Predicting mortality in penetrating cardiac trauma in developing countries through a new classification: Validation of the Bogotá classification

Autor: Jean A. Pulido, Mariana Reyes, Jessica Enríquez, Laura Padilla, Carlos Pérez, Luis F. Cabrera‐Vargas, Ivan D. Lozada‐Martinez, Mauricio Pedraza, Alexis R. Narvaez‐Rojas
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Health Science Reports, Vol 5, Iss 6, Pp n/a-n/a (2022)
Druh dokumentu: article
ISSN: 2398-8835
DOI: 10.1002/hsr2.915
Popis: Abstract Introduction Penetrating chest trauma (PCT) represents 10% of worldwide mortality, with developing countries counting as some of the most affected by high mortality rates due to cardiac trauma. Colombia is considered one of the most violent countries due to the high mortality rate associated with war and crime, hence the validation of an own classification for penetrating cardiac injuries (PCI) is mandatory. Methods Retrospective cross‐sectional study which included adult patients with PCIs at a level 4 trauma center in Colombia, between January 2018 and April 2020. We used our own system (Bogotá Classification) and compared it with traditional systems (e.g., Ivatury's, OIS‐AAST), by analyzing the mechanism of injury (MOI), the hemodynamic status of the patient at admission, the inpatient management, the individual outcomes, and some demographic variables. Bivariate statistical analysis, spearman correlation, and logistic regression were performed. Results Four hundred and ninety‐nine patients were included. Bivariate analysis demonstrated a significant relationship between mortality and hemodynamic state, MOI, its location and degree of lesion, cardiac/vessel injury, cardiac tamponade, time between injury and medical care, fluid reanimation, as well as the Ivatury's classification and the new classification (p
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