Trauma cardíaco fatal na cidade de Manaus/AM, Brasil
| Autor: | Fernando Luiz Westphal, Antônio Oliveira de Araújo, Jéssica de Oliveira Correia, Emanoel Nascimento Costa, Luciana Macedo Level Salomão, Cleinaldo Nascimento Costa, Pedro Henrique da Silva Gomes, Luiz Carlos de Lima |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Cross-sectional study medicine.medical_treatment lcsh:Surgery 03 medical and health sciences 0302 clinical medicine Cardiac tamponade medicine Traumatismos Cardíacos Thoracotomy Stab wound Cause of death Exsanguinação business.industry 030208 emergency & critical care medicine Retrospective cohort study lcsh:RD1-811 medicine.disease Hemothorax Surgery Mortalidade 030220 oncology & carcinogenesis Tamponamento Cardíaco Gunshot wound business |
| Zdroj: | Revista do Colégio Brasileiro de Cirurgiões, Vol 45, Iss 4 (2018) Revista do Colégio Brasileiro de Cirurgiões v.45 n.4 2018 Revista do Colégio Brasileiro de Cirurgiões Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
| ISSN: | 1809-4546 |
| Popis: | Objective to determine the frequency of fatal cardiac trauma in the city of Manaus, Brazil, between November 2015 and October 2016, and to clarify the mechanisms of trauma and death, previous hospital treatment, as well as the injuries associated with cardiac trauma. Methods retrospective, observational, and cross-sectional study, which reviewed the necropsy reports of individuals whose cause of death was cardiac injury. Results the cardiac trauma rate was of 5.98% (138 cases) out of 2,306 necropsies performed in the study period by Instituto Medico Legal (IML) de Manaus (IML is a Brazilian institute responsible for necropsies and cadaveric reports). Males accounted for 92% of the cases. The median age was 27 years (14-83). Gunshot wounds (GSW) was the trauma mechanism in 62.3% and stab wound (SW) in 29.7%. Exsanguination was responsible for most of the deaths and cardiac tamponade was present in second place. On-site death occurred in 86.2% of the cases. The ventricles were the most common site of cardiac injury. Hemothorax was identified in 90.6% of the individuals. Only 23 patients (16.7%) were taken to the hospital (Emergency Room), but six (26.2%) were submitted only to chest drainage, not to thoracotomy. The lung was unilaterally affected in 57% of the cases and bilaterally in 43%. Conclusion fatal cardiac trauma represented an index of 5.98% in the city of Manaus. Most patients die at the scene of the trauma, usually due to exsanguination caused by gunshot wound. About a quarter of patients who reached the hospital and died were not diagnosed with cardiac trauma in time. |
| Databáze: | OpenAIRE |
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