Ten-Year Trends in Traumatic Cardiac Injury and Outcomes: A Trauma Registry Analysis
| Autor: | Michael S. Charles, C. Anthony Howard, Paul W. Kempe, Hoang-Vu Tran, Zhamak Khorgami, Robert C. Garrett |
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| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Wounds Penetrating 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Blunt Injury Severity Score Trauma Centers law Acute care medicine Humans Hospital Mortality Registries Cause of death Retrospective Studies business.industry Mortality rate Incidence Middle Aged medicine.disease Intensive care unit United States Survival Rate 030228 respiratory system Pneumothorax Heart Injuries Emergency medicine Surgery Female Cardiology and Cardiovascular Medicine business Penetrating trauma Follow-Up Studies Forecasting |
| Zdroj: | The Annals of thoracic surgery. 110(3) |
| ISSN: | 1552-6259 |
| Popis: | Background Cardiac injury is a significant cause of death in patients with traumatic injuries. The Oklahoma Trauma Registry collects data from acute care hospitals in Oklahoma. This study investigated the trends and outcomes of traumatic cardiac injury in Oklahoma over a 10-year period. Methods The Oklahoma Trauma Registry tracks patients with major severity and one of the following criteria: hospital stay 48 hours or longer, death on arrival or in the hospital, hospital transfer, intensive care unit admission, or surgery. Cardiac injuries were identified from data acquired 2005 to 2014. Characteristics, mechanisms of injury, associated injuries, and outcomes were analyzed. Results were further divided into blunt vs penetrating injuries and operative vs nonoperative management. Results Of 107,549 patients, 426 patients suffered cardiac injury, and 160 patients suffered penetrating trauma. Commonly associated injuries were rib fractures, pneumothorax, hemothorax, and intraabdominal injuries. Of blunt cardiac injuries, 26.7% had spinal fractures. Operative management occurred in 16.9%. Overall mortality rate was 35.7% (51.9% in penetrating and 26.3% in blunt injuries). Mortality was higher for patients who had operative management but was similar in penetrating and blunt cardiac injury. Over 10 years, the percentage of cardiac injury decreased. However, mortality in patients who suffered a cardiac injury increased, correlating with an increase in proportion of penetrating cardiac injury. Conclusions Traumatic cardiac injury, particularly penetrating injury, continues to be a significant source of mortality. Analysis of state-base trauma registries can identify trends in causes of injury and death, serving as a reference point for quality improvement, therapeutic triage, and preventative action plans. |
| Databáze: | OpenAIRE |
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