TY  - JOUR
PY  - 2022//
TI  - Factors associated with cardiac/pericardial injury among blunt injury patients: a nationwide study in Japan
JO  - Journal of clinical medicine
A1  - Ishida, Kenichiro
A1  - Katayama, Yusuke
A1  - Kitamura, Tetsuhisa
A1  - Hirose, Tomoya
A1  - Ojima, Masahiro
A1  - Nakao, Shunichiro
A1  - Tachino, Jotaro
A1  - Umemura, Yutaka
A1  - Kiguchi, Takeyuki
A1  - Matsuyama, Tasuku
A1  - Noda, Tomohiro
A1  - Kiyohara, Kosuke
A1  - Oda, Jun
A1  - Ohnishi, Mitsuo
SP  - e4534
EP  - e4534
VL  - 11
IS  - 15
N2  - The lack of established diagnostic criteria makes diagnosing blunt cardiac injury difficult. We investigated the factors associated with blunt cardiac injury using the Japan Trauma Data Bank (JTDB) in a multicenter observational study of blunt trauma patients conducted between 2004 and 2018. The primary outcome was the incidence of blunt cardiac/pericardial injury. Multivariable logistic regression analysis was used to identify factors independently associated with blunt cardiac injuries. Of the 228,513 patients, 1002 (0.4%) had blunt cardiac injury. Hypotension on hospital arrival (adjusted odds ratio (AOR) 4.536, 95% confidence interval (CI) 3.802-5.412), thoracic aortic injury (AOR 2.722, 95% CI 1.947-3.806), pulmonary contusion (AOR 2.532, 95% CI 2.204-2.909), rib fracture (AOR 1.362, 95% CI 1.147-1.618), sternal fracture (AOR 3.319, 95% CI 2.696-4.085). and hemothorax/pneumothorax (AOR 1.689, 95% CI 1.423-2.006)) was positively associated with blunt cardiac injury. Regarding the types of patients, car drivers had a higher rate of blunt cardiac injury compared to other types of patients. Driving a car, hypotension on hospital arrival, thoracic aortic injury, pulmonary contusion, rib fracture, sternal fracture, and hemothorax/pneumothorax were positively associated with blunt cardiac injury.<p />  <p>Language: en</p>
LA  - en
SN  - 2077-0383
UR  - http://dx.doi.org/10.3390/jcm11154534
ID  - ref1
ER  -