Tamponadeen_US
dc.subjectPredictors Of Mortalityen_US
dc.subjectPenetrating Cardiac Injuryen_US
dc.titlePenetrating cardiac injuries: analysis of the mortality predictorsen_US
dc.titlePenetrating cardiac injuries: analysis of the mortality predictors
dc.typeArticleen_US

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