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Predictors of outcome in penetrating cardiac injuries

Askiin Ender Topal1, Yusuf Celik, Mehmet Nesimi Eren

  • 1Department of Cardiovascular Surgery, Dicle University Medicine Faculty, Diyarbakir, Turkey. aendertopal61@hotmail.com

The Journal of Trauma
|January 14, 2010
PubMed

Insights

Identifying risk factors for penetrating cardiac injuries is crucial. This study found that patient age, pH, Trauma Injury Severity Scores, and Acute Physiology and Chronic Health Evaluation II scores predict mortality in these critical cases.

Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Cardiovascular Surgery

Background:

  • Penetrating cardiac injuries are a leading cause of death.
  • Understanding risk factors is essential for improving patient outcomes.

Purpose of the Study:

  • To identify and quantify risk factors associated with mortality in patients with penetrating cardiac injuries.

Main Methods:

  • Retrospective review of 64 consecutive penetrating cardiac injury cases.
  • Analysis using forward stepwise multivariate logistic regression.

Main Results:

  • Mortality rate was 17.19% (11 of 64 patients).
  • Key risk factors identified: patient age, pH, Trauma Injury Severity Score (TRISS), and Acute Physiology and Chronic Health Evaluation II (APACHE II) score.
  • Odds ratios for these factors ranged from 2.201 to 6.665.

Conclusions:

  • The study identified specific patient and scoring system variables that significantly predict mortality in penetrating cardiac injuries.
  • Binary logistic modeling confirmed the predictive value of these risk factors.
Abstract

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