Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 11 , ISSUE 1 ( January-April, 2022 ) > List of Articles

Original Article

Heridas Cardiacas 11 Años de Experiencia en tres Hospitales Universitarios de Uruguay/Penetrating Cardiac Injuries, 11 Years of Experience in three University Hospitals in Uruguay

Carolina S Guarneri, Martin Ferreira, Emilia Moreira, Isabel Gabito, Alvaro Lavega, Graciela Mazzola, Juan C Folonier, Fernando Machado

Keywords : Cardiac trauma, Penetrating cardiac injuries, Precordial injuries

Citation Information : Guarneri CS, Ferreira M, Moreira E, Gabito I, Lavega A, Mazzola G, Folonier JC, Machado F. Heridas Cardiacas 11 Años de Experiencia en tres Hospitales Universitarios de Uruguay/Penetrating Cardiac Injuries, 11 Years of Experience in three University Hospitals in Uruguay. Panam J Trauma Crit Care Emerg Surg 2022; 11 (1):26-30.

DOI: 10.5005/jp-journals-10030-1379

License: CC BY-NC 4.0

Published Online: 04-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Introduction: Cardiac injuries are a diagnostic and therapeutic challenge for the trauma surgeon. The survival of these patients is influenced by several factors, favored by a fast and protocolized decision-making process. With the aim to analyze the epidemiology, diagnostic, and therapeutic strategies, as well as the treatment results, we analyzed retrospectively the cardiac injuries in three university hospitals in Montevideo, over 11 years. Materials and methods: A retrospective, multicenter, descriptive, and observational study was out based on the medical records’ analysis of patients operated on for cardiac injuries in three public university hospitals. Results: A total of 173 patients (97.1% men) were included with a mean age of 34.7 ± 20.5 years. The mechanism of injury was associated with mortality in favor of gunshot wounds (p < 0.0001) as well as hemodynamic conditions at admission (p < 0.0001). Conclusion: In accordance with other authors, our results confirmed that the hemodynamic status at admission, the type of anatomical injury, and gunshot wounds seem to be closely related to mortality. The ultrasonography study on the evolution was abnormal in 46.3%.


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