TY  - JOUR
PY  - 2016//
TI  - Traumatic cardiac injury: experience from a level-1 trauma centre
JO  - Chinese journal of traumatology
A1  - Mishra, Biplab
A1  - Gupta, Amit
A1  - Sagar, Sushma
A1  - Singhal, Maneesh
A1  - Kumar, Subodh
SP  - 333
EP  - 336
VL  - 19
IS  - 6
N2  - PURPOSE: Traumatic cardiac injury (TCI) is a challenge for trauma surgeons as it provides a short therapeutic window and the management is often dictated by the underlying mechanism and hemodynamic status. The current study is to evaluate the factors influencing the outcome of TCI. <br><br>METHODS: Prospectively maintained database of TCI cases admitted at a Level-1 trauma center from July 2008 to June 2013 was retrospectively analyzed. Hospital records were reviewed and statistical analysis was performed using the SPSS version 15. <br><br>RESULTS: Out of 21 cases of TCI, 6 (28.6%) had isolated and 15 (71.4%) had associated injuries. Ratio between blunt and penetrating injuries was 2:1 with male preponderance. Mean ISS was 31.95. Thirteen patients (62%) presented with features suggestive of shock. Cardiac tamponade was present in 12 (57%) cases and pericardiocentesis was done in only 6 cases of them. Overall 19 patients underwent surgery. Perioperatively 8 (38.1%) patients developed cardiac arrest and 7 developed cardiac arrhythmia. Overall survival rate was 71.4%. Mortality was related to cardiac arrest (p = 0.014), arrhythmia (p = 0.014), and hemorrhagic shock (p =0.04). The diagnostic accuracy of focused assessment by sonography in trauma (FAST) was 95.24%. <br><br>CONCLUSION: High index of clinical suspicion based on the mechanism of injury, meticulous examination by FAST and early intervention could improve the overall outcome.<p />  <p>Language: en</p>
LA  - en
SN  - 1008-1275
UR  - http://dx.doi.org/
ID  - ref1
ER  -