Penetrating cardiac trauma: analysis of 240 cases from a hospital in Bogota, Colombia

• DOI: 10.1186/s13017-017-0138-1
• Publication Date: 2017-06-12T14:59:56Z
• Authors: Andres Isaza-Rest...; Dínimo José Bolív...; Marcos Tarazona-Lara; José Rafael Tovar
• Keywords: Stab wound; Penetrating Trauma; Trauma Center; Revised Trauma Score

Trauma characteristics and its management is influenced by socioeconomic context. Cardiac trauma constitutes a challenge for surgeons, outcomes depend on multiple factors including initial care, of the wounds, surgical management. This retrospective cross-sectional case series patients with penetrating cardiac injuries (PCI) from January 1999 to October 2009 who underwent surgery in referral center Bogotá, Colombia. Demographic variables, characteristics, treatment, were analyzed. The study included 240 cases: 96.2% males, mean age 27.8 years. Overall mortality was 14.6%: 11.7% stab wounds 41.2% gunshot wounds. Upon admission, 44% had normal hemodynamic status 67% tamponade. About 32% Grade II 29% IV injuries. In 85% cases, there ventricular compromise 55% associated lesions. 150 pericardial window performed. Highest occurred right atrium. tamponade patients, 20% being higher (54.5%) than (18%) (p = 0.0120). evidenced predominance Based trauma, survival rate, most likely high pre-hospitalization rate. difference due those produced gunshots more related technical difficulties repair type injury established Injury Grading Scale. Mortality Surgical satisfactory using as diagnostic method sternotomy approach.