Penetrating cardiac injuries: A population-based study

Peter M Rhee, Hugh Foy, Christoph Kaufmann, Carlos Areola, Edward Boyle, Ronald V. Maier, Gregory Jurkovich

Research output: Contribution to journalArticle

73 Citations (Scopus)

Abstract

Background: Wide variances exist in reports of survival rates after penetrating cardiac injuries because most are hospital-based reports and thus are affected by the local trauma system. The objective of this study was to report population-based, as well as hospital-based, survival rates after penetrating cardiac injury. Methods: Retrospective cohort analysis was performed during a 7-year period of 20,181 consecutive trauma admissions to a regional Level I trauma center and 6,492 medical examiner's reports. A recta- analysis was performed comparing survival rates with available population- based reports. Results: There were 212 penetrating cardiac injuries identified, for an incidence of approximately 1 per 100,000 man years and 1 per 210 admissions. The overall survival rate was 19.3% (41 of 212) for the population studied, with survival rates of 9.7% (12 of 123) for gunshot wounds and 32.6% (29 of 89) for stab wounds. Ninety-six of the 212 patients were transported to the trauma center for treatment, resulting in an overall hospital survival rate of 42.7 % (41 of 96), with a hospital survival rate of 29.3% (12 of 41) for gunshot wounds and 52.7% (29 of 55) for stab wounds. Conclusion: Review of population-based studies indicates that there has been only a minor improvement in the survival rates for the treatment of penetrating cardiac injuries.

Original languageEnglish (US)
Pages (from-to)366-370
Number of pages5
JournalJournal of Trauma
Volume45
Issue number2
StatePublished - Aug 1998
Externally publishedYes

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Survival Rate
Wounds and Injuries
Population
Stab Wounds
Gunshot Wounds
Trauma Centers
Coroners and Medical Examiners
Rectum
Cohort Studies
Incidence
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Rhee, P. M., Foy, H., Kaufmann, C., Areola, C., Boyle, E., Maier, R. V., & Jurkovich, G. (1998). Penetrating cardiac injuries: A population-based study. Journal of Trauma, 45(2), 366-370.

Penetrating cardiac injuries : A population-based study. / Rhee, Peter M; Foy, Hugh; Kaufmann, Christoph; Areola, Carlos; Boyle, Edward; Maier, Ronald V.; Jurkovich, Gregory.

In: Journal of Trauma, Vol. 45, No. 2, 08.1998, p. 366-370.

Research output: Contribution to journalArticle

Rhee, PM, Foy, H, Kaufmann, C, Areola, C, Boyle, E, Maier, RV & Jurkovich, G 1998, 'Penetrating cardiac injuries: A population-based study', Journal of Trauma, vol. 45, no. 2, pp. 366-370.
Rhee PM, Foy H, Kaufmann C, Areola C, Boyle E, Maier RV et al. Penetrating cardiac injuries: A population-based study. Journal of Trauma. 1998 Aug;45(2):366-370.
Rhee, Peter M ; Foy, Hugh ; Kaufmann, Christoph ; Areola, Carlos ; Boyle, Edward ; Maier, Ronald V. ; Jurkovich, Gregory. / Penetrating cardiac injuries : A population-based study. In: Journal of Trauma. 1998 ; Vol. 45, No. 2. pp. 366-370.
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