Outcome of penetrating chest injuries in an urban level I trauma center in the Netherlands

Heus, Cecilia de; Mellema, Jos J.; Giannakópoulos, Georgios F.; Zuidema, Wietse P.

doi:10.1007/s00068-015-0533-9

Cited by 14 publications

(22 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…But we did not find cardiac tamponade as an independent risk factor for high mortality ( p = 1.000). Therefore trauma surgeons managing TCI should not consider pericardiocentesis as a definitive treatment for CT 17 . Moreover pericardiocentesis did not show any survival benefit ( p = 1.000) in our series of TCI.…”

Section: Discussionmentioning

confidence: 57%

“…Patients with BCI without features of cardiac tamponade and with minimal hemopericardium on CT scan may be treated nonoperatively by doing serial physical examination and echocardiography 21 . PCI patients often require surgery 12, 17. In our series 100% PCI patients underwent surgery, while 86% cases required surgery in BCI group.…”

Section: Discussionmentioning

confidence: 73%

“…Patients with TCI who survive to reach the hospital usually have sustained injuries limited to one cardiac chamber that can be repaired by trauma surgeons without cardiopulmonary bypass 17 . In our series trauma surgeons operated all the patients of TCI without using heart lung machine.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Traumatic cardiac injury: Experience from a level-1 trauma centre

Mishra

Gupta

Sagar

et al. 2016

Chinese Journal of Traumatology

View full text Add to dashboard Cite

PurposeTraumatic 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.MethodsProspectively 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.ResultsOut 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%.ConclusionHigh index of clinical suspicion based on the mechanism of injury, meticulous examination by FAST and early intervention could improve the overall outcome.

show abstract

Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 73%

See 1 more Smart Citation

Traumatic cardiac injury: Experience from a level-1 trauma centre

Mishra

Gupta

Sagar

et al. 2016

Chinese Journal of Traumatology

View full text Add to dashboard Cite

show abstract

“…Certains pays européens tiennent à jour une base de données nationale de traumatologie, mais peu d'études se sont concentrées sur la prise en charge des patients victimes de TTP (8,50,51). Il n'existe à ce jour aucune étude française publiée.…”

Section: Ii-7/ Problématique Et Objectifsunclassified

“…Dans notre série, 35% des patients ont bénéficié d'un drainage thoracique seul. Ce taux est inférieur à celui retrouvé dans la littérature qui est de 50 à 70% (50,(73)(74)(75) (87).…”

Section: V-2/ Prise En Charge Chirurgicale V-2-1/ Un Taux éLevé D'intunclassified

Penetrating thoracic injuries: a retrospective analysis from a French military trauma centre

et al. 2019

View full text Add to dashboard Cite

BackgroundPenetrating thoracic injuries (PTIs) is a medicosurgical challenge for civilian and military trauma teams. In civilian European practice, PTIs are most likely due to stab wounds and mostly require a simple chest tube drainage. On the battlefield, combat casualties suffer severe injuries, caused by high-lethality wounding agents.The aim of this study was to analyse and compare the demographics, injury patterns, surgical management and clinical outcomes of civilian and military patients with PTIs.MethodsAll patients with PTIs admitted to a Level I Trauma Centre in France or to Role-2 facilities in war theatres between 1 January 2004 and 31 May 2016 were included. Combat casualties’ data were analysed from Role-2 medical charts. The hospital manages military casualties evacuated from war theatres who had already received primary surgical care, but also civilian patients issued from the Paris area. During the study period, French soldiers were deployed in Afghanistan, in West Africa and in the Sahelo-Saharan band since 2013.Results52 civilian and 17 military patients were included. Main mechanisms of injury were stab wounds for civilian patients, and gunshot wounds and explosive fragments for military casualties. Military patients suffered more severe injuries and needed more thoracotomies. In total, 29 (33%) patients were unstable or in cardiac arrest on admission. Thoracic surgery was performed in 38 (55%) patients (25 thoracotomies and 13 thoracoscopies). Intrahospital mortality was 18.8%.ConclusionWar PTIs are associated with extrathoracic injuries and higher mortality than PTIs in the French civilian area. In order to reduce the mortality of PTIs in combat, our study highlights the need to improve tactical en route care with transfusion capabilities and the deployment of forward surgical units closer to the combatants. In the civilian area, our results indicated that video-assisted thoracoscopic surgery is a reliable diagnostic and therapeutic technique for haemodynamically stable patients.

show abstract

Animal model-based simulation training for three emergent and urgent operations of penetrating thoracic injuries

Zhong

Jiang

et al. 2023

Chinese Journal of Traumatology

View full text Add to dashboard Cite

Outcome of penetrating chest injuries in an urban level I trauma center in the Netherlands

Abstract: Patients presenting with penetrating chest injury are not uncommon in the Netherlands and can mostly be treated conservatively. In one-fourth of the patients, surgical treatment is performed. A structural and vigorous approach is needed for good clinical outcome.

Cited by 14 publications

References 14 publications

Traumatic cardiac injury: Experience from a level-1 trauma centre

Traumatic cardiac injury: Experience from a level-1 trauma centre

Penetrating thoracic injuries: a retrospective analysis from a French military trauma centre

Animal model-based simulation training for three emergent and urgent operations of penetrating thoracic injuries

Contact Info

Product

Resources

About