ArticleUpdates in surgery2019
Outcomes and indications for emergency thoracotomy after adoption of a more liberal policy in a western European level 1 trauma centre: 8-year experience.
Article in Updates in surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Outcomes and guideline adherence for emergency department thoracotomy: a single-center experience in Saudi Arabia.International journal of emergency medicine · 2025Article
- Development of novel thoracic retractor for resuscitative thoracotomy.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- A critical appraisal of emergency resuscitative thoracotomy in a Western European level 1 trauma centre: a 13-year experience.Updates in surgery · 2024Article
- Outcomes of resuscitative and emergent thoracotomies following injury at the largest trauma center in Estonia.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- ["Stop the bleeding"-Acute bleeding control in injuries to the trunk and extremities].Unfallchirurgie (Heidelberg, Germany) · 2023Review
- Serum lactate level is an independent predictor of mortality in cardiac stab wounds - A South African experience.Surgery in practice and science · 2023Article
- Emergency department thoracotomy in a physician-staffed trauma system: the experience of a French Military level-1 trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Outcomes of the resuscitative and emergency thoracotomy at a Dutch level-one trauma center: are there predictive factors for survival?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Hemodynamically unstable non-compressible penetrating torso trauma: a practical surgical approach.Colombia medica (Cali, Colombia) · 2021Review
- Patterns of pediatric thoracic penetrating injuries: A single-trauma-center experience in Riyadh, Saudi Arabia.Saudi medical journal · 2021Article
- Evaluation of Lung Contusion, Associated Injuries, and Outcome in a Major Trauma Center in Shiraz, Southern Iran.Emergency medicine international · 2021Article
- What's New in Emergencies Trauma and Shock? Resuscitative Thoracotomy in Emergency Room - Selective not Obligatory.Journal of emergencies, trauma, and shockArticle
- A National Study of Emergency Thoracotomy for Trauma.Journal of emergencies, trauma, and shockArticle
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The role of emergency thoracotomy (ET) in blunt trauma is still a matter of debate and in Europe only a small number of studies have been published. We report our experience about ET both in penetrating and blunt trauma, discussing indications, outcomes and proposing an algorithm for patient selection. We retrospectively analysed patients who underwent ET at Maggiore Hospital Trauma Center over two periods: from January 1st, 2010 to December 31st, 2012, and from January 1st, 2013 to May 31st, 2017. Demographic and clinical data, mechanism of injury, Injury Severity Score, site of injury, time of witnessed cardiac arrest, presence/absence of signs of life, length of stay were considered, as well as survival rate and neurological outcome. 27 ETs were performed: 21 after blunt trauma and 6 after penetrating trauma. Motor vehicle accident was the main mechanism of injury, followed by fall from height. The mean age was 40.5 years and the median Injury Severity Score was of 40. The most frequent injury was cardiac tamponade. The overall survival rate was 10% during the first period and 23.5% during the second period, after the adoption of a more liberal policy. No long-term neurological sequelae were reported. The outcomes of ET in trauma patient, either after penetrating or blunt trauma, are poor but not negligible. To date, only small series of ET from European trauma centres have been published, although larger series are available from USA and South Africa. However, in selected patients, all efforts must be made for the patient's survival; the possibility of organ donation should be taken into consideration as well.
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