Penetrating Cardiac Injuries In Belgium: 20 years of Experience in University Hospitals in Brussels

Ngatchou, William; Surdeanu, Ion-Rares; Ramadan, Ahmed Sabry; Essola, Basile; Youatou, Pierre; Guimfacq, Virginie; Wauty, P.; Mols, Pierre

doi:10.1080/00015458.2013.11680927

Cited by 11 publications

(7 citation statements)

References 17 publications

(47 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study showed in-hospital mortality of 22%, which is comparable to other investigations reporting mortality ranging from 22% to 67% (1, 3–12). However, many studies reporting higher mortality encounter significant number of CI secondary to gunshot wounds (GSW), which is a well-known risk factor for mortality (1, 3, 4, 8, 9).…”

Section: Discussionsupporting

confidence: 87%

“…The major trauma courses including Advanced Trauma Life Support ® , Definitive Surgical Trauma Care™ and Advanced Surgical Skills for Exposure in Trauma™ have been recently introduced to Estonia to improve outcomes of the Estonian trauma system in patients suffering penetrating and blunt injuries (22–24). Most of the patients were young male similarly to other investigations (1, 3–12).…”

Section: Discussionsupporting

confidence: 83%

“…recently published population-based autopsy study from Estonia noted that 11% of all trauma deaths were secondary to CI (2). Different trauma centers report their in-hospital mortality between 22% and 67% after CI in recent years (1,(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). However, there are no previous studies available on CI in Estonia despite the fact that injury-related deaths are significantly higher compared to European Union average (13)(14)(15).…”

Section: Background and Aimsmentioning

confidence: 99%

See 2 more Smart Citations

Cardiac Injuries at Estonian Major Trauma Facilities: A 23-year Perspective

et al. 2018

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 83%

Section: Background and Aimsmentioning

confidence: 99%

See 1 more Smart Citation

Cardiac Injuries at Estonian Major Trauma Facilities: A 23-year Perspective

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Likewise, there was also no statistical significance of the trauma mechanism in relation to the number of injured cardiac chambers ( Table 5). Studies which analyze survivors of cardiac trauma in hospital cases are frequent in literature [14][15][16][17][18] . In our review, we showed that the majority of deaths occurred in men, with median age of 27 years, a similar result as the ones shown in studies performed both in Latin America 14,[21][22][23] and in the United States 3,24,25 .…”

Section: Methodsmentioning

confidence: 99%

Trauma cardíaco fatal na cidade de Manaus/AM, Brasil.

Araújo

Westphal

Lima

et al. 2018

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

RESUMO Objetivo: determinar o índice de trauma cardíaco fatal na cidade de Manaus e esclarecer os mecanismos de trauma e de morte, o tratamento hospitalar prévio, assim como as lesões associadas ao trauma cardíaco. Métodos: estudo retrospectivo, observacional, transversal, que revisou os laudos de necropsias do Instituto Médico Legal de Manaus entre novembro de 2015 e outubro de 2016, cuja causa mortis foi lesão cardíaca. Resultados: o índice de trauma cardíaco foi de 5,98% (138 casos) dentre 2306 necropsias realizadas no período do estudo. Homens foram afetados em 92%. A mediana de idade foi de 27 anos (14 a 83). A arma de fogo foi o mecanismo de trauma em 62,3% e a arma branca em 29,7%. A exsanguinação foi responsável pela maioria das mortes e o tamponamento cardíaco esteve presente em segundo lugar. Óbito no local ocorreu em 86,2%. Os ventrículos foram as câmaras mais lesionadas. O hemotórax foi descrito em 90,6%. Apenas 23 (16,7%) doentes foram removidos até o pronto socorro, porém seis deles (26,2%) não foram submetidos à toracotomia, apenas à drenagem de tórax. O pulmão foi acometido em 57% unilateralmente e 43% bilateralmente. Conclusão: o trauma cardíaco fatal representou um índice de 5,98% na cidade de Manaus. A maioria dos doentes morre na cena do trauma, geralmente devido à exsanguinação causada por ferimento de arma de fogo. Cerca de um quarto dos pacientes que chegaram ao pronto socorro e morreram, não foram diagnosticados com trauma cardíaco em tempo hábil.

show abstract

“…PCI is uncommon in developing countries 1. Wani et al 2 documented 6% (26/386) of cardiac injury over a period of 12 years.…”

Section: Global Health Problem Analysismentioning

confidence: 99%

Penetrating cardiac injury: sustaining health by building team resilience in growing civilian violence

Pol¹,

Prasad

Deo

et al. 2016

BMJ Case Reports

View full text Add to dashboard Cite

Penetrating cardiac injury (PCI) is gradually increasing in developing countries owing to large-scale manufacturing of illegal country-made weapons. These injuries are associated with significant morbidity and mortality. Logistically it is difficult to have all organ-based specialists arrive together and attend every critically injured patient round-the-clock in developing countries. It is therefore important for doctors (physicians, surgeons and anaesthetists) to be trained for adequate management of critically injured patients following trauma. We report the approach towards 2 cases of haemodynamically unstable PCI managed by a team of trauma doctors. Time lag (duration between injury and arrival at hospital) and quick horizontal resuscitation are important considerations in the treatment. By not referring these patients to different hospitals the team actually reduced the time lag, and a quick life-saving surgery by trauma surgeons (trained in torso surgery) offered these almost dying patients a chance of survival.

show abstract

Penetrating Cardiac Injuries In Belgium: 20 years of Experience in University Hospitals in Brussels

Abstract: Penetrating cardiac wounds are relatively rare in Belgium, which is mainly due to stabs and with consequent mortality. The implementation of clear guidelines is necessary to improve survival.

Cited by 11 publications

References 17 publications

Cardiac Injuries at Estonian Major Trauma Facilities: A 23-year Perspective

Cardiac Injuries at Estonian Major Trauma Facilities: A 23-year Perspective

Trauma cardíaco fatal na cidade de Manaus/AM, Brasil.

Penetrating cardiac injury: sustaining health by building team resilience in growing civilian violence

Contact Info

Product

Resources

About